Friday, October 07, 2005

Useful treatments for fibromyalgia syndrome -- 330 (7485): 0 -- BMJ

Useful treatments for fibromyalgia syndrome -- 330 (7485): 0 -- BMJ: "Useful treatments for fibromyalgia syndrome

A total of 505 articles were reviewed and classified according to their level of evidence...

Strong evidence for efficacy was found for treatment with amitriptyline (Elavil), cyclobenzaprine (Flexeril), exercise,
cognitive behaviour therapy, and patient education.

Modest evidence for efficacy was found for tramadol (Ultram), various selective serotonin reuptake inhibitors, acupuncture,
hypnotherapy, and biofeedback.

Weak evidence for efficacy was found for growth hormone therapy, SAM (S-adenosyl-methionine), chiropractic and massage therapy, electrotherapy, and ultrasound.

No evidence of any evaluation or effectiveness was found for steroids, non-steroidal anti-inflammatory drugs, melatonin,
benzodiazepine hypnotics, or trigger point injections.

Bottom line Treatments for fibromyalgia syndrome with the strongest evidence for efficacy are amitriptyline (Elavil), cyclobenzaprine (Flexeril),
exercise, cognitive behaviour therapy, patient education, and multidisciplinary therapy."

No comments: