Treatments for Fibromyalgia

We still know little the origins of the fibromyalgia, the medical treatments offered to the patients base more on the clinical experiments and on the knowledge in treatment of the pain.
The specialists often result from the other disciplines and the used treatments are originally conceived to look after the other diseases as after the depression and after the insomnia.

Medicines for the Fibromyalgia

Not-stérodals Anti-Inflammatory (NAI) drugs, as the ibuprofen, the Advil ® or Motrin ®, the naproxène and the Tylenol® sometimes allow to ease the pains and the muscular steepness.
Their efficiency varies from a person to the other one. They are especially useful when the fibromialgie appears at a person suffering from an inflammatory disease, as the rheumatoid polyarthritis. The aspirin would be rarely useful.
Caution : In the long term, the use of medicines of type NAI can cause serious unwanted effects: pains and bleedings in the stomach, the stomach ulcers, the damages in loins and high blood pressure.

Antidepressants, as tricyclic, prescribed to weak dose, increase the quantity of sérotonine in the brain. Weak rates of serotonine would be not only connected to the depression, but also to the migraines, to the digestive troubles and to the anxiety, which are a part of symptoms of the Fibromyalgia.
Furthermore, certain antidepressants have effects antipain specific. Consequently, they are regularly used even in absence of depression. As example, let us mention the amitryptiline (Élavil ®), used as antipain and to deepen the sleep. It seems that antidepressants constitute the best long-term treatment against the muscular pains of the fibromialgie. However, all do not find a reassurance there.

Some Anticonvulsants - at first conceived to cure the epilepsy - Allow to stabilize the nervous messages in the spinal cord; for example the gabapentine (Neurontin ®), the prégabaline (Lyrica ®) and the topiramate (Topamax ®). Some of these anticonvulsant improve the quality of the sleep (especially the gabapentine, and by no means the prégabaline).

Painkillers are sometimes prescribed to facilitate the sleep, but their long-term usage is not generally recommended by the doctors (for example, Imavone ®).

Muscular relaxants can also help to relieve the pain. The only effective muscular relaxant for the Fibromyalgia is Flexeril ®. Its efficiency would be attributable to a specific action of the molecule, that would not be connected to its usual indication.