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Medication Options for Fibromyalgia

In Australia there are currently no specific medicines indicated to treat Fibromyalgia but, there are medications that can improve symptoms in some people. Some Antidepressants maybe recommended to help treat pain and sleep problems. Some medications used to prevent seizures and treat neuropathic pain may also help in the treatment of Fibromyalgia.

Pain Killers – Paracetamol and anti-inflammatory drugs are usually not helpful with Fibromyalgia, though Analgesics are often the first medications Fibromyalgia patient’s trial. Use of Tramadol and Paracetamol together is also trialled. Fibromyalgia patients get more benefit from the Tramadol’s SNRI, rather than opioid activity.

Antidepressants – Medications that elevate serotonin and noradrenaline levels such as low-dose tricyclic antidepressants (TCA’s) and serotonin-noradrenaline reuptake inhibitors (SNRI’s) can provide benefits. Amitriptyline, duloxetine and milnacipran are the most studied agents. However, Milnacipran is not currently available in Australia.

Epileptic Medication – such as Pregabalin and Gabapentin have shown to reduce pain, improve sleep and a better quality of life. Pregabalin is not on the PBS, so it is not subsidised in Australia and can be expensive. Many Fibromyalgia patients get referrals to pain clinics/hospital outpatient services where it maybe possible to buy Pregabalin at the PBS rate.

The use of Muscle Relaxants, Sleeping Tablets and Antipsychotic Drugs can also be beneficial and should be discussed with a professional.

You can get more information from speaking with your Doctor/GP or Specialist.

Find out more about Fibromyalgia medication from the painmanagement.org.au website