Modern approaches to the treatment of fibromyalgia

Abstract

Fibromyalgia (FM) occurs in 5–12% of patients but is relatively rarely diagnosed, so most patients do not receive adequate treatment. The review analyses pharmacological and non-pharmacological methods of FM treatment. Data suggests that antidepressants (duloxetine, milnacipran, amitriptyline) and antiepileptics (pregabalin, gabapentin) are most effective. Among non-pharmacological methods, the effectiveness of cognitive-behavioral and mindfulness therapy, kinesiotherapy, and biofeedback has been shown. In the management of patients with FM, a combination of non-pharmacological methods and medications can reduce pain and improve the quality of life.

Keywords

• fibromyalgia
• chronic widespread pain syndrome
• antidepressants
• duloxetine canon
• anticonvulsants
• gabapentin canon
• pregabalin canon
• psychological methods of treatment