Fibromyalgia
- Exercise + sleep/behavioral care are foundational
- Duloxetine/pregabalin/milnacipran are approved
- Amitriptyline useful when sleep/pain overlap
- Cyclobenzaprine can help selected patients
- Avoid chronic opioids
- Treat mood, sleep apnea + deconditioning
- Goal is function—not complete pain elimination
Use at a glance
- Exercise + sleep/behavioral care are foundational
Practical pearls
- Duloxetine/pregabalin/milnacipran are approved
- Treat mood, sleep apnea + deconditioning
- Goal is function—not complete pain elimination
Choosing treatment
- Amitriptyline useful when sleep/pain overlap
- Cyclobenzaprine can help selected patients
Safety / pitfalls
- Avoid chronic opioids
Self-check
- What is the fibromyalgia treatment goal?
Function, not complete pain elimination. - Which drugs are avoided chronically in fibromyalgia?
Chronic opioids.
Drugs used for this (6)
All clinical uses · Open Fibromyalgia in the interactive console ↗