Psychiatry

Pain Medicine

Questions discussed in this category

How do you counsel patients who want to understand why sublingual cyclobenzaprine works to relieve their fibromyalgia pain and other related symptoms?

3 Answers available

What do you recommend to patients when they are having an acute flare of fibromyalgia symptoms?

3 Answers available

Where in your treatment approach to fibromyalgia will you recommend sublingual cyclobenzaprine?

Will you recommend this as a first-line agent? Will you use this as monotherapy or only in combination with other agents like duloxetine?

3 Answers available

How do you approach patients with fibromyalgia who are reluctant to consider a psychiatric component to their illness but present with clear mood or anxiety symptoms?

4 Answers available

Do you view the difference between oral and sublingual cyclobenzaprine as clinically significant?

Will you try the sublingual formulation in a patient who has failed the oral formulation, or vice versa?

3 Answers available

How do you work with patients to establish reasonable treatment goals for the management of fibromyalgia-related pain?

What tools do you track to assess progress toward these goals?

2 Answers available

What is your approach to titration of sublingual cyclobenzaprine in your patients with fibromyalgia?

3 Answers available

How do you counsel patients who are interested in using kratom for chronic pain management?

4 Answers available

How do you navigate C-2 refills in patients who are stable in their treatment and do not otherwise need to be clinically seen monthly?

Would you consider charging a small fee for managing C-2 prescriptions between appointments instead of requiring the patient to come monthly?

7 Answers available

Papers discussed in this category

Frontiers in medicine, 2023 Apr 25

High overlap in patients diagnosed with hypermobile Ehlers-Danlos syndrome or hypermobile spectrum disorders with fibromyalgia and 40 self-reported symptoms and comorbidities.

Arthritis and rheumatism, 1994-01

Comparison of amitriptyline, cyclobenzaprine, and placebo in the treatment of fibromyalgia. A randomized, double-blind clinical trial.

Pain medicine (Malden, Mass.), 2025 Jul 08

Pain Relief by Targeting Nonrestorative Sleep in Fibromyalgia: A Phase 3 Randomized Trial of Bedtime Sublingual Cyclobenzaprine.

Arthritis care & research, 2023 Jul 04

Efficacy and Safety of Sublingual Cyclobenzaprine for the Treatment of Fibromyalgia: Results From a Randomized, Double-Blind, Placebo-Controlled Trial.

Annals of medicine, 2011 Jul 19

Fibromyalgia diagnosis and diagnostic criteria.

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