, Volume 62, Issue 4, pp 577–592 | Cite as

Management of Fibromyalgia

What are the Best Treatment Choices?
  • Karin Ø. Forseth
  • Jan T. Gran
Therapy in Practice


Fibromyalgia still represents an enigma to modern medicine and the aetiopathogenesis is far from explored. The management of patients with fibromyalgia is thus mostly based on empirical research, and only a few controlled studies have been performed. Basic drug therapy rests on the administration of amitriptyline and conventional analgesics. Such therapy should be initiated only after careful patient information and delineation of therapeutic goals are provided. Any drug therapy should be administered in combination with physical treatment and cognitive behavioural therapy. Because of the appearing contours of pathogenic mechanisms, hopefully a number of new drugs will be available to the patients with this complex pain syndrome in the near future.


Nerve Growth Factor Cognitive Behavioural Therapy Capsaicin Fibromyalgia Tramadol 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



No funding that were used to assist in the preparation of this manuscript.


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Copyright information

© Adis International Limited 2002

Authors and Affiliations

  1. 1.Department of RheumatologyBetanien HospitalSkienNorway
  2. 2.Centre for Rheumatic DiseasesNational HospitalOsloNorway

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