| The treatment of FMS is frustrating
for both patients and their physicians. In general, drugs used to treat
musculoskeletal pain, such as aspirin, non-steroidals and cortisone are
not particularly helpful in this situation. As in any chronic pain condition,
education is an essential component that helps patients understand what
can or can't be done as well as teaching them to help themselves. It is
important for a patient's physician to discover whether there is a cause
for sleep disturbances. Such sleep problems include sleep apnea, restless
leg syndrome and teeth grinding. If the cause for a patient's sleep disturbance
cannot be determined, low doses of an anti-depressive group of drugs,
called tricyclic anti-depressants, may be beneficial. Patients need to
understand these medications are not sleeping pills and are not addictive
when used in low dosages (e.g., Amitriptyline 10 mg at night) and have
very few side effects. In general, routine use of sleeping pills such
as Halcion, Restoril, Valium, etc. should be avoided as they impair the
quality of deep sleep. A new hypnotic medication, Ambien, is claimed to
avoid this problem.
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