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  1. #1
    Flowering Member Tweedybird's Avatar

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    Default Fibromyalgia Diagnosis and Management Guidelines 2012

    My doctor asked me to read this. It turns out that the recommended treatment for fibromyalgia includes cannabis:

    Taken from the 2012 Canadian Guidelines for the diagnosis and
    management of fibromyalgia syndrome
    available at http://www.canadianpainsociety.ca/pd...lines_2012.pdf

    ...
    2.3.3 Cannabinoid treatments
    Clinical cannabinoid use for pain relief remains controversial [235, 236]. The
    endocannabinoid system influences both inflammatory and pain pathways with two
    cannabinoid receptors distributed throughout the body [237]. Prescription cannabinoids
    are available in Canada as an oromucosal extract of cannabis based medicine, or the oral
    agents, dronabinol and nabilone. Herbal cannabis, whether smoked or ingested, is illegal
    without Health Canada exemption.
    In a small trial of 40 patients over a 4 week period, nabilone was associated with
    improved pain, functional status, and anxiety compared to the placebo group, but with
    more side effects in the nabilone group [238]. In a comparator study of nabilone and
    amitriptyline addressing sleep disturbance, both agents performed equivalently for sleep,
    but without effect on pain or quality of life and with more adverse effects in the
    cannabinoid treatment group [239]. In a recent systematic review of 18 randomized
    controlled trials in chronic non cancer pain, 2 of which were for FM, cannabinoids were
    superior to placebo for analgesic effect, with some also showing improvement in sleep
    [236]. Long term effects of therapeutic cannabinoid treatment in FM are not known.
    Recommendation:
    31. A trial of a prescribed pharmacologic cannabinoid may be considered in
    a patient with fibromyalgia, particularly in the setting of important sleep
    disturbance [Level 3 [236, 238, 239], Grade C].
    ...

  2. #2
    Rednamalas
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    My dr wouldnt go asfar as fibro. on my forms he stated: Chronic Pain Syndrom,Multiple Fractures,And Mood Disorder.
    Im prett sure fibro and chronic pain syndrom is the same shit.All I know is it sucks at times.
    My sisters both been dianosed with fibro i think it is hard to diagnose for some untrained dr's



    Quote Originally Posted by Tweetybird View Post
    My doctor asked me to read this. It turns out that the recommended treatment for fibromyalgia includes cannabis:

    Taken from the 2012 Canadian Guidelines for the diagnosis and
    management of fibromyalgia syndrome
    available at http://www.canadianpainsociety.ca/pd...lines_2012.pdf

    ...
    2.3.3 Cannabinoid treatments
    Clinical cannabinoid use for pain relief remains controversial [235, 236]. The
    endocannabinoid system influences both inflammatory and pain pathways with two
    cannabinoid receptors distributed throughout the body [237]. Prescription cannabinoids
    are available in Canada as an oromucosal extract of cannabis based medicine, or the oral
    agents, dronabinol and nabilone. Herbal cannabis, whether smoked or ingested, is illegal
    without Health Canada exemption.
    In a small trial of 40 patients over a 4 week period, nabilone was associated with
    improved pain, functional status, and anxiety compared to the placebo group, but with
    more side effects in the nabilone group [238]. In a comparator study of nabilone and
    amitriptyline addressing sleep disturbance, both agents performed equivalently for sleep,
    but without effect on pain or quality of life and with more adverse effects in the
    cannabinoid treatment group [239]. In a recent systematic review of 18 randomized
    controlled trials in chronic non cancer pain, 2 of which were for FM, cannabinoids were
    superior to placebo for analgesic effect, with some also showing improvement in sleep
    [236]. Long term effects of therapeutic cannabinoid treatment in FM are not known.
    Recommendation:
    31. A trial of a prescribed pharmacologic cannabinoid may be considered in
    a patient with fibromyalgia, particularly in the setting of important sleep
    disturbance [Level 3 [236, 238, 239], Grade C].
    ...

  3. #3
    Flowering Member Tweedybird's Avatar

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    It's much less common in men so harder to get diagnosed. My doc also wrote chronic pain dysfunction syndrome. I'm not sure what that is, but yes, it sucks. The article is an interesting read. I'm about 1/3 through.
    Hippy dippy organic grower

  4. #4
    Embryo fibrofighter's Avatar

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    I just finally got a chance to come back to this and read. They stressed in a few different areas that the diagnosis of fibromyalgia should come quickly, and from a primary care provider and not a specialist. It seems clear to diagnose, but if a provider has not read recent recommendations (and who can be up on everything, you need to work with your Dr to keep this stuff in front of them) they may not understand that.

    I love medical talk, but over halfway through I stepped out to medicate, and it was much harder to get through the brain chemistry and hormonal regulation stuff. Will come back to this again later...
    Last edited by fibrofighter; 12-28-2012 at 03:43 PM.

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