Modern approaches to the treatment of fibromyalgia

• Published in: Nevrologii͡a︡, neĭropsikhiatrii͡a︡, psikhosomatika Vol. 13; no. 5; pp. 83 - 89
• Main Authors: Nasonova, T. I., Mukhametzyanova, A. Kh, Tabeyeva, G. R., Chernousov, P. A.
• Format: Journal Article
• Language: English
• Published: IMA-PRESS LLC 17-10-2021
• Subjects: anticonvulsants; antidepressants; chronic widespread pain syndrome; duloxetine canon; fibromyalgia; gabapentin canon; pregabalin canon; psychological methods of treatment
• ISSN: 2074-2711; 2310-1342
• DOI: 10.14412/2074-2711-2021-5-83-89

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.