Open Menu

Please use the Search Box at the top to find information quickly. Just type in key-words and click "Search". Thanks.

(We are constantly adding new content. What you don't find now will be found eventually!)

DRUG TREATMENTS FOR FIBROMYALGIA

Drug treatments for fibromyalgia image drugs images

Symptom	Drug	Comment
Pain	Acetaminophen (e.g. Tylenol)	First line
Pain	NSAID (e.g. Advil)	First line (if also other condition such as osteoarthritis)
Moderate to severe pain	Tramadol	Shown to improve pain & quality of life
Moderate to severe pain	Codeine
Pain, depression, sleep disturbance	Amitriptyline	Best choice Start 10mg at bedtime Could go to 25mg at bedtime Side effects: drowsiness, dry mouth, weight gain)
Pain, depression, sleep disturbance	Duloxetine	Start 30mg – 60mg once daily Higher doses may not be better Response within 8 weeks Side effects: nausea, dry mouth, headache
Pain, sleep disturbance	Pregabalin	Start 75mg BID Increase to 150mg BID after week Side effects: drowsiness, edema, weight gain
Pain, sleep disturbance	Gabapentin	Start 300mg at bedtime x 1 week Increase by 300mg/week to 1200-2400mg daily (divided TID)
Sleep disturbance	Nabilone	Works as well as Amitriptyline for sleep disturbance but more side effects