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Good evening, I am Dr Ruff, thank you for contacting us today
I am sorry to hear this. Fibromyalgia pain needs to be managed psychologically. Therefore this is why traditional pain relief isn't effective.
It is always worth seeing Rheumatology if you haven't already to confirm a diagnosis. Exercise programs are very helpful as well as Cognitive Behavioural Therapy.
As per medication, strong opioids are not recommended, however Tramadol is an option for break through pain. You could also review your Sertraline, what dose do you currently take?
It is indeed a difficult diagnosis, this is why if it is in question, worth seeing Rheumatology as they are essentially responsible for the diagnosis.
You are on a good dose of Sertraline so I would agree this dose doesn't need adjusting.
That is my pleasure, all the best with this.