Fibromyalgia syndrome and gestation. Case report

Zakka, Telma Regina Mariotto; Yeng, Lin Tchia; Teixeira, Manoel Jacobsen

doi:10.5935/1806-0013.20140031

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CASES REPORTS • Rev. dor 15 (2) • Apr-Jun 2014 • https://doi.org/10.5935/1806-0013.20140031 copy

Fibromyalgia syndrome and gestation. Case report^* * Received from Clinicas Hospital, School of Medicine, University of São Paulo, São Paulo, SP, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

BACKGROUND AND OBJECTIVES:

The impact of fibromyalgia during gestation is not clearly defined. Its treatment is a challenge for the health team and drug prescription requires care and attention. This study aimed at evaluating treatment possibilities for a patient with chronic pain during gestation.

CASE REPORT:

Patient with 32 years of age, with fibromyalgia and irritable bowel syndrome, with eight weeks gestation. Patient was being treated for one year in the Ambulatory of Chronic Abdominal, Pelvic and Perineal Pain, from the Interdisciplinary Pain Center of the Hospital.

CONCLUSION:

Multidisciplinary treatment has involved drug replacement, physiotherapy, acupuncture, psychotherapy, postural and dietary reeducation.

Drugs; Fibromyalgia; Gestation; Multidisciplinary treatment

FDA classification	Definition	Examples
Category A	Controlled studies with pregnant women have not shown risk for the fetus. There is low teratogenicity risk.	Multivitamins
Category B	Animal studies have not shown teratogenicity risks, but there are no studies in humans with the drugs or there are animal studies showing fetal risk, but studies with humans have not shown such risk.	Acetaminophen/paracetamol
		Dipirone
		Lidocaine-bupivacaine
		Maprotiline
		Cyclobenzaprine
Category C	Animal studies have shown fetal risk and there are no studies with humans.	Aspirin
		Codein, tramadol
		Gabapentin-lamotrigine Topiramate
		Chlorpromazine
		Levomepromazine
		Venlafaxine,duloxetine, Amitriptyline
		Carisoprodol
		Baclofen
		Ketorolac-tenoxican
Category D	There is evidence of fetal risk in humans, but the benefit of the drug may make	Imipramine
	its use acceptable, in spite of the risk.	Diazepam
		Carbamazepine

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[1] Correspondence to: Telma Regina Mariotto Zakka, R. Antonio Valente da Silva, 141, 12080-230 São Paulo, SP, Brasil. E-mail: trmzakka@gmail.com

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Fibromyalgia syndrome and gestation. Case report* * Received from Clinicas Hospital, School of Medicine, University of São Paulo, São Paulo, SP, Brazil.

BACKGROUND AND OBJECTIVES:

CASE REPORT:

CONCLUSION:

Fibromyalgia syndrome and gestation. Case report^* * Received from Clinicas Hospital, School of Medicine, University of São Paulo, São Paulo, SP, Brazil.