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
Self-check
- What should be treated in Fibromyalgia?
mood, sleep apnea + deconditioning.
- What should generally be avoided in Fibromyalgia?
chronic opioids.
Drugs used for this (5)
All clinical uses · Open the interactive console ↗
