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Home » Somatoform Disorders

The Journal of Musculoskeletal Medicine. Vol. 28 No. 10
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Combination Pharmacological Management of Fibromyalgia

An individualized regimen that addresses associated symptoms is needed

By CHAD S. BOOMERSHINE, MD, PhD | October 17, 2011
Dr Boomershine is medical director of Boomershine Wellness Centers in Franklin, Tennessee, and assistant clinical professor at Vanderbilt University in Nashville.

Medications for poor sleep (insomnia and nonrestorative sleep)
Disordered sleep has been implicated in the pathogenesis of FMS.16 Patients who have FMS should be evaluated for sleep disorders, and psychological and behavioral treatments should be tried before therapy with medications is considered.

Pregabalin, 25 to 225 mg taken at night, is recommended as first-line treatment for patients who have FMS with poor sleep because this agent can improve sleep and other FMS symptoms.17 Benzodiazepines are not recommended because they may have detrimental effects on sleep architecture and cognition and they have addiction potential.

Ramelteon, a melatonin(Drug information on melatonin) receptor agonist taken as an 8-mg tablet 90 minutes before bedtime, usually is well tolerated. However, it may take 30 days to show effectiveness. Eszopiclone, a nonbenzodiazepine hypnotic taken as a 1-, 2-, or 3-mg tablet immediately before bedtime, has rapid effectiveness, but headache and an unpleasant taste can limit tolerability. Caution should be taken in combining ramelteon and eszopiclone with other sedatives, and patients should be monitored for worsening depression or suicidal ideation.

Sedating antidepressants may be beneficial for depressed patients who have FMS with insomnia. TCAs have long been used to manage nighttime pain and insomnia (5 to 30 mg of cyclobenzaprine(Drug information on cyclobenzaprine) or 10 to 50 mg of amitriptyline(Drug information on amitriptyline)). Mirtazapine(Drug information on mirtazapine), 15 to 30 mg taken at night, can improve symptoms of pain, insomnia, fatigue, and depression in patients with FMS.18 Because mirtazapine somnolence is inversely proportional to dose, the dose should be increased in patients with excessive morning sedation.

Trazodone is highly sedating and best suited for patients who are refractory to other sleep medicines. In a recent open-label study of patients with FMS, trazodone monotherapy given at bedtime at an average dose of 200 mg significantly improved sleep quality along with global FMS severity and depression.19 In the same study, the subsequent addition of pregabalin(Drug information on pregabalin) to trazodone monotherapy at an average dosage of 325 mg/d led to further significant improvements in global FMS severity and depression as well as decreases in bodily pain and pain interference with activities of daily living. The adverse effects seen most frequently during the combination period, including light-headedness, dizziness, and edema, were typical of those seen with pregabalin monotherapy.

Many patients with FMS sleep well but awaken feeling unrefreshed; they require medications that improve sleep quality rather than quantity.16 Pregabalin is recommended as first-line therapy for nonrestorative sleep because it improves sleep architecture at FMS-indicated doses.17 Chlorpromazine(Drug information on chlorpromazine), 100 mg taken at bedtime, has been shown to increase slow wave sleep and improve pain and mood in patients with FMS,20 but poor tolerability limits use in most patients. Quetiapine(Drug information on quetiapine), 25 mg taken at bedtime, can improve sleep quality and other FMS symptoms,21 but tolerability is poor. Trazodone, 100 mg taken at night, improved sleep architecture in patients with somatoform pain disorder.22

Sodium oxybate, 3 mg taken at bedtime and again 4 hours later, improved sleep quality and other FMS symptoms.23 However, sodium oxybate is highly sedating and patients should have sleep testing to rule out apnea before using it. Also, because sodium oxybate has a high cost and abuse potential, it is not an option for most patients with FMS.

Managing depression and anxiety with antidepressants
One-third of patients who have FMS also have severe depression or anxiety that can hamper disease management and increase the risk of suicide.24 Therefore, management of mood disorders is vital.

Because duloxetine(Drug information on duloxetine) is FDA- approved for depression and anxiety at FMS-indicated doses, this agent is recommended as first-line therapy for patients with FMS who have mood symptoms. Venlafaxine is a generic SNRI alternative that is effective in FMS management for patients who cannot afford duloxetine.25

Milnacipran is used as an antidepressant in Europe and Japan, but mono­therapy often is not sufficient to manage depression in patients with FMS and it can worsen anxiety. With the addition of a small dose of a generic SSRI to milnacipran therapy, depression and anxiety symptoms often can be managed at minimal cost with good tolerability. However, patients should be monitored for development of serotonin toxicity.9

Managing stiffness with muscle relaxants
Stiffness is problematic for most patients with FMS,1 and management is important for maintaining functionality and allowing for participation in exercise. Although daily stretching is useful for managing stiffness in all patients with FMS, muscle relaxants may be helpful adjuncts for those who have persistent stiffness.

A thorough review of the risks and benefits of muscle relaxant use is available.26 Here the focus is on the use of muscle relaxants in FMS management.

Cyclobenzaprine can improve FMS stiffness as well as pain, sleep, tenderness, and global function.27 This agent also may be helpful during FMS "flares." However, many patients cannot take cyclobenzaprine during the day because of sedation.

Amrix, an extended-release form of cyclobenzaprine, may be taken at bedtime to improve daytime tolerability. Methocarbamol(Drug information on methocarbamol) and metaxalone, less sedating muscle relaxants, may be used in those patients who do not tolerate cyclobenzaprine.

Antispasmotics, such as bac­lofen, can reduce stiffness and manage muscle spasms, which are common in patients with FMS. Tramadol(Drug information on tramadol) also can improve FMS stiffness.

Analgesic medications to manage FMS pain
Patients with FMS often experience pain flares that necessitate short-term analgesic therapy. Although acetaminophen is a common adjunct for FMS pain, the effective dosage usually is at the recommended maximum of 3000 mg/d and patients often are nonadherent to the necessary frequency of administration.

NSAIDs have similar analgesic effects, but efficacy in FMS management is lacking and NSAIDs are not recommended for patients with primary FMS.2 Although patients with FMS and concomitant inflammatory conditions or osteo­arthritis may benefit from NSAID therapy—because such "pain generators" can worsen all FMS pain—NSAIDs combined with serotonin-active medications may increase the risk of bleeding and caution is advised in patients who are receiving antiplatelet or anticoagulant drugs or are at risk for GI bleeding.

Tramadol is the only narcotic medication recommended for managing FMS because it also has SNRI activity.2 One or 2 tram­adol/acetaminophen 37.5/325-mg tablets taken 4 times daily can significantly improve pain, stiffness, and work interference in patients with FMS.28

Tapentadol, a narcotic that also has norepinephrine(Drug information on norepinephrine) reuptake inhibition, currently is FDA-indicated only for relief of acute pain. Trials are needed to determine whether this agent could be beneficial in managing FMS.

Traditional narcotics should be avoided for FMS management because their effectiveness is poor and discontinuation may be difficult because of the development of rebound pain. Patients with FMS should be screened for a history of drug abuse before they receive narcotics, because abuse history is predictive of future abuse.

CONCLUSIONS
Effective FMS management requires an individualized treatment approach that addresses all problematic symptoms. Monotherapy usually is not sufficient to manage the myriad problems experienced by most patients with FMS. Although combination pharmacotherapy is a useful approach that can improve FMS management for many patients, such therapy must be given cautiously because it carries increased risks.


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References

1. Wolfe F, Smythe HA, Yunus MB, et al. The American College of Rheumatology 1990 Criteria for the Classi­fication of Fibromyalgia: report of the Multicenter Cri­teria Committee. Arthritis Rheum. 1990;33:160-172.

2. Carville SF, Arendt-Nielsen S, Bliddal H, et al; EULAR. EULAR evidence-based recommendations for the management of fibromyalgia syndrome. Ann Rheum Dis. 2008;67:536-541.

3. Boomershine CS, Crofford LJ. A symptom-based approach to pharmacologic management of fibromyalgia. Nat Rev Rheumatol. 2009;5:191-199.

4. Russell IJ, Larson AA. Neurophysiopathogenesis of fibromyalgia syndrome: a unified hypothesis. Rheum Dis Clin North Am. 2009;35:421-435.

5. Farmer M, Dayani N, Trugman JM, et al. Efficacy of milnacipran when added to pregabalin in the management of fibromyalgia: a randomized, open-label, controlled study. Ann Rheum Dis. 2010;69(suppl 3):448.

6. Simpson DA. Gabapentin and venlafaxine for the treatment of painful diabetic neuropathy. J Clin Neuromuscul Dis. 2001;3:53-62.

7. Goldenberg D, Mayskiy M, Mossey C, et al. A randomized, double-blind crossover trial of fluoxetine and amitriptyline in the treatment of fibromyalgia. Arthritis Rheum. 1996;39:1852-1859.

8. Cantini F, Bellandi F, Niccoli L, Di Munno O. Flu­oxetine combined with cyclobenzaprine in the treatment of fibromyalgia [in Italian]. Minerva Med. 1994;85:97-100.

9. Nelson LS, Erdman AR, Booze LL, et al. Selective serotonin reuptake inhibitor poisoning: an evidence-based consensus guideline for out-of-hospital management. Clin Toxicol (Phila). 2007;45:315-332.

10. Ng B, O’Brien A. Beyond ADHD and narcolepsy: psychostimulants in general psychiatry. Adv Psychiatr Treatment. 2009;15:297-305.

11. Schwartz TL, Rayancha S, Rashid A, et al. Modafinil treatment for fatigue associated with fibromyalgia. J Clin Rheumatol. 2007;13:52.

12. Schwartz TL, Siddiqui UA, Raza S, Morell M. Armo­dafinil for fibromyalgia fatigue. Ann Pharmacother. 2010;44:1347-1348.

13. Kumar R. Approved and investigational uses of modafinil: an evidence-based review. Drugs. 2008;68:1803-1839.

14. Glass JM. Fibromyalgia and cognition. J Clin Psychiatry. 2008;69(suppl 2):20-24.

15. Young JL, Redmond JC. Fibromyalgia, chronic fatigue, and adult attention deficit hyperactivity disorder in the adult: a case study. Psychopharmacol Bull. 2007;40:118-126.

16. Moldofsky H. The significance, assessment, and management of nonrestorative sleep in fibromyalgia syndrome. CNS Spectr. 2008;13(3 suppl 5):22-26.

17. Hindmarch I, Dawson J, Stanley N. A double-blind study in healthy volunteers to assess the effects of sleep of pregabalin compared with alprazolam and placebo. Sleep. 2005;28:187-193.

18. Samborski W, Lezanska-Szpera M, Rybakowski JK. Open trial of mirtazapine in patients with fibromyalgia. Pharmacopsychiatry. 2004;37:168-170.

19. Calandre EP, Morillas-Arques P, Molina-Barea R, et al. Trazodone plus pregabalin combination in the treatment of fibromyalgia: a two-phase, 24-week, open-label uncontrolled study. BMC Musculoskeletal Disord. 2011;12:95. http://www.biomedcentral.com/1471-2474/12/95. Accessed August 31, 2011.

20. Moldofsky H, Lue FA. The relationship of alpha and delta EEG frequencies to pain and mood in ‘fibrositis’ patients treated with chlorpromazine and L-tryptophan. Electroencephalogr Clin Neurophysiol. 1980;50:71-80.

21. Hidalgo J, Rico-Villademoros F, Calandre EP. An open-label study of quetiapine in the treatment of fibromyalgia. Prog Neuropsychopharmacol Biol Psychiatry. 2007;31:71-77.

22. Saletu B, Prause W, Anderer P, et al. Insomnia in somatoform pain disorder: sleep laboratory studies on differences to controls and acute effects of trazodone, evaluated by the Somnolyzer 24 × 7 and the Siesta database. Neuropsychobiology. 2005;51:148-163.

23. Moldofsky H, Inhaber NH, Guinta DR, Alvarez-Horine SB. Effects of sodium oxybate on sleep physiology and sleep/wake-related symptoms in patients with fibromyalgia syndrome: a double-blind, randomized, placebo-controlled study. J Rheumatol. 2010;37:2156-2166.

24. Ratcliffe GE, Enns MW, Belik SL, Sareen J. Chronic pain conditions and suicidal ideation and suicide attempts: an epidemiologic perspective. Clin J Pain. 2008;24:204-210.

25. Sayar K, Aksu G, Ak I, Tosun M. Venlafaxine treatment of fibromyalgia. Ann Pharmacother. 2003;37:1561-1565.

26. See S, Ginzburg R. Choosing a skeletal muscle relaxant. Am Fam Physician. 2008;78:365-370.

27. Tofferi JK, Jackson JL, O’Malley PG. Treatment of fibromyalgia with cyclobenzaprine: a meta-analysis. Arthritis Rheum. 2004;51:9-13.

28. Bennett RM, Schein J, Kosinski MR, et al. Impact of fibromyalgia pain on health-related quality of life before and after treatment with ramadol/acetaminophen. Arthritis Rheum. 2005;53:519-527.

Recommended readings

• Boomershine CS, Crofford LJ. A symptom-based approach to pharmacologic management of fibromyalgia. Nat Rev Rheumatol. 2009;5:191-199. This fibromyalgia management approach is based on the symptoms experienced by individual patients; a brief questionnaire that can be used to evaluate symptom severity is included.

• Carville SF, Arendt-Nielsen S, Bliddal H, et al; EULAR. EULAR evidence-based recommendations for the management of fibromyalgia syndrome. Ann Rheum Dis. 2008;67:536-541. These evidence-based recommendations for fibromyalgia management include both pharmacological and nonpharmacological treatments.

• Farmer M, Dayani N, Trugman JM, et al. Efficacy of milnacipran when added to pregabalin in the management of fibromyalgia: a randomized, open-label, controlled study. Ann Rheum Dis. 2010;69(suppl 3):448. This article, the only published trial of combination therapy with indicated fibromyalgia drugs, shows that the combination of pregabalin and milnacipran improves efficacy while decreasing adverse effects.

• Nelson LS, Erdman AR, Booze LL, et al. Selective serotonin reuptake inhibitor poisoning: an evidence-based consensus guideline for out-of-hospital man-agement. Clin Toxicol (Phila). 2007;45:315-332. Evidence-based treatment guidelines for the management of serotonin syndrome in the outpatient setting are described here.

• Ng B, O’Brien A. Beyond ADHD and narcolepsy: psychostimulants in general psychiatry. Adv Psychiatr Treat. 2009;15:297-305. This reviews the stimulant therapies; readers should pay particular attention to the section on use in patients with general medical conditions.


 
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