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Fibromyalgia Patients Neglect Medical Treatment: Page 2 of 2

Fibromyalgia Patients Neglect Medical Treatment: Page 2 of 2

• Of the prescribed patients, 59.1% received a tricyclic antidepressant, 46.7% a serotonin or norepinephrine reuptake inhibitor antidepressant or both, and 24.1% an antiepileptic.

• A prescription was filled within 1 year of diagnosis by 80.3% (n = 1041) of the patients newly prescribed post-diagnosis.

• Of the 1041 patients with new diagnoses and prescriptions, 825 (79.3%) discontinued therapy during the year after the first filled prescription.

• Therapy was discontinued by 91.0% of patients prescribed tricyclic antidepressants.

• Therapy was discontinued by 73.7% of subjects prescribed serotonin/norepinephrine antidepressants.

• One-fifth (20.7%) of patients remained on any fibromyalgia medication after 1 year.

• Subjects of higher socioeconomic status and those with a diagnosis of anxiety, depression, or migraines were more likely to continue therapy.

• Even though high socioeconomic status was associated with a greater than 80% proportion of days covered, only 11.3% of them remained adherent to treatment.

Implications for physicians

• Fibromyalgia is a difficult condition to treat because of poor overall adherence to medical treatment.

• Patients with fibromyalgia should be monitored closely for adherence to prescribed treatment, with a particular focus on lower socioeconomic patients.

• Education and encouragement should be used to promote adherence.

• Primary care physicians are at greater risk for delayed diagnosis of fibromyalgia and should consider the diagnosis if considering prescribing fibromyalgia medications.

Pages

Disclosures

Pfizer provided funding for this project.

References

Ben-Ami Shor D, Weitzman D, Dahan S, et al. “Adherence and Persistence with Drug Therapy among Fibromyalgia Patients: Data from a Large Health Maintenance Organization.” J Rheumatol. 2017 Oct;44(10):1499-1506. doi: 10.3899/jrheum.170098. Epub 2017 Aug 1.

 
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