fibromyalgia Flashcards
2 drug classes that can cause fibromyalgia?
statins
aromatase inhibitors
__ is a neurologic chronic health condition that causes widespread musculoskeletal pain and tenderness
fibromyalgia
aka central pain amplification disorder
risk factors for fibromyalgia:
female
family Hx
environmental factors: physical trauma, infections, stressors, cold weather
fibromyalgia can develop at any age
a. true
b. false
a. true
Fibromyalgia Sx are exacerbated during:
high level stress
environmental triggers: trauma, cold weather
infections
fibromyalgia pain, stiffness, and fatigue are __ by exercise or unaccustomed activity
a. worsened
b. lessened
a. worsened
Sx of fibromyalgia:
fatigue stiffness sleep disturbance cognitive dysfunction anxiety depression
For Dx of fibromyalgia pain must be present most of the day on most days for at least __ months that cannot be attributed to another cause
3
Is there a cure for fibromyalgia?
no
Should opioids be used for fibromyalgia?
no
no efficacy
opioid induced hyperalgesia
Are APAP and nsaids effective for fibromyalgia?
no, but can help with triggers
3 FDA approved drugs for fibromyalgia ?
duloxetine
milnacipran
pregabalin
What is milnacipran (SNRI) dose for fibromyalgia?
50mg BID
more noradrenergic, more benefits for fatigue and memory problems
3 main AEs of pregabalin?
somnolence
weight gain
fatigue
Are SSRIs recommended for fibromyalgia ?
not really
poor analgesic effect
