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Fibromyalgia is a wasting disease of adult women! Fibromyalgia: new treatment options Drugs for the treatment of fibromyalgia.

Fibromyalgia is one of the groups of chronic pain disorders... It affects connective tissue including muscles, ligaments (tough strips of tissue that connect the ends of bones), and tendons (attach muscles to bones). it chronic illness which causes wide muscle pain, "Myalgia" and excessive soreness in many areas of the body. Many patients also experience fatigue, sleep disturbances, headaches, and mood disorders such as depression and anxiety. Despite ongoing research, the cause, diagnosis, and optimal treatment of fibromyalgia are unclear. In this article, we will look at drugs for fibromyalgia.

Fibromyalgia affects about 2% of people under 20, increasing to about 8 percent of people under 70; it is the most common cause of generalized musculoskeletal pain in women between the ages of 20 and 55. It is more common in women than men. Most people develop symptoms initially between the ages of 30 and 55.

Medicines and drugs for fibromyalgia

As of 2011, the Department for Sanitary Supervision of Quality food products and Medicines ”approved three drugs for the treatment of fibromyalgia. These include pregabalin, an alpha-2 ligand inhibitor, and duloxetine and milnacipran, which are selective inhibitors recapture norepinephrine and serotonin. However, older drugs that are common or have not been studied as well can be effective as well.

Anticonvulsants- Anticonvulsants (drugs used primarily to treat epilepsy) can help relieve pain and improve sleep. Pregabalin was the first drug approved for the treatment of fibromyalgia in 2007. It works as an alpha 2 ligand inhibitor, and its pain relief is likely due to blocking certain chemicals that enhance pain transmission.

One of the older anticonvulsants, gabapentin, has also significantly improved symptoms in people with fibromyalgia. Some healthcare professionals use these drugs in combination with other analgesics or antidepressants, although such combination therapies have not been extensively studied.

Side effects. The most common side effects of these drugs are feeling calm or dizzy, promoting weight gain, or developing swelling in the lower limbs; however, most people tolerate these drugs well for fibromyalgia.

Double Reuptake Inhibitors- Duloxetine and milnacipran, both norepinephrine and serotonin reuptake inhibitors by nerve cells, have helped with pain, fatigue, and well-being in people with fibromyalgia, regardless of whether the person was depressed. The most common side effects of these dual reuptake inhibitors are nausea and dizziness, but they tend to be less problematic when the dose starts at a low level and increases very slowly.

Many other drugs are used to manage symptoms associated with fibromyalgia. The drugs that have been most effective in relieving symptoms of fibromyalgia in clinical trials are drugs that target chemical substances in the brain and spinal cord. Which are important when treating pain. In contrast, drugs for fibromyalgia and methods that help relieve symptoms of local pain, such as anti-inflammatory drugs and analgesics, are less effective.

Tricyclic antidepressants- Taking before bedtime can promote deeper sleep and may relieve muscle pain. Examples include amitriptyline or cyclobenzaprine.

Plus, this treatment can improve depression. Although cyclobenzaprine is considered a muscle relaxant, its chemical structure and mode of action is very similar to Chemical properties amitriptyline. Studies have shown that treatment with these tricyclic antidepressants results in significant improvement in about 25 to 45 percent of patients with fibromyalgia, although the effectiveness may decrease over time.

Tricyclic antidepressants usually start at a very low dose and slowly work up to the most effective and tolerated dose. However, even at low doses side effects are common and may include dry mouth, fluid retention, weight gain, constipation, or difficulty concentrating.

Selective serotonin reuptake inhibitors(SSRIs) such as fluoxetine and paroxetine may also be effective for fibromyalgia. SSRIs are a group of antidepressants that work to increase the concentration of serotonin in the brain. Serotonin is a naturally occurring chemical that regulates the delivery of messages between nerve cells.

Several reports have shown that when combined, different drugs for fibromyalgia, such as fluoxetine in the morning and amitriptyline at bedtime, may be more effective than any drug.

Anti-inflammatory drugs- fibromyalgia does not cause tissue inflammation. No (NSAIDs) used by themselves, nor glucocorticoids (steroids) help people with fibromyalgia. However, when used in combination with other drugs, NSAIDs such as ibuprofen or naproxen may have some benefit.

Analgesics - pain relievers; some are available over the counter, while others require a prescription. The analgesic tramadol, either alone or in combination with acetaminophen, has been found to help relieve pain associated with fibromyalgia in clinical trials. Tramadol may cause dizziness, diarrhea, or sleep disturbances in some people. Using tramadol is less likely to lead to dependence on other, more powerful narcotic pain relievers.

Narcotic or opioid pain relievers have not been studied for the treatment of fibromyalgia. Most suppliers medical services do not recommend the use of narcotic pain relievers for fibromyalgia in the long term, although they may be suitable for individuals for short-term relief of symptoms that do not improve with all other treatments. However, long-term opioid use is associated with poor results in fibromyalgia and should be avoided.

Complementary therapies for fibromyalgia

Exercises . Regular cardiovascular exercise, such as walking, swimming, or cycling, can help reduce muscle pain and improve muscle strength and fitness in fibromyalgia. The exercise program should start slowly and gradually increase in duration and intensity. Gradually, aerobic exercise usually improves symptoms.

Muscle strengthening programs also improve pain, reduce tender spots, and improve muscle strength in people with fibromyalgia.

People with fibromyalgia should consider working with a physical therapist to develop an appropriate, individualized exercise program that provides the most benefit. After all, a person should exercise for at least 30 minutes, three times a week.

Relaxation procedure... Some people with fibromyalgia who participate in stress reduction programs, learn relaxation techniques, or participate in hypnosis, biological feedback or cognitive behavioral therapy can help relieve some of the symptoms. The most widely studied is cognitive behavioral therapy(CBT).

  • CBT is based on the concept that people's perception of themselves and their environment influences their emotions and behavior. The goal is to change the way a person thinks about pain and to communicate with the disease in a more positive way. It is especially effective when combined with patient education and information about their illness.
  • Hypnosis induces a trance-like state of altered awareness and perception, during which there may be an increased responsiveness to suggestions.
  • During biofeedback, patients use information about typical unconscious physical functions such as muscle tension or blood pressure to help you consciously control such functions.

Acupuncture - Acupuncture involves inserting thin metal needles into the skin at specific points on the body. It almost doesn't hurt. In some cases, a gentle electric current is applied to the needle. V clinical research Traditional Chinese acupuncture has not been more effective than bogus acupuncture treatments in relieving fibromyalgia symptoms. However, some people have benefited from acupuncture. Overall, the quality of research on acupuncture is low and it is difficult to know exactly what, if any, benefits that acupuncture can provide.

Tai chi and yoga. Some people with fibromyalgia use a traditional Chinese exercise called tai chi, which combines mind practice with gentle, flowing movements; or yoga.

Fibromyalgia is a disease characterized by chronic diffuse musculoskeletal pain in various parts of the body, stiffness of movement, fatigue and weakness, depressive disorders, and sleep disturbances. V last years interest in this neurological ailment has increased due to an increase in the incidence of the disease by about 5%. In the absence of treatment, fibromyalgia significantly reduces the patient's ability to work and the quality of his life, leads to a deterioration in adaptability to external conditions, especially in society.

This disease has characteristic feature: objective methods examinations (blood tests, urine tests, x-rays, CT scan and others) do not reveal any pathological changes. This aspect makes the diagnosis of this disease very difficult. But, nevertheless, an experienced doctor, when comparing all the manifestations, may suspect the diagnosis of fibromyalgia. In no case should the process be allowed to drift, patients should trust the doctor and the treatment prescribed for this pathology.


Diagnostics

The diagnosis of "fibromyalgia" is made on the basis of data from a thorough survey of the patient and his examination. Additional research methods are prescribed in order to exclude all other possible diseases which can give chronic pain.

For a long time in medicine, there were no clear criteria for the diagnosis of fibromyalgia. It cannot be reliably asserted that they have been identified now, but still today there is a scale of criteria for the possible presence of fibromyalgia. This scale was developed in 1990 by the American College of Rheumatology. It is not intended for full clinical use, for the most part within the framework of research, but more clear diagnostic criteria have not yet been developed.

At the moment, the disease is diagnosed based on several factors. Let's list them.



Many medications are used to treat the symptoms of fibromyalgia, including sleeping pills and antidepressants. Some drugs relieve pain, others improve sleep and mood. However, one should not rely on drugs alone. Should be developed in conjunction with a physician individual program treatment in order to cope with the symptoms of the disease.

The most commonly used drugs for the treatment of fibromyalgia are Cimbalta (an antidepressant) and Lyrica (an antiepileptic drug).

One third of patients with fibromyalgia have depression and anxiety. Doctors often prescribe antidepressants to patients, which improve mood and sleep and reduce pain. The most effective treatments for fibromyalgia are tricyclic antidepressants and cyclobenzaprine (muscle relaxants).

Tricyclic antidepressants

Tricyclic antidepressants (Elavir, Pamelor) increase the level of neurotransmitters in the brain. Low doses of tricyclic antidepressants improve sleep.

Tricyclic antidepressants increase levels of serotonin and norepinephrine in the brain. Patients with chronic pain have decreased levels of these anti-anxiety neurotransmitters. Tricyclic antidepressants relax the muscles, enhance the effect of endorphins - the body's natural pain relieving substances. However, these drugs cause side effects such as drowsiness, dizziness, dry mouth, dry eyes, and constipation.

Duloxetine (Cymbalta) relieves fibromyalgia pain and other symptoms.

Selective serotonin reuptake inhibitors (SSRIs) are a new generation of antidepressants (Prozac, Zoloft). They block serotonin uptake, allowing serotonin to move freely from neuron to neuron. As a result, the patient's mood is improved.

Increased serotonin levels can also help reduce pain and weakness. SSRIs can disrupt a person's sleep, therefore, along with these drugs, doctors prescribe tricyclic antidepressants.

What drugs relieve pain?

In some cases, doctors prescribe analgesics and pain relievers to reduce severe pain in the muscles that accompanies fibromyalgia. However, analgesics do not work the same way in all people.

OTC drugs of the acetaminophen group increase pain threshold which reduces pain. Aspirin blocks the production of prostaglandin, a chemical that causes pain, inflammation, and swelling.

Non-steroidal anti-inflammatory drugs do not relieve fibromyalgia pain. However, when combined with drugs such as Elavil, Flexeril and SSRIs, they often have a positive effect. Among the drugs in this group are over-the-counter aspirin, ibuprofen, naproxen.

Side effects of pain medications

If the patient suffers from any diseases of the gastrointestinal tract, he should be careful with aspirin and other non-steroidal anti-inflammatory drugs, which can cause heartburn, nausea and vomiting, ulcers, gastrointestinal bleeding. They can also slow blood clotting.

Aspirin and other drugs in this group can cause or exacerbate peptic ulcer duodenum... Patients who have had gastrointestinal bleeding or ulcers should consult a doctor before taking these drugs.

Acetaminophen usually does not cause serious side effects, however, it should not be taken by those with liver problems.

Some people cannot take aspirin and other drugs in this group due to the so-called “aspirin” triad. Aspirin sensitivity occurs in 10% -15% of people with asthma. Among those with asthma and nasal polyps, the incidence rises to 30% -40%. If a person is sensitive to aspirin, they may develop symptoms such as itching, rash, swelling, runny nose, and wheezing.

Fibromyalgia Treatment: Muscle Relaxants

Cyclobenzaprine (Cycloflex, Flexeril), a muscle relaxant, is effective in the treatment of fibromyalgia. The drugs of this group relieve muscle tension, improve sleep, acting on the central nervous system... These drugs relieve pain in the muscles and head, etc.

Muscle relaxants can cause side effects such as dry mouth, dizziness, drowsiness, absent-mindedness, blurred vision, and discolored urine. These drugs increase the likelihood epileptic seizure, in some cases, cause hallucinations.

Anticonvulsant drugs

"Lyrics" - new drug which is used to treat fibromyalgia. This drug slows down the impulses in the brain that cause convulsions. Lyrica affects chemicals in the brain that transmit pain signals to the nervous system. Thus, the drug reduces pain and improves sleep.

Fibromyalgia Treatment: Other Drugs

Fibromyalgia is treated with drugs such as Ultra, which is stronger than acetaminophen. This drug affects the way the human brain perceives pain. The drug does not cure inflammation, is not addictive.

Many doctors prescribe benzodiazepines to patients with fibromyalgia, which can help relieve muscle pain, improve sleep, and alleviate the syndrome. restless legs(an unpleasant sensation that makes you constantly move your legs when a person is at rest). These drugs act on the central nervous system and are addictive if taken in large doses. You should consult your doctor before taking.

In extreme cases, when all else fails to relieve the patient's pain, the doctor may prescribe strong opioid pain relievers (OxyContin).

Fibromyalgia is a condition in the body in which a person feels severe muscle pain, which is chronic. The pathology is characterized by an increased feeling of anxiety, constant fatigue, a depressed mood, and bowel disorders. The disease can also be called fibromyositis.

The disease usually suffers women age group from 40 to 55 years old... In the male half of the population, fibromyalgia is diagnosed in rare cases (only 15-16% of the total number of all diseases). Pathology practically does not occur in children and adolescents, soreness in the muscles is rarely felt and is temporary.

Painful sensations with fibromyositis can completely disappear, and then suddenly appear. Pain migrates throughout the body, is localized in different areas, so the diagnosis of fibromyalgia is difficult. The exact causes of the disease have not yet been clarified. In medicine, it is generally accepted that fibromyositis is a consequence of physical or emotional trauma or previous viral infections.

Symptoms and manifestations

Fibromyalgia clinic is manifested by the following symptoms:

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Irina Martynova. Graduated from Voronezh State Medical University. N.N. Burdenko. Clinical resident and neurologist BUZ VO \ "Moscow polyclinic \".

  • musculoskeletal pain that are poured all over the body. Pain is present in all parts of the body - right and left, in the spine, above and below the waist. Usually, the soreness begins in the neck, smoothly passes to the shoulders, spreads further throughout the body, is aching in nature. Feelings change depending on the weather and time of day;
  • fast fatiguability;
  • fatigue throughout the body chronic in nature;
  • the patient feels periodic "goose bumps" on the skin;
  • sleep disturbance- Patients complain that they do not sleep well, cannot fall asleep for a long time, because painful sensations interfere with them. They always wake up tired and not slept enough;
  • patients suffer from regular headaches, migraines are often recorded;
  • patients have mental disorders... This manifests itself in poor memory, anxiety, impaired attention;
  • dizziness is often recorded;
  • pain in the abdomen manifested on palpation;
  • joint stiffness in the morning after waking up and prolonged hyperthermia.

Risk factors

    Susceptibility to fibromyalgia occurs when the following conditions occur:
  1. gender- women suffer from the disease much more often,
  2. age- the risk group starts from 40 years old, sometimes the disease also affects people 20 years of age,
  3. constant psychological pressure leading to the fact that the patient is in a state of emotional stress and depression,
  4. physical and emotional trauma received in childhood... Violence in a child's own family contributes to fibromyalgia later in life. It is generally accepted that women who have suffered from sexual violence face a high risk of developing fibromysiotic disease,
  5. hereditary factors – genetic predisposition directly affects the likelihood of disease. Children whose parents or siblings have had fibromyalgia have an eight-fold increased risk of the disease.

What diseases are they confused with?

    Clinical symptoms diseases can be similar to signs of other pathologies. This could be:
  • early rheumatoid arthritis,
  • multiple sclerosis,
  • Parkinson's disease,
  • syndrome chronic fatigue,
  • diabetic polyneuropathy,
  • hypothyroidism,
  • lupus erythematosus and other autoimmune diseases.

Diagnostics

If fibromyalgia is diagnosed as early stages, then this will help to cure the disease faster. It can take about five years for the disease to be recognized.... According to statistics, doctors cannot diagnose pathology in 3 out of 4 people with fibromyalgia. This is due to the fact that the symptoms are rather blurred, the disease is similar to many other diseases. Fibromyositis is easy to suspect in any person who suffers from muscle and.

The patient is initially examined by a doctor. Physical examination does not provide wide range information... The doctor can only record the soreness of the points characteristic of the disease. But when diagnosed, these points only cause pain, additional symptoms should be absent (redness, swelling or damage skin and joints).

    At the next stage, the patient takes a number of tests and other studies:
  • antibody testing;
  • detailed blood test;
  • general analysis urine;
  • the rate at which erythrocytes are deposited;
  • research on C-reactive protein;
  • the patient must consult an endocrinologist, undergo the necessary studies and pass the required tests;

If laboratory tests do not confirm the presence of fibromyalgia, then doctors consider diseases with similar symptoms.

Treatment

Non-drug means

Fibromyositis therapy includes a whole range of procedures. These include treatment drugs, medical procedures of a non-drug nature. Treatment can be applied in parallel folk remedies... Before using them, you should consult with your doctor.

Traditional treatments

    • Includes the following:
    • cognitive behavioral therapy- a special methodology that is aimed at working with the thoughts of the patient. It helps the patient to understand their thoughts and feelings. This treatment helps with fibromyalgia, depression, various phobias. Cognitive therapy aims to enable people to understand their negative attitudes in consciousness and change the corresponding behavior;
    • exercise and stretching- a set of special therapeutic exercises helps to reduce muscle soreness, improve general state organism. It is necessary to introduce physiotherapy exercises gradually. First, patients should do light exercises, only then they need to move on to harder ones. The complex of stretch marks is selected by the doctor on an individual basis;
    • massage- therapeutic massage of the body helps to reduce the heart rate, relax the muscles of the body. According to studies, regular massage (twice a week) for 30 minutes has a positive effect, reduces body tension, reduces feelings of anxiety and anxiety;


  • acupuncture- this procedure came from China. There are sensitive points on the human body, which are affected by special needles. Acupuncture helps to improve the patient's well-being, contributes to the process of recovery from fibromyalgia;

  • balneotherapy- impact on the body with mineral waters... These procedures use external application of water - bath, washing, irrigation or rinsing internal organs(for example: intestines). Balneotherapy has a beneficial effect on the body as a whole, improves tone, improves the general well-being of the patient. Doctors leave good feedback about this method of therapy.

Alternative treatments

    • meditation- the method was widely used in the Ancient East. Today it good way relaxation. Meditation aims to calm the mind and thoughts. Research shows the effectiveness of this method in treating fibromyalgia. Meditation strengthens the body, normalizes heart rate and blood pressure;


  • art therapy- a relatively new method of treatment, which consists in the fact that the patient depicts his thoughts, pains and fears on paper using paints or pencils. Patients draw what worries them. This helps to improve their condition, reduce the level of anxiety and depression;
  • hypnosis- a way of influencing the patient's subconsciousness. It should only be performed by an experienced physician. The doctor works with the patient's fears and past attitudes, blocks his depression, negative attitude to life.

Drug treatment

Treatment with folk remedies

Aromatherapy

Aromatherapy is used to treat fibromyalgia. This method is a kind alternative medicine, in which the patient's body is affected by volatile aromatic substances (they are usually obtained from plants). When treating a disease, use essential oils... They improve sleep, relieve stress, reduce depression. Oils can be added to the bath, massage or inhaled with them, they are added to the aroma lamp.

The following decoctions can be added to the baths:

  • Take 2 kilograms of fresh pine needles (use needles). Pour a bucket of boiling water over them and leave for 30 minutes. Add the resulting solution to the bath (37–38 degrees), having previously filtered it. Take a bath for 20 minutes;
  • Prepare 100 grams of sage (it should be minced). Pour it with a liter of water, simmer over low heat for 60 minutes. Then insist the broth for a day. Add it to the bath, take 20-30 minutes;
  • Use juniper baths. They help relieve symptoms of the disease. Pour a glass of dried berries with two liters of water, boil the broth for 5 minutes. Strain it and add it to a 37–38 degree bath;
  • Larch is considered effective remedy, eliminating pain in fibromyalgia. Prepare five hundred grams of the plant, pour two liters of water, bring to a boil. Insist the broth for sixty minutes, then add to the bath;
  • Mustard baths improve blood circulation, increase blood flow to the affected organs. Add 200-300 grams of dry mustard to a full bath. Take no longer than 10 minutes, then rinse.

Aromatic oils can help improve your well-being and promote good sleep. Essential oils lavender, sandalwood, vanilla and ylang-ylang have a soothing effect. Their can be added to aroma lamps:

  • 2 drops of sandalwood, 2 neroli and 1 incense;
  • 6 drops of lavender;
  • 3 drops of lavender, 3 ylang-ylang;
  • 4 drops of lavender and 4 chamomile.

Treatment with decoctions, herbal teas, tinctures.

Herbal drinks strengthen the body's condition, improve mood. Chamomile, mint, herbs, which have a calming effect, help well.

  • Take the root of blue cyanosis, pour a tablespoon of the plant with 300 milliliters of water, boil for half an hour. Take a tablespoon three times a day. Heal for 3 weeks
  • Mix three parts rose hips and one part lingonberries. Grind the berries, pour 500 milliliters of water. Simmer for 10 minutes over low heat. Drink half a glass twice a day. The course of treatment is a week.
  • Mix a teaspoon each of sage, eucalyptus and chamomile flowers. Fill with rubbing alcohol (100 ml). Insist for a week. Take 10 ml, 3 times a day. The course of treatment is a week;
  • Cut 10 lemons with peels, mix with egg powder. To prepare it, grind a clean shell of 5 eggs. Pour half a liter of vodka into the product, leave for 21 days. Take 2 teaspoons of lemon tincture three times a day. The course of treatment is a month. The remedy relieves the painful symptoms of the disease.
  • you can use a tincture, the base of which consists of peony and valerian.

Using ointments

  • Collect a glass of flowering lilac blossoms, dry and chop them. Dilute with 250 grams of pork fat. Rub the painful areas twice a day;
  • use the ointment "". Doctors and patients leave good reviews about its properties. It relieves pain and improves the patient's condition.

Treatment depends on the stage of fibromyalgia. The patient must remember that recovery will not come in a week or two. Often, the treatment process takes from six months to several years.

It is important not to despair after the first setbacks. For a successful recovery, you should follow all the doctor's recommendations, carry out complex treatment... You need to believe in recovery, in yourself and your strength.

Many medications are used to treat the symptoms of fibromyalgia, including sleeping pills and antidepressants. Some drugs relieve pain, others improve sleep and mood. However, one should not rely on drugs alone. An individualized treatment program should be developed with the doctor in order to cope with the symptoms of the disease.

The most commonly used drugs for the treatment of fibromyalgia are Cimbalta (an antidepressant) and Lyrica (an antiepileptic drug).

One third of patients with fibromyalgia have depression and anxiety. Doctors often prescribe antidepressants to patients, which improve mood and sleep and reduce pain. The most effective treatments for fibromyalgia are tricyclic antidepressants and cyclobenzaprine (muscle relaxants).

Tricyclic antidepressants

Tricyclic antidepressants (Elavir, Pamelor) increase the level of neurotransmitters in the brain. Low doses of tricyclic antidepressants improve sleep.

Tricyclic antidepressants increase levels of serotonin and norepinephrine in the brain. Patients with chronic pain have decreased levels of these anti-anxiety neurotransmitters. Tricyclic antidepressants relax the muscles, enhance the effect of endorphins - the body's natural pain relieving substances. However, these drugs cause side effects such as drowsiness, dizziness, dry mouth, dry eyes, and constipation.

Duloxetine (Cymbalta) relieves fibromyalgia pain and other symptoms.

Selective serotonin reuptake inhibitors (SSRIs) are a new generation of antidepressants (Prozac, Zoloft). They block serotonin uptake, allowing serotonin to move freely from neuron to neuron. As a result, the patient's mood is improved.

Increased serotonin levels can also help reduce pain and weakness. SSRIs can disrupt a person's sleep, therefore, along with these drugs, doctors prescribe tricyclic antidepressants.

What drugs relieve pain?

In some cases, doctors prescribe analgesics and pain relievers to relieve the severe muscle pain that accompanies fibromyalgia. However, analgesics do not work the same way in all people.

Over-the-counter acetaminophen drugs increase the pain threshold, which reduces pain. Aspirin blocks the production of prostaglandin, a chemical that causes pain, inflammation, and swelling.

Non-steroidal anti-inflammatory drugs do not relieve fibromyalgia pain. However, when combined with drugs such as Elavil, Flexeril and SSRIs, they often have a positive effect. Among the drugs in this group are over-the-counter aspirin, ibuprofen, naproxen.

Side effects of pain medications

If the patient suffers from any diseases of the gastrointestinal tract, he should be careful with aspirin and other non-steroidal anti-inflammatory drugs, which can cause heartburn, nausea and vomiting, ulcers, gastrointestinal bleeding. They can also slow blood clotting.

Aspirin and other drugs in this group can cause or exacerbate duodenal ulcer. Patients who have had gastrointestinal bleeding or ulcers should consult a doctor before taking these drugs.

Acetaminophen usually does not cause serious side effects, however, it should not be taken by those with liver problems.

Some people cannot take aspirin and other drugs in this group due to the so-called “aspirin” triad. Aspirin sensitivity occurs in 10% -15% of people with asthma. Among those with asthma and nasal polyps, the incidence rises to 30% -40%. If a person is sensitive to aspirin, they may develop symptoms such as itching, rash, swelling, runny nose, and wheezing.

Fibromyalgia Treatment: Muscle Relaxants

Cyclobenzaprine (Cycloflex, Flexeril), a muscle relaxant, is effective in the treatment of fibromyalgia. The drugs in this group relieve muscle tension, improve sleep by acting on the central nervous system. These drugs relieve pain in the muscles and head, etc.

Muscle relaxants can cause side effects such as dry mouth, dizziness, drowsiness, absent-mindedness, blurred vision, and discolored urine. These drugs increase the likelihood of an epileptic seizure and, in some cases, cause hallucinations.

Anticonvulsant drugs

Lyrica is a new drug used to treat fibromyalgia. This drug slows down the impulses in the brain that cause convulsions. Lyrica affects chemicals in the brain that transmit pain signals to the nervous system. Thus, the drug reduces pain and improves sleep.

Fibromyalgia Treatment: Other Drugs

Fibromyalgia is treated with drugs such as Ultra, which is stronger than acetaminophen. This drug affects the way the human brain perceives pain. The drug does not cure inflammation, is not addictive.

Many doctors prescribe benzodiazepines for fibromyalgia patients, which can help relieve muscle pain, improve sleep, and relieve restless legs syndrome (an uncomfortable sensation that makes you constantly move your legs when you are at rest). These drugs act on the central nervous system and are addictive if taken in large doses. You should consult your doctor before taking.

In extreme cases, when all else fails to relieve the patient's pain, the doctor may prescribe strong opioid pain relievers (OxyContin).

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