Anonymous
Not logged in
Talk
Contributions
Create account
Log in
Search
Editing
Talk:Fibromyalgia drugs
From MEpedia, a crowd-sourced encyclopedia of ME and CFS science and history
Namespaces
Page
Discussion
More
More
Page actions
Read
Edit source
New topic
History
Warning:
You are not logged in. Your IP address will be publicly visible if you make any edits. If you
log in
or
create an account
, your edits will be attributed to your username, along with other benefits.
Anti-spam check. Do
not
fill this in!
==Extra sources == I think [[amitriptyline]] is important to add. New refs to add - [https://www.ncbi.nlm.nih.gov/books/NBK274467/ Appendix AMedications Used Off Label for Fibromyalgia Syndrome in the United States] - [https://www.nhs.uk/conditions/fibromyalgia/treatment/ NHS fibromyalgia medication] - for UK: ''Antidepressants used to treat fibromyalgia include: tricyclic antidepressants, such as amitriptyline, serotonin-noradrenaline reuptake inhibitors (SNRIs), such as duloxetine and venlafaxine, selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine (Prozac) and paroxetine.A medication called pramipexole, which is not an antidepressant but also affects the levels of neurotransmitters, is sometimes used as well.'' - [https://m.pbs.gov.au/industry/listing/elements/pbac-meetings/psd/2012-11/milnacipran.html Milnacipran / Jonica brand approved in Australia] [[User:Notjusttired|notjusttired]] ([[User talk:Notjusttired|talk]]) 09:58, 13 April 2019 (EDT) :Do you now. I will tell you why they were using depression drugs for "fibromyalgia". It is because doctors, especially psychiatrists, kept diagnosing people that had depression with fibro because depression can cause pain. This is why the ACR 2010 criteria had to be developed, to stop this trend. I can tell you personally that prescribing these depression drugs for pain and sleep caused me great physical damage. So, if you want to completely destroy someone's life, then by all means post this information on the page.--[[Special:Contributions/77.111.245.196|77.111.245.196]] 12:10, 13 April 2019 (EDT) ::Aditionally, amitriptyline is highly addictive and is horrific to come off of as are most depression drugs. These serotonin reuptake drugs cause severe sedation and drugging during the day. :::If a drug is commonly used for fibromyalgia and there is clear evidence including clinical trials then it should be covered. Side effects, negatives and any evidence go on the page for each drug. Amitriptyline is not a serotonin reuptake drug, it is a TCA which is very commonly used for nerve pain and general pain, and is also sedating so commonly used for insomnia in people without depression - pain and insomnia being common symptoms of fibromyalgia. It is also not regarded as a drug that is difficult to discontinue. It is not helpful to disregard any and all classes of anti-depressants based on assumptions that they are intended to treat mood problems that may not exist - if that was true antidepressants in general would be recommended rather than a particular one, and specialists in Fibromyalgia would not suggest it. There are a number of specific medications classed as psychiatric drugs which are either licensed for unrelated conditions or commonly used off-label for specific symptoms. Doses may well be different in those cases. A person might find a neurologist suggests a bipolar drug (mood stabilizer) to reduce migraines for example, or for Trigeminal neuralgia pain. ~[[User:Notjusttired|Njt]] ([[User talk:Notjusttired|talk]]) 13:45, April 5, 2020 (PDT) ==Insomnia drugs== These do not appear to be any different in Fibromyalgia than for ME/CFS or insomnia from other causes. I suggest moving this to the general [[insomnia]] page. A reference specific to insomnia in fibro is the book [https://books.google.co.uk/books?id=dA4kQulQ2ZMC&lpg=PT80&dq=fibromyalgia%20sleep%20antihistamines%2C%20benzodiazepines%2C%20nonbenzodiazepines%2C%20sedating%20antidepressants&pg=PT80#v=onepage&q=fibromyalgia%20sleep%20antihistamines,%20benzodiazepines,%20nonbenzodiazepines,%20sedating%20antidepressants&f=false Fibromyalgia Q&A]. Note "sedating antipsychotics" sounds bizarre but [[quetiapine]] is used at low doses off-label. The existing website referenced was written by someone with fibromyalgia and described itself as a blog so unfortunately doesn't meet the [[MEpedia:Science guidelines]]. ~[[User:Notjusttired|Njt]] ([[User talk:Notjusttired|talk]]) 13:45, April 5, 2020 (PDT)
Summary:
Please make sure your edits are consistent with
MEpedia's guidelines
.
By saving changes, you agree to the
Terms of use
, and you irrevocably agree to release your contribution under the
CC BY-SA 3.0 License
and the
GFDL
. You agree that a hyperlink or URL is sufficient attribution under the Creative Commons license.
Cancel
Editing help
(opens in new window)
Navigation
Navigation
Skip to content
Main page
Browse
Become an editor
Random page
Popular pages
Abbreviations
Glossary
About MEpedia
Links for editors
Contents
Guidelines
Recent changes
Pages in need
Search
Help
Wiki tools
Wiki tools
Special pages
Page tools
Page tools
User page tools
More
What links here
Related changes
Page information
Page logs