Clinical recommendationEvidence ratingReferencesComments
Treat fibromyalgia with a multidimensional clinical approach comprising patient education, cognitive behavior therapy, pharmacotherapy, and exercise.A22 Based on five RCTs
Use antidepressant medications to improve pain, sleep quality, and global well-being in patients with fibromyalgia.B23 Based on few RCTs
Prescribe cyclobenzaprine (Flexeril) 10 to 30 mg at bedtime to improve sleep and decrease pain in patients with fibromyalgia.A31 Systematic review of RCTs
Advise patients that aerobic exercise training has beneficial effects on fibromyalgia symptoms.A35, 36 Systematic review of RCT