Background/Purpose:  To assess patients’ global assessment of frequently used treatments for the fibromyalgia syndrome (FMS), we asked patients with fibromyalgia to rank medications they have tried in the order of their effectiveness.

Methods: 95 patients (mean age of 50.5) diagnosed with fibromyalgia based on the 2011 ACR criteria, 88 females and 7 males, completed an in-office questionnaire regarding the effectiveness of various medications often used to treat fibromyalgia. The study ranked 9 medications, which include pregabalin, gabapentin, duloxetine, Muscle Relaxants, Sleep Aids, Stimulants, ADD Medications, Pain Medications, and NSAIDS. Patients rated the medications using this scale:  1=minimally helpful, 2=somewhat helpful, 3=moderately helpful, 4=very helpful. 

Results: The three medications that were most positively rated by patients were opiate pain meds (mean=2.8), meds to improve sleep (mean= 2.8), and ADD stimulants for fibro fog symptoms (mean=2.6).

Effectiveness ratings by fibromyalgia patients for other medications included: gabapentin (mean=0.73); duloxetine (mean=1.02); pregabalin (mean=1.26). 59.1% of FMS patients reported little or no help from pregabalin, and 83.3 % found gabapentin to be little help.  

Conclusion:  Fibromyalgia patients rated the effectiveness of various medications that had tried. Pain medication, sleep aids and stimulants given for the attention deficit component of fibro fog were judged by patients to be the most helpful.