Evidence map›Paper›PMID 39042299›Full record

ReviewCurrent pain and headache reports2024

Pharmacological Treatment of Fibromyalgia Syndrome: A Practice-Based Review.

Valeria Giorgi, Piercarlo Sarzi-Puttini, Greta Pellegrino, Silvia Sirotti, Fabiola Atzeni, Alessandra Alciati, Riccardo Torta, Giustino Varrassi, Diego Fornasari, Stefano Coaccioli and 1 more

Abstract readReview
In one paragraph

Review in Current pain and headache reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Fibromyalgia: A Multifactorial Pain Disorder.International journal of molecular sciences · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Observational
  15. Review
  16. Article
  17. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Valeria GiorgiUnità di Ricerca Clinica, Gruppo Ospedaliero Moncucco, Via Soldino, 5, 6900, Lugano, CH, Switzerland. vale.gio@fastwebnet.it.ORCID http://orcid.org/0000-0003-0369-1700
Piercarlo Sarzi-PuttiniRheumatology Unit, IRCCS Ospedale Galeazzi Sant'Ambrogio, Milan, Italy.ORCID http://orcid.org/0000-0002-8673-5133
Greta PellegrinoRheumatology Unit, IRCCS Ospedale Galeazzi Sant'Ambrogio, Milan, Italy.ORCID http://orcid.org/0000-0002-1762-0770
Silvia SirottiRheumatology Unit, IRCCS Ospedale Galeazzi Sant'Ambrogio, Milan, Italy.ORCID http://orcid.org/0000-0001-9795-131X
Fabiola AtzeniRheumatology Unit, Department of Experimental and Internal Medicine, University of Messina, Messina, Italy.ORCID http://orcid.org/0000-0002-9328-3075
Alessandra AlciatiDepartment of Clinical Neurosciences, Villa S. Benedetto Menni, 22032, Albese con Cassano, Como, Italy.ORCID http://orcid.org/0000-0002-8971-4696
Riccardo TortaClinical Psychology, Department of Neuroscience, University of Turin, Turin, Italy.ORCID http://orcid.org/0000-0001-7836-4451
Giustino VarrassiPaolo Procacci Foundation, Rome, Italy.ORCID http://orcid.org/0000-0002-3822-2923
Diego FornasariDepartment of Medical Biotechnology and Translational Medicine, Università degli Studi di Milano, Milan, Italy.ORCID http://orcid.org/0000-0002-9668-3103
Stefano CoaccioliPresident, European League Against Pain, Zurich, Switzerland.ORCID http://orcid.org/0000-0001-9972-1366
Sara Francesca BongiovanniRheumatology Unit, IRCCS Ospedale Galeazzi Sant'Ambrogio, Milan, Italy.ORCID http://orcid.org/0000-0003-3572-372X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewFibromyalgia Syndrome (FMS) is a complex chronic pain condition characterized by widespread musculoskeletal pain and numerous other debilitating symptoms. The purpose of this review is to provide a comprehensive overview, based on everyday clinical practice, of the drugs presently employed in the treatment of FMS. RECENT

findingsThe treatment of FMS is based on a multimodal approach, with pharmacologic treatment being an essential pillar. The drugs used include tricyclic antidepressants, serotonin and noradrenaline reuptake inhibitors, other antidepressants, anticonvulsants, myorelaxants, and analgesics. The effectiveness of these medications varies, and the choice of drug often depends on the specific symptoms presented by the patient. Many drugs tend to either address only some domains of the complex FMS symptomatology or have a limited effect on pain. Each treatment option comes with potential side effects and risks that necessitate careful consideration. It may be beneficial to divide patients into clinical subpopulations, such as FMS with comorbid depression, for more effective treatment. Despite the complexities and challenges, the pharmacological treatment remains a crucial part for the management of FMS. This review aims to guide clinicians in prescribing pharmacological treatment to individuals with FMS.

Indexed as

AnalgesicsFibromyalgiaAnticonvulsantsAntidepressive AgentsHumansAnalgesicsAnticonvulsantsAntidepressive AgentsAnticonvulsantsAntidepressantsFibromyalgia syndromePersonalized therapyPharmacological treatment

Identifiers

PMID39042299
PMCPMC11666752

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.