Dois novos medicamentos aprovados pela FDA para o tratamento de fibromialgia

Embora não haja cura para a fibromialgia, a chave para encontrar alívio da dor, fadiga e outros sintomas geralmente é uma combinação de medicamentos e terapias naturais. O melhor médico para tratar a fibromialgia é um reumatologista, um médico especializado no tratamento de artrite e condições relacionadas. Pode levar algum teste e erro para encontrar uma combinação eficaz de tratamentos. Aqui estão algumas opções que valem a pena tentar:

 

Medicamentos

Atualmente, existem dois medicamentos aprovados pela FDA para uso como tratamentos de fibromialgia – duloxetina e milnaciprano.

A pregabalina  foi originalmente desenvolvida como uma medicação anti-convulsão, mas desde então mostrou benefícios para aliviar a ansiedade, alguns problemas de sono e dor em pessoas com fibromialgia. Outro medicamento anti-convulsão, a gabapentina às vezes é usado fora do rótulo como um tratamento de fibromialgia. Off-label significa que é usado pelos médicos por causa de benefícios demonstrados, mas não aprovado pela FDA para uma condição).

Duloxetina e milnacipran  são antidepressivos, que aumentam as concentrações de neurotransmissores conhecidos por inibir sentimentos de dor.

Outros antidepressivos encontrados para serem úteis no tratamento de fibromialgia e são utilizados fora do rótulo incluem:

  • Tricíclicos, como a amitriptilina que aliviam a dor e melhora o sono
  • • Ciclobenzaprina, que funciona de forma semelhante à amitriptilina
  • • Inibidores seletivos de recaptação de serotonina, ou SSRIs, como fluoxetina, paroxetina e sertralina, que aliviam a dor e melhoram o humor

Essas drogas funcionam para tratar a fibromialgia em pacientes com e sem depressão, então não pense que seu médico sente que está deprimido apenas porque prescreveu uma dessas drogas.

Outras drogas que demonstraram ser eficazes na fibromialgia incluem venlafaxina, tizanidina e tramadol, cannabinoides (medicamentos derivados dos componentes da maconha), gamma-hidroxibutirato (GHB) e baixa dose de naltrexona.

As doses modestas de antiinflamatórios não esteróides (AINEs), como naproxeno ou ibuprofeno, podem proporcionar algum alívio da dor. A maioria dos médicos não prescreve analgésicos opioides ou tranquilizantes, exceto os casos mais graves de fibromialgia, porque essas drogas não são tão eficazes quanto a dor de fibromialgia como outros tipos de dor. Além disso, levá-los a longo prazo pode afetar os órgãos.

Exercício

A atividade física mostrou ser um valioso tratamento com fibromialgia, mas as atividades devem ser escolhidas com cuidado e iniciadas em um nível baixo. Em alguns casos, pessoas com fibromialgia recebem a droga de piridostigmina antes do exercício para ajudar a reduzir a dor.

Biofeedback

Biofeedback ensina as pessoas a mudar as funções fisiológicas, como diminuir o ritmo cardíaco das corridas ou relaxar os músculos apertados ou apertados. As pessoas que apertam os músculos da mandíbula podem ter dor da articulação temporomandibular (ATM), o que é comum naqueles com fibromialgia.

Acupuntura

Alguns estudos mostraram melhora estatisticamente significativa da dor com acupuntura, mas outros não. Se você tem curiosidade sobre a acupuntura, experimente três tratamentos. Se você acha que se beneficiou das sessões, continue até seis ou oito tratamentos. Até então, você pode decidir se a acupuntura é rentável, útil o suficiente para você continuar ainda mais.

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