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Pharmacological Treatment of Fibromyalgia: The Good, the Bad and the Ugly

Pharmacological Treatment of Fibromyalgia: The Good, the Bad and the Ugly. Disclaimer. Survey of Chronic Pain Patients. Distinguishing different types of pain. Fibromyalgia is a prototype of central pain syndromes. F/M Treatment Rates. Pain Distribution. The Diagnosis of Fibromyalgia.

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Pharmacological Treatment of Fibromyalgia: The Good, the Bad and the Ugly

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  1. Pharmacological Treatment of Fibromyalgia:The Good, the Bad and the Ugly

  2. Disclaimer

  3. Survey of Chronic Pain Patients

  4. Distinguishing different types of pain

  5. Fibromyalgia is a prototype of central pain syndromes

  6. F/M Treatment Rates

  7. Pain Distribution

  8. The Diagnosis of Fibromyalgia

  9. Comorbidities with Fibromyalgia:Other Common CNS Hypersensitivity Disorders

  10. Comparison of pain thresholds of IBS patients and controls

  11. Other Central Hypersensitivity, Over-augmentation Syndromes

  12. Fibromyalgia is Very Treatable Early (3-6 months)

  13. How does hypersensitization occur?

  14. CSF Substance P in FMS

  15. FMS: Neurotransmission Abnormalities (in CSF)

  16. Myofascial Trigger Points are different from FMS tender points

  17. Norepinephrine / serotonin reuptake inhibitors

  18. The Good

  19. Milnacipran Study Outcomes

  20. Tramadol/APAP in FMS

  21. Anticonvulsants and Neural stabilizers

  22. Pregabalin Treatmentfor Fibromyalgia(529 people; 8 weeks; 450 mg)

  23. Dopamine agonists:Pramipexole for Fibromyalgia

  24. Grading Pain Severity

  25. Positive Pharmacological Trials for Fibromyalgia

  26. Negative Pharmacological Trials for Fibromyalgia

  27. Which Medication to Start?

  28. The Bad

  29. Some Side Effects with SNRIs

  30. Serotonin Syndrome(usually more bad than ugly)

  31. Some Common Side Effects with Anticonvulsants

  32. The Ugly

  33. What about the sleep abnormality in fibromyalgia and chronic pain?

  34. Sleeping Agents and Fibromyalgia

  35. Trazodone

  36. Sodium Oxybate (GHB): Effects on FMS Symptoms

  37. Zolpidem and Zaleplon

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