Fibromyalgia medical therapy: Difference between revisions
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==Medical Therapy== | ==Medical Therapy== | ||
Medical therapy includes analgesics, antidepressants, skeletal muscle relaxants, anticonvulsants and anti-anxiety medications <ref>{{cite book |author=Selfridge, Dr. Nancy, and Peterson, Franklynn|title=Freedom from Fibromyalgia: The 5-Week Program Proven to Conquer Pain |year=2001| isbn=0-8129-3375-3 }}</ref> | |||
===Single agent therapy=== | ===Single agent therapy=== | ||
*Preferred regimen (1): Amitriptyline 10-70 mg orally once daily at bedtime | *Preferred regimen (1): Amitriptyline 10-70 mg orally once daily at bedtime | ||
Revision as of 16:41, 16 June 2017
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Fibromyalgia Microchapters |
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Treatment |
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Case Studies |
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Fibromyalgia medical therapy On the Web |
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American Roentgen Ray Society Images of Fibromyalgia medical therapy |
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Risk calculators and risk factors for Fibromyalgia medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
There is no universally accepted treatment or cure for fibromyalgia, and treatment typically consists of symptom management. Treatment options include medications, patient education, aerobic exercise and cognitive behavioral therapy which have been shown to be effective in alleviating pain and other fibromyalgia-related symptoms.
Medical Therapy
Medical therapy includes analgesics, antidepressants, skeletal muscle relaxants, anticonvulsants and anti-anxiety medications [1]
Single agent therapy
- Preferred regimen (1): Amitriptyline 10-70 mg orally once daily at bedtime
- Preferred regimen (2): Cyclobenzaprine 5-30 mg orally once daily at bedtime
- Preferred regimen (3): Duloxetine : 30-60 mg orally once daily
- Preferred regimen (4): Milnacipran 12.5 mg orally once daily initially, followed by 12.5 mg twice daily for 2 days, followed by 25 mg twice daily for 4 days, then 50-100 mg twice daily thereafter
- Preferred regimen (5): Pregabalin 75-225 mg orally twice daily, maximum 450 mg/day
Combination Thereapy
- Preferred regimen (1): Amitriptyline 10-70 mg orally once daily at bedtime (OR)
- Preferred regimen (2): Cyclobenzaprine 5-30 mg orally once daily at bedtime
AND
- Preferred regimen (3): Duloxetine 30-60 mg orally once daily; higher doses have been used, consult specialist for guidance (OR)
- Preferred regimen (4): Milnacipran 12.5 mg orally once daily initially, followed by 12.5 mg twice daily for 2 days, followed by 25 mg twice daily for 4 days, then 50-100 mg twice daily thereafter
AND
- Preferred regimen (5): Pregabalin 75-225 mg orally twice daily, maximum 450 mg/day (OR)
- Preferred regimen (6): Gabapentin 300 mg orally once daily on first day, followed by 300 mg twice daily on second day, followed by 300 mg three times daily on third day, then titrate dose according to response up to 1800-2400 mg/day given in 3 divided doses
References
- ↑ Selfridge, Dr. Nancy, and Peterson, Franklynn (2001). Freedom from Fibromyalgia: The 5-Week Program Proven to Conquer Pain. ISBN 0-8129-3375-3.