I'm having a hard time getting things done. What can I do?
Because you have good days and bad days with fibromyalgia, start each morning assessing how you feel. If you didn't sleep well the night before, plan your day accordingly and arrange to do less. If you feel well rested and your pain is tolerable, do more -- but remember that moderation is key. Always be flexible. You never know when you'll have a flare, so listen to your body and take breaks when you need them.
How can I exercise when I feel tired?
At times, moving may be the last thing you feel like doing. But moving can actually make you feel better and more energized. Regular, gentle exercise can help ease pain, stress, and other fibromyalgia symptoms. Start slowly and try activities like walking, swimming, and stretching, even if it's only for a minute or two at a time. If you feel good, you can increase how long you work out and how hard.
Can massage reduce my fibromyalgia pain?
Massage is a time-tested way to ease muscle pain and reduce stress. People also use massage to help improve range of motion and deal with depression and anxiety. More vigorous forms of massage may help relieve deep muscle pain from fibromyalgia. You also can try relieving some fibromyalgia pain yourself. Try massaging painful areas with a tennis ball or other firm object.
What can I do for my muscle pain and stiffness?
Heat, especially moist heat, may relieve soreness and stiffness from fibromyalgia by boosting blood flow to the places where you hurt. Apply a warm, moist washcloth to the painful area or try taking a shower or soaking in a bath. You also can reduce the deep muscle pain of fibromyalgia with a cold pack. Don't have one handy? Try wrapping a towel around a bag of frozen vegetables.
Can acupuncture help fibromyalgia pain?
This Chinese healing practice may relieve fibromyalgia symptoms in the short term. But research results are mixed. Acupuncturists believe inserting thin needles into specific points on the body helps energy flow. Others think it may increase the body's natural pain-fighting chemicals. Although some acupuncture studies have shown an improvement in pain, fatigue, or anxiety, others have shown it to have no effect when compared to simulated acupuncture.
How can I get a good night's sleep?
Fibromyalgia often disrupts sleep due to pain, restless legs syndrome, or other reasons. Try to set a sleep schedule by going to bed and waking up at the same time every day and avoiding naps. Develop a relaxing bedtime routine -- maybe reading and a warm bath. And make your bedroom conducive to sleep by keeping it dark, cool, and free of distractions like TV and computers. This is called practicing sleep hygiene.
I'm overwhelmed by my fibromyalgia symptoms. What can I do?
It may not be easy, but you may have to become a little bit selfish. When you are pressured by too many demands, it's time to learn how to say "no." That means not accepting every invitation or going on every outing -- you might even have to back out at the last minute once in a while. Your friends and family will understand when you just don't have the energy for everything and have to put your own needs first.
Are supplements a safe way to treat pain and help me sleep?
Some studies suggest that certain over-the-counter herbs and supplements -- such as 5-HTP, melatonin, and SAM-e -- can help relieve fibromyalgia symptoms. Others disagree. Bottom line: Many supplements have not been researched as thoroughly as prescription medications for effectiveness and safety. It's very important you talk with your doctor before trying any supplement. Some can have harmful results if combined with other drugs.
How can I get some stress relief?
Too much stress may trigger your fibromyalgia symptoms. Reducing stress may ease depression, anxiety, and fatigue and improve sleep. Make time for yourself every day to decompress and relax. Be sure to do something you love like read, listen to music, or take a walk. You may also want to use that time for meditation or deep-breathing exercises -- whatever it takes for some guilt-free time to de-stress.
Reviewed by Varnada Karriem-Norwood, MD on May 09, 2012
This tool does not provide medical advice. See additional information: 
© 2012 WebMD, LLC. All rights reserved.
Fibro Exercise Poll
Important Safety Information About Cymbalta®
The most important information you should know about Cymbalta:
Antidepressants can increase suicidal thoughts and behaviors in children, teens, and young adults. Suicide is a known risk of depression and some other psychiatric disorders. Call your doctor right away or seek emergency help if you have new or worsening depression symptoms; unusual changes in behavior, such as agitation, irritability, impulsivity, or restlessness; or thoughts of suicide. Be especially observant within the first few months of treatment or after a change in dose. Approved only for adults 18 and over.
Cymbalta may be associated with serious side effects. Call your healthcare provider right away or seek emergency help if you experience any of the following:
- Itching, right upper-belly pain, dark urine, yellow skin/eyes, or unexplained flu-like symptoms, which may be signs of life-threatening liver problems. Severe liver problems, some fatal, have been reported
- High fever, confusion, stiff muscles, muscle twitching, or racing heart rate, which may be signs of serotonin syndrome, a potentially life-threatening condition
- Abnormal bleeding, especially if Cymbalta is taken with aspirin, NSAID pain relievers (like ibuprofen or naproxen), or blood thinners
- Serious, possibly life-threatening skin reactions, which may include skin blisters, peeling rash, mouth sores, hives, or other allergic reactions
- Abnormal mood (mania), which may include greatly increased energy, severe trouble sleeping, racing thoughts, talking more or faster than usual, and reckless behavior
- Seizures or convulsions
- Decreased blood pressure upon standing, which can cause dizziness or fainting, mostly when first starting or increasing the dose. Cymbalta can also increase blood pressure. Your healthcare provider should check your blood pressure prior to and while taking Cymbalta
- Headache, weakness or feeling unsteady, confusion, problems concentrating, or memory problems, which may be signs of low sodium levels in the blood. Elderly people may be at greater risk
- Problems with urination, including decreased flow or inability to pass any urine
- Changes in appetite or weight. Children and adolescents should have height and weight monitored
Do not stop Cymbalta or change your dose without talking to your healthcare provider, as you could have side effects.
Cymbalta is not for everyone. Do not take Cymbalta if you:
- Are taking or have recently taken a monoamine oxidase inhibitor (MAOI), including the antibiotic linezolid, or Mellaril® (thioridazine). Taking Cymbalta close in time to these medicines can cause serious or even life-threatening side effects
- Have uncontrolled narrow-angle glaucoma (eye pain due to increased eye pressure)
Before taking Cymbalta, talk with your healthcare provider:
- About all your medical conditions, including
- kidney or liver problems, heart problems, or high blood pressure
- glaucoma or diabetes (Cymbalta may worsen diabetes or a type of glaucoma)
- seizures/convulsions, mania, or if you have bipolar disorder
- if you have ever had or been told you have bleeding problems, low sodium levels in your blood, or delayed stomach emptying
- About all prescription and over-the-counter medicines and supplements you take or plan to take, including
- antibiotics or medicines for migraine, mood, or psychotic disorders, to avoid a potentially life-threatening condition when taken with Cymbalta
- aspirin, NSAID pain relievers, or blood thinners, because they may increase risk for bleeding
- About your alcohol use (you should not take Cymbalta if you drink heavily)
- If you are pregnant or plan to become pregnant during therapy or are breast-feeding
Most common side effects of Cymbalta (this is not a complete list):
Nausea, dry mouth, sleepiness, fatigue, constipation, decreased appetite, increased sweating, dizziness. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
Other safety information about Cymbalta:
- Cymbalta may cause sleepiness and dizziness. Until you know how Cymbalta affects you, you shouldn't drive a car or operate hazardous machinery
- People age 65 and older who took Cymbalta reported more falls, some resulting in serious injuries
How to take Cymbalta
Take Cymbalta exactly as directed by your healthcare provider. Do not open, break, or chew capsule; swallow it whole. Cymbalta is available by prescription only.
See Prescribing Information, including Boxed Warning about antidepressants and risk of suicide, and Medication Guide.
DD CON ISI 02OCT2012
©Lilly USA, LLC 2012. All rights reserved.
Cymbalta is a registered trademark of Eli Lilly and Company.
DD79674 11/2012
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