Evidence map›Paper›PMID 40679776›Full record

ReviewDrugs2025

Managing Pain in Fibromyalgia: Current and Future Options.

Hance Clarke, Miki Peer, Sarah Miles, Mary-Ann Fitzcharles

Abstract readReview
PubMed Publisher
In one paragraph

Review in Drugs, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Sublingual Cyclobenzaprine: First Approval.Clinical drug investigation · 2026
    Review
  5. Review
  6. Article
  7. [Digital treatment of fibromyalgia].Zeitschrift fur Rheumatologie · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Hance Clarke *Department of Anesthesiology and Pain Medicine, University of Toronto, Toronto, Canada.
Miki Peer *Department of Anesthesia and Pain Management, University Health Network, Sinai Health System, and Women's College Hospital, Toronto, ON, Canada.
Sarah MilesDepartment of Anesthesia and Pain Management, University Health Network, Sinai Health System, and Women's College Hospital, Toronto, ON, Canada.
Mary-Ann FitzcharlesDepartment of Rheumatology, Montreal General Hospital, McGill University Health Centre, 1650 Cedar ave, Montreal, QC, H3G 1A4, Canada. mfitzcharles@sympatico.ca.ORCID http://orcid.org/0000-0002-1091-3175

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pain relief is a key element of fibromyalgia (FM) treatment. Current guidelines recommend antidepressant (i.e. serotonin-norepinephrine reuptake inhibitors) and anticonvulsant medications (gabapentin/pregabalin), drugs that provide only modest relief, with limitations primarily driven by side effects. In contrast, traditional analgesic drugs, although not sufficiently tested in FM, are commonly used by patients. This dearth of effective treatments has led to isolated, mostly small studies of less familiar drug treatments for FM-related pain. Although no single drug has emerged with appreciable effect, some agents such as cannabinoids and naltrexone, amongst others, have shown some pain modulatory effects. In the absence of drugs in the pipeline, non-pharmacological interventions such as behavioural interventions, neuromodulation techniques and faecal transplantation have been studied. This narrative review will focus on drugs and interventions that have been examined in recent years to modulate pain in FM.

Indexed as

AnalgesicsFibromyalgiaPain ManagementAnticonvulsantsAntidepressive AgentsCannabinoidsHumansAnalgesicsAnticonvulsantsAntidepressive AgentsCannabinoids

Identifiers

PMID40679776

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.