<prompt> in the condition shown above what is the seratonin norepinephrine receptor inhibitor is used predominately ?velanafixineduloxitinecitalopramescitalopram  <response>: image showed above is rash in fibromyalgia major drug of choice in fibromyalgia is : snri DULOXITINE MANAGEMENT Evidence-based guidelines by the American Pain Society APS for the optimal treatment of FMS. MEDICATIONS: Strong Evidence for Efficacy Tricyclic Antidepressant Medications Amitriptyline Cyclobenzaprine CNS agents, antidepressants, muscle relaxants, or anticonvulsants are the most successful pharmacotherapies. ref : kd tripathi 9th ed 