Hot off the press, Australian Prescriber article by Dr. Richard Kwiatek, Rheumatologist and researcher, Adelaide

Treatment of fibromyalgia in Australian General Practice settings

Fibromyalgia is a common, often overlooked, clinical syndrome in general practice. It can be associated with considerable disability, but this is likely to be minimised by early diagnosis and intervention.

Patients with fibromyalgia often have other chronic conditions. Careful clinical evaluation and management of aggravating factors can therefore be beneficial.

A coordinated, patient-centred, multidisciplinary approach to management is required. Patients need education and strategies for self-management of their condition. Non-drug interventions such as physical therapy should be tailored to the individual patient.

Active rehabilitative approaches have primacy in management, but drugs can help to control symptoms. There is evidence to support the use of amitriptyline, duloxetine, milnacipran or pregabalin, but pure opioids should be avoided.

The full article can be found here: