<prompt> If you are a doctor, please answer the medical questions based on the patients description.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?  <response>: 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. 