Main considerations for the treatment of fibromyalgia syndrome

  Treatment of fibromyalgia syndrome A. Good sleep hygiene 1. Ensure a quiet and comfortable sleep environment to avoid disturbance; 2. Avoid drinking tea, coffee and alcoholic beverages in the afternoon; 3. Exercise before 4 hours before bedtime, no less than 40 minutes per exercise, requiring sweating; 4. Take a hot bath within 2 hours before bedtime, better if you have a tub bath, heat through and sweat; 5. Drink a glass of hot milk before bedtime, or other hot drinks that do not contain caffeine that can cause excitement If there is snoring (sleep apnea, hypoxia), it is recommended to treat it accordingly and avoid sleeping on your back.  Second, drug treatment 1, Premarin, 1 capsule at bedtime, take a week to adapt, no serious dizziness or edema, after a week to increase to 2 capsules, and in every week to add 1 capsule, most take 4-6 capsules, to the condition does remission as the goal; if the condition continues to remission, maintenance treatment 3 months after the gradual reduction and a small amount of drug maintenance treatment for 3-5 years; 2, if taking Premarin still have difficulty sleeping, you can Temporarily add 1 tablet of zopiclone or half tablet of dextrozopiclone, or half tablet of Synthroid, choose one of them; do not take Valium at will, so as not to aggravate the disease; 3, depressed, pessimistic people, the morning can add duloxetine.  Third, pay attention to the monitoring of blood routine, liver and kidney function.