Fibromyalgia is an illness characterized by an extensive musculoskeletal discomfort accompanied by exhaustion, sleep, remembrance, and attitude issues. The majority of the investigators accept it as true that fibromyalgia intensifies painful feelings by distressing the way the human brain interprets pain indications. Warning signs habitually appear after a physical trauma, surgical procedure, contamination, and other noteworthy psychosomatic traumas. In other cases, symptoms progressively accrue over time without any causing incident. The factors mentioned above validate the fibromyalgia diagnosis. Moreover, this illness is commonly diagnosed in women aged 25 and more that were exposed to a stressful situation (Castel et al., 2013). Most probably, EP struggles for the reason that she just moved to the town. It is rather reasonable to assume that she has issues connected to the adaptation and self-realization. All of EP’s complaints are implicitly hinting at fibromyalgia, but an extensive examination might be needed to obtain detailed evidence concerning the present illness.
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EP stated that she would like to continue taking hydrocodone. I would discontinue prescribing this medication for several reasons. First, even though hydrocodone is effective for severe pain, opioids (hydrocodone in this particular case) do not perform as well on enduring chronic illnesses. Furthermore, as it can be seen from EP’s case, they maximize the risk of drug dependence and have been connected to other secondary effects — for instance, intensifying the body’s response to discomfort, along with sleepiness and constipation (Marcus, Bernstein, Haq, & Breuer, 2013).
Even though hydrocodone is regularly prescribed in individuals with fibromyalgia, it seems to be of partial efficacy in the utmost patients with this complaint and is commonly not suggested. Even though this medication may decrease pain and help EP improve the quality of her life, hydrocodone prescribed by her family doctor is likely to have a much more adverse impact on her health than any other medication. In this case, my task is to progressively remove opioids (hydrocodone) from the list of prescribed medications.
My treatment plan would contain medications that can help decrease the discomfort of fibromyalgia and recover EP’s sleep pattern. More precisely, the plan would include pain relievers, antidepressants, and anti-seizure drugs. When it comes to the over-the-counter painkillers, such medications as Tylenol (325 mg daily, every six hours), Advil (400 mg daily, every six hours), or Aleve (500 mg initially, then 250 mg daily, every eight hours) may be helpful (Anthony, 2015). I might also propose the prescription of Ultram (100 mg once daily).
Cymbalta (40 mg once daily) and Savella (50 mg twice daily) may help get rid of the exhaustion and pain linked to fibromyalgia. I might also prescribe amitriptyline to help EP normalize her sleep. Another recommendation for the treatment plan would be to include medications intended to treat epilepsy as they are regularly advantageous in terms of reducing definite kinds of pain. Gralise (600 mg daily) is occasionally helpful in reducing fibromyalgia warning signs. A simple therapy approach might also be helpful (Anthony, 2015). A conversation with a therapist can help support the EP’s belief in her abilities and teach her tactics for coping with traumatic conditions.
I would not recommend any of the nontraditional therapies for the reason that there is no indication of the benefits of these methods. Because fibromyalgia is quite a debatable topic in itself, it is safe to say that prescribing any of the traditional medications mentioned earlier would result in adequate patient outcomes. The changes in the lifestyle might include a personalized diet and special physical exercises designed to help EP mitigate the effects of her stress.
Anthony, D. (2015). Fibromyalgia: The complete guide to fibromyalgia, understanding fibromyalgia, and reducing pain and symptoms of fibromyalgia with simple treatment methods! Seattle, WA: CreateSpace.
Castel, A., Fontova, R., Montull, S., Periñán, R., Poveda, M. J., Miralles, I.,… Rull, M. (2013). Efficacy of a multidisciplinary fibromyalgia treatment adapted for women with low educational levels: A randomized controlled trial. Arthritis Care & Research, 65(3), 421-431. Web.
Marcus, D. A., Bernstein, C. D., Haq, A., & Breuer, P. (2013). Including a range of outcome targets offers a broader view of fibromyalgia treatment outcome: Results from a retrospective review of multidisciplinary treatment. Musculoskeletal Care, 12(2), 74-81. Web.