Fibromyalgia

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Treatment of Fibromyalgia & Chronic Pain

Medications

As Fibromyalgia is a syndrome, it may be difficult to treat

Your GP or Rheumathologist will be the primary source of this treatment.

Pregbalin, (also known as Lyrica) was the first drug approved to treat Fibromyalgia with a variety of medications developed & approved for other purposes.

Painkillers (Analgesics)

Painkillers come in various strengths & are used to specifically treat pain.
Paracetemol is available over the counter, it is the simplest & safest pain killer ***Always follow instructions & take correct dose*****
Some anti-inflammatory drugs such as asprin & Ibruprofen can also be used in low doses.
There are also alternatives available from your GP on prescription
Analgesics are usually taken by mouth or given by injection.  However, slow release pain killing patches known as opioid patches are also available, although not widely prescribed.  The patches are used on people whose pain is not managed with non-steroidal, anti-inflammatory drugs or analgesics.

Points to Note

Nausea, Vomiting, drowsiness, constipation & occasional breathing difficulties are all possible side effects of stronger type pain relief. Remember if your pain is masked by painkillers it is easy to damage or over use muscles & joints without noticing, so care is needed.

NSAIDs

Non-steroidal anti-inflammatory drugs – NSAIDs for  short, may be scripted.
They are often taken alongside painkillers. They function by relieving pain & stiffness. & reducing inflammation.
Inflammation is the bodies way of telling you it is injured.

Examples of NSAIDs
Ibuprofen   ——  Brufen/ Neurofen & others
Diclofenac  ——  Voltarol / Diclomax / Difene
Indometacin —– Indocid & Others
Naproxen      —-   Naprosyn & Others
Piroxicam     —–  Feldene
Nabumetone —-  Relifex

Anti- Depressants

Low dose anti-depressants such as Amtriptyline, in doses lower than that to treat depression can help promote restorative sleep.  They relax muscles & heighten the effects of the bodys natural pain-killing substances called endorphins.

SSRIs — Selective Serotonin Reuptake Inhibitors

SSRIs can help reduce fatigue, & some of the other Symptoms associated with Fibromyalgia, by promoting the release of Serotonin…………often people with fibromyalgia have low serotonin levels.

Examples of SSRIs
Citalopram (Cipramil)
Escitalopram (Lexapro)
Fluoxetine (Prozac)
Fluvoxamine (Faverin)
Paroxetine (Seroxat)
Sertraline (Lustral)
Venlafaxine (Efexor)

SSRIs are rarely prescribed alone for fibromylgia

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Please note treatment varies from patient to patient, always consult your Doctor or Pharmacist