Fibromyalgia: The diagnosis and pharmacologic treatment

被引:1
作者
Buskila, Dan [1 ]
机构
[1] Ben Gurion Univ Negev, Dept Med H, Soroka Med Ctr, Fac Hlth Sci, IL-84101 Beer Sheva, Israel
来源
ACUTE AND CHRONIC PAIN: WHERE WE ARE AND WHERE WE HAVE TO GO | 2009年
关键词
Fibromyalgia; Chronic widespread pain; Functional somatic syndromes; Pharmacologic treatment; Reuptake inhibitors; Alpha 2 delta ligands; SYSTEMIC-LUPUS-ERYTHEMATOSUS; DOUBLE-BLIND; TENDER POINTS; PAIN; PREVALENCE; INFECTION; CLASSIFICATION; DISORDER; TRAMADOL; CRITERIA;
D O I
10.1016/j.eujps.2009.07.007
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Fibromyalgia (FM) is a chronic condition characterized by widespread pain and diffuse tenderness along with a constellation of ancillary symptoms. The 1990 ACR criteria for classification of FM are important in enhancing much the research of FM. FM is part of a spectrum of functional somatic syndromes. FM is not a homogenous condition and several subtypes of FM had been determined. The best strategy for management of FM is to use a multidisciplinary approach to treatment using both pharmacological and nonpharmacological interventions. Tramadol, tricyclic drugs, mixed reuptake inhibitors and anticonvulsants show efficacy in this condition. Recently, three drugs: pregabalin, duloxetine and milnacipran have been approved by the FDA for treatment of FM. (C) 2009 Published by Elsevier Ltd. on behalf of European Federation of International Association for the Study of Pain Chapters.
引用
收藏
页码:111 / 115
页数:5
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