There is currently no cure for fibromyalgia and treatment focuses on improving symptoms and quality of life. As fibromyalgia affects individuals differently, patients often require tailored treatment plans.
Several patients report benefits in their symptoms with simple remedies such as exercise, physiotherapy, relaxation and self-help.
Psychological support is an important component of care. Cognitive behavioural therapy may improve symptoms in select patients.
Regular painkillers may provide some benefit in fibromyalgia. Recommended first line treatment however is with antidepressants (e.g. amitriptyline, cyclobenzaprine, duloxetine). Antiepileptic medications (e.g. pregabalin, gabapentin) also have proven benefit in fibromyalgia. Many patients will require a combination of 2 or 3 medications to achieve optimum symptom management.
Medical Cannabis can be considered when first line therapies have not achieved adequate symptom control.