### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have taken Celebrex since 2003 for Fibromyalgia which started in 1999 and was finally diagnosed. I have been (retaining fluid) off and on for over a year. Kidney damage? Hydrocodone 2003, due to constant pain from Knee pain. Knee replacements in 2011 and 2013 after I turned 65 in 2010. I have been in Constant pain since 1982 from a Herniated L3-L4 disc and related back problems. More hand pain now. (Arthiritis) Possible Liver damage? Medically forced retirement since 2003. I also have Sleep Apnea diagnosed in 2003 (Probably started in 1996). Gabapentin was started April of 2017 for Neuropathy in my feet beginning 1 to 1 1/2 years ago, finally diagnosed. I dropped Celebrex and Hydrocodone May 10th and I am trying to take only the Gabapentin. Will Gabapentin replace both? I am taking 300 mg in AM now and going to start taking 200 mg in afternoon today and also start 300 mg at night. I am trying to relieve the Fibromyalgia pain which I haven t had for a long time. I see there is a Charge. Since I am already overdrawn at the Bank I cannot do this. Thank you I have no money for this

### output:

You must see a physician soon and get kidney, liver functions tests assessed since been on years on Celebrex. Also have blood test for CBC, hemoglobin,CRP, ESR to know present stage of diseases process whether progressive or regressive. Gabapentin 300 is ok, but dose should be increased only if kidney, liver tests normal. Talk to a rheumatologist, he may advise.I would add amitriptyline 10 mg once at bedtime, and physical therapy for knee, use of knee brace in daycare only.local infiltration of knee with hyaluronic injection, or if severe pain, methylprednisolone in. Talk to a knee specialist orthopedist