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Pharmacotherapy for patients with fibromyalgia

Fibromyalgia is a common and disabling chronic pain disorder. Despite research about the efficacy of a variety of drug treatments, e.g., tricyclic antidepressants, serotonin-norepinephrine re-uptake inhibitors, and alpha(2)delta ligands, there is still widespread, routine use of ineffective medications. This article discusses medication options for fibromyalgia, including those with high-level evidence for efficacy, moderate-level evidence, and little or no evidence for efficacy.

The authors discuss the importance of an integrated treatment approach that includes medication and at least one, but preferably more, of the most effective nondrug treatment options (e.g., education, aerobic exercise, and cognitive-behavioral therapy). Clauw DJ. Adapted from J Clin Psychiatry. 2008;69 Suppl 2:25-9.

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PMID: 18537460
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed

Credit: PubMed, developed by the National Center for Biotechnology Information (NCBI) at the National Library of Medicine (NLM).



Department of Pain Medicine and Palliative Care
Beth Israel Medical Center, New York City
©2005 Continuum Health Partners, Inc.
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