Sleep Disorders and Fibromyalgia

Authors: Suely Roizenblatt Nilton Salles Rosa Neto Sergio Tufik

Publish Date: 2011/05/20

Volume: 15, Issue: 5, Pages: 347-357

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Abstract

Disordered sleep is such a prominent symptom in fibromyalgia that the American College of Rheumatology included symptoms such as waking unrefreshed fatigue tiredness and insomnia in the 2010 diagnostic criteria for fibromyalgia Even though sleep recording is not part of the routine evaluation polysomnography may disclose primary sleep disorders in patients with fibromyalgia including obstructive sleep apnea and restless leg syndrome In addition genetic background and environmental susceptibility link fibromyalgia and further sleep disorders Among nonpharmacological treatment proposed for sleep disturbance in fibromyalgia positive results have been obtained with sleep hygiene and cognitivebehavioral therapy The effect of exercise is contradictory but overweight or obese patients with fibromyalgia should be encouraged to lose weight Regarding the approved antidepressants amitriptyline proved to be superior to duloxetine and milnacipran for sleep disturbances New perspectives remain on the narcolepsy drug sodium oxybate which recently was approved for sleep management in fibromyalgia

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