FIBROMYALGIA-MANAGEMENT

SUMMARY

1. Patient education and reassurance
2. Combination therapy is often more effective
3. Biofeedback, tender point injections
4. Acupuncture
5. Low-impact, graded aerobic exercise

MEDICATIONS
1. Tricyclic antidepressants: amitriptyline, nortriptyline
2. Pregabalin (Lyrica), duloxetine (Cymbalta), and milnacipran (Savella) are the only FDA–approved medications to treat fibromyalgia
3. Muscle relaxants (cyclobenzaprine, tizanidine)
4. Analgesia: tramadol

Reference(s)

Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].