Target Audience: Pharmacist, Pharmacy Technician 1.5 Credits Activity Release Date: 8/18/2021 12:00:00 AM Activity Expiration Date: 8/12/2023 12:00:00 AM Pharmacology
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Course Summary
Fibromyalgia is characterized by chronic, widespread pain and other diverse symptoms. In the past, clinicians labeled this syndrome as a diagnosis of exclusion but this was largely due to an absence of standardized, diagnostic criteria for fibromyalgia. Advances have been made in understanding the pathophysiology, onset and manifestations of fibromyalgia. These advances have improved the methodologies for diagnosing this condition; they have also introduced polysomnography, functional magnetic resonance imaging, electroencephalograms and other tools to evaluate chronic, widespread pain. Additionally, the progress in understanding fibromyalgia has guided treatment options that include pharmacotherapy, complementary and alternative approaches, and patient self-help. Pharmacists can have a role to play in educating patients about non-pharmacological treatments that may be integrated with medications. Scientific research into the pathophysiology of chronic pain continues to advance and a pharmacist can help patients integrate non-pharmacological treatments with their prescription medications through the pharmacist’s education on the potential causes of chronic pain.
Course Objectives
  • Identify the diffused symptoms that may be associated with fibromyalgia
  • Describe the role central and peripheral sensitization has in the onset and symptoms of fibromyalgia
  • Compare the benefits and adverse effects of pharmacological treatments for fibromyalgia
  • Describe the pharmacist’s role in educating patients on non-pharmacological treatments for fibromyalgia
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Course Syllabus

I. Introduction

II. Epidemiology of Fibromyalgia

  1. Prevalence
  2. Defining Fibromyalgia
  3. Economic Burden of Fibromyalgia
  4. Onset of Symptoms and Symptom Severity

III. Pathophysiology of Fibromyalgia

  1. Central and Peripheral Sensitization
  2. Dysfunctional Pain Inhibitory Mechanisms
  3. Neurotransmitters
  4. Endocrine Dysfunctions
  5. Autoimmunity, Neuroinflammation, and Small Fiber Neuropathy

IV. Symptoms of Fibromyalgia

  1. Pain
  2. Fatigue
  3. Sleep Problems
  4. Psychiatric Symptoms
  5. Cognitive Dysfunction
  6. Other Symptoms or Overlapping Conditions

V. Risk Factors for Fibromyalgia

VI. Diagnosis of Fibromyalgia

VII. Treatment of Fibromyalgia

  1. Pharmacological Treatments
  2. Non-Pharmacological Treatments
  3. The Pharmacist’s Role in Non-pharmacological Treatments

VIII. NIAMS and Fibromyalgia Research

IX. Summary

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