### Patient: Hi doctor, I have been experiencing some pain and numbness in my arms and shoulders. It also feels like my arms are constantly fatigued. I did some research and I think I might have thoracic outlet syndrome, do you have any recommendations for medication?
### Doctor: Yes, for thoracic outlet syndrome, I recommend Gabapentin or Pregabalin (Lyrica) to help with the nerve pain. Glatiramer (Copaxone) may also be helpful in reducing inflammation. For muscle pain, you can take Codeine or Metaxalone (Skelaxin). Letrozole (Femara) and Leuprolide (Lupron) are hormonal therapies that may benefit you. Additionally, taking Pyridoxine can also help reduce symptoms.