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Lyrica Shows Durable Effect In Fibromyalgia

Michael Smith
Reviewed by Zalman S. Agus, MD; Emeritus Professor at the University of Pennsylvania School of Medicine. | November 16, 2006
  • Explain to patients who ask that there is no approved treatment for fibromyalgia, although several drugs have been shown to have a short-term effect.

  • Note that this study suggests the effect of Lyrica (pregabalin) is more long-lived, although not all patients will have a response and not all will be able to tolerate the medication's side effects.

  • Caution that the drug is not approved for fibromyalgia.

  • This study was published as an abstract and presented orally at a conference. These data and conclusions should be considered to be preliminary as they have not yet been reviewed and published in a peer-reviewed publication.

WASHINGTON, Nov. 16 -- In a majority of patients with fibromyalgia, Lyrica (pregabalin) maintains its painkilling effect for several months, a researcher reported here.

"This is the first study to report long-term pain relief for fibromyalgia," according to Leslie Crofford, M.D., of the University of Kentucky in Lexington, speaking at the American College of Rheumatology meeting here.

Lyrica, manufactured by Pfizer, is approved for the treatment of such conditions as diabetic neuropathy and post-herpetic neuralgia, but earlier double-blind studies have suggested that it relieves pain associated with fibromyalgia, as well as improving quality of sleep and reducing fatigue, Dr. Crofford said.

But many drugs have shown a short-term benefit in fibromyalgia, commented Eric Ruderman, M.D., of Northwestern in Chicago, who was not involved in the study. "Lots of things look interesting in fibromyalgia in small studies, short studies, but they don't really last," he said.

It was for that reason, Dr. Crofford said, that she and colleagues undertook a six-month, two-phase clinical trial involving 1,051 participants, most of them women. On average, they had a pain score of 78 on a scale of 100 and had had fibromyalgia for more than seven years.

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