Fibromyalgia

Question 1

A patient diagnosed with Fibromyalgia and has been taking medication. She came into the clinic though because she has been experiencing: nausea, dry mouth, HA, somnolence, fatigue, constipation, and decreased appetite. What medication was she taking?

Answer 1

Cymbalta/Duloxetine-an SNRI for tx fibromyalgia

Question 2

A patient diagnosed with Fibromyalgia and has been taking medication. She came into the clinic though because she has been experiencing: dizziness, somnolence, blurred vision, unbelievable weight gain, and massive peripheral edema. What medication was she taking? And what else can this medication be used for?

Answer 2

Pregabalin (Lyrica)-for neuropathic pain associated with DM peripheral neuropathy, post herpetic neuralgia and fibromyalgia

Question 3

A patient recently diagnosed with fibromyalgia was taking a mediation for it, but she had a HA and decided to take an NSAID. A few moments after, she began having massive epistaxis. She noted bruising the following days. She also noted that she was having suicidal thoughts. What 2 medications could she possibly be taking?

Answer 3

1. Milnacipran (Savella)

2. Duloxetine (Cymbalta)

Question 4

All fibro pts should have a goo therapeutic trial of what?

Answer 4

low dose tricyclic compounds

• cyclobenzaprine
• amitriptyline
• nortriptline

Question 5

Fibro patients with comorbid depression or fatigue should have what tx?

Answer 5

should then try an SNRI

Question 6

Fibro patients with comorbid anxiety or sleep issues should have what tx?

Answer 6

gabapentanoid

Question 7

T/F: the use of opioids is discouraged

Answer 7

true

Question 8

What can be used to treat “peripheral pain generators”?

Answer 8

NSAIDS and acetaminophen