PHARMACOLOGICAL MANAGEMENT OF FM

Several pharmacological classes of medication have published data or ongoing studies in FM.
However, there are 3 FDA-approved medications indicated for the management of FM.

NONPharmacological Management of FM

There is strong evidence that multidisciplinary therapy, including significant nonpharmacologic and patient self-management components, is effective in FM management. It is best to integrate nonpharmacological approaches early in the treatment plan, which helps reinforce the importance of the patient's role in his or her own care.6

As with any chronic medical condition, effective management requires patients to develop self-help and problem-solving skills, and may involve other sources of support beyond you and your office staff.

References:

1. Arnold LM. Biology and therapy of fibromyalgia. New therapies in fibromyalgia. Arthritis Res Ther. 2006;8(4):212.

2. LYRICA® (pregabalin) capsules Cv [package insert]. New York, NY: Pfizer Inc; 2013.

3. Cymbalta (duloxetine hydrochloride) full prescribing information. November 2012, Eli Lilly and Company.

4. Savella (milnacipran HCl) full prescribing information. November 2013, Forest Pharmaceuticals, Inc.

5. Mease P. Fibromyalgia syndrome: review of clinical presentation, pathogenesis, outcome measures, and treatment.
J Rheumatol. 2005;32(suppl 75):6-21.

6. Burckhardt CS. Educating patients: self-management approaches. Disabil Rehabil. 2005;27(12):703-709.

7. Wang C, Schmid CH, Rones R, et al. A randomized trial of tai chi for fibromyalgia. N Engl J Med. 2010;363(8):743-754.

8. McCarberg BH. Clinical overview of fibromyalgia. Am J Ther. 2011 Feb 15. [E-pub ahead of print]

9. Goldenberg DL, Burckhardt C, Crofford L. Management of fibromyalgia syndrome. JAMA. 2004;292(19):2388-2395.