Modern approaches to the treatment of fibromyalgia
https://doi.org/10.14412/2074-2711-2021-5-83-89
Abstract
Fibromyalgia (FM) occurs in 5–12% of patients but is relatively rarely diagnosed, so most patients do not receive adequate treatment. The review analyses pharmacological and non-pharmacological methods of FM treatment. Data suggests that antidepressants (duloxetine, milnacipran, amitriptyline) and antiepileptics (pregabalin, gabapentin) are most effective. Among non-pharmacological methods, the effectiveness of cognitive-behavioral and mindfulness therapy, kinesiotherapy, and biofeedback has been shown. In the management of patients with FM, a combination of non-pharmacological methods and medications can reduce pain and improve the quality of life.
Keywords
fibromyalgia,
chronic widespread pain syndrome,
antidepressants,
Duloxetine Canon,
anticonvulsants,
Gabapentin Canon,
Pregabalin Canon,
psychological methods of treatment
Supporting agencies: This article has been supported by «Canonfarma Production CJSC».
About the Authors
T. I. Nasonova
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation
Russian Federation
Tatiana Igorevna Nasonova
Department of Nervous System Diseases and Neurosurgery, N.V. Sklifosovsky Institute of Clinical Medicine
1, Rossolimo St., Build. 1, Moscow 119021
A. Kh. Mukhametzyanova
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation
Russian Federation
Department of Nervous System Diseases and Neurosurgery, N.V. Sklifosovsky Institute of Clinical Medicine
1, Rossolimo St., Build. 1, Moscow 119021
G. R. Tabeyeva
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation
Russian Federation
Department of Nervous System Diseases and Neurosurgery, N.V. Sklifosovsky Institute of Clinical Medicine
1, Rossolimo St., Build. 1, Moscow 119021
P. A. Chernousov
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation
Russian Federation
Department of Nervous System Diseases and Neurosurgery, N.V. Sklifosovsky Institute of Clinical Medicine
1, Rossolimo St., Build. 1, Moscow 119021
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For citations:
Nasonova TI, Mukhametzyanova AK, Tabeyeva GR, Chernousov PA. Modern approaches to the treatment of fibromyalgia. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2021;13(5):83-89. (In Russ.) https://doi.org/10.14412/2074-2711-2021-5-83-89
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