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Sweating fibromyalgia: Skin Sensitivity to Touch: 6 Strange Signs of Fibromyalgia


Skin Sensitivity to Touch: 6 Strange Signs of Fibromyalgia

“This increased skin sensitivity and pain from touch is hypothesized to occur for a number of reasons,” says Jacob Teitelbaum, MD, medical director of Fibromyalgia & Fatigue Centers. “Over one-third of people with fibromyalgia develop a small fiber neuropathy caused from the chronic pain. In addition, the chronic pain causes amplification of pain signals in the brain itself, as well as changes in three key neurotransmitters related to pain.” Dr. Teitelbaum says medications known as NMDA receptor antagonists — memantine (Namenda) is one — can help.

Allodynia is also related to a lack of restorative sleep, so standard treatments for fibromyalgia — such as physical therapy, exercise, stress relief techniques, and practicing good sleep hygiene — can also help ease allodynia.

Sensitivity to fragrance. This fibromyalgia symptom is almost directly tied to allodynia and occurs for many of the same reasons. “Increased light, sound, and smell sensitivity are all common,” says Teitelbaum. “We have an enormous amount of sensory input coming in, and it takes energy to sort through all of this to separate the noise from the static. Fibromyalgia predominantly represents an energy crisis, and as the body has trouble sorting through the signal from the noise, it reflects as increased sensitivities.” In addition to whole-body approaches to treating fibromyalgia, Teitelbaum says the anti-seizure medication gabapentin (Neurontin) can often help decrease these sensitivities.

“Fibro fog.” Also called “brain fog,” this is a very serious fibromyalgia symptom that leaves many people in distress. “Brain fog or fibro fog is a classic component of the energy crisis we call fibromyalgia,” says Teitelbaum. Some of the common signs of fibro fog include a difficulty with word finding or substitution, loss of short-term memory, and occasionally even episodic disorientation that lasts for about 30 to 60 seconds. “With this disease, calling one’s husband by another man’s name is not a Freudian slip,” Teitelbaum notes. He explains that there is no single cause for fibro fog; rather, it can be caused by a combination of many factors including low thyroid levels, poor sleep, hidden infections such as Candida, and alterations in blood flow to the temporal lobes of the brain, which regulate speech.

Stephen Soloway, MD, a rheumatologist in private practice in Vineland, N.J., attributes much of the difficulties with fibro fog to sleep issues affecting people with fibromyalgia. Practicing good sleep hygiene and getting help from a sleep specialist may be useful.

Paresthesia. Paresthesia is an unexplained feeling of tingling and numbness that people with fibromyalgia may experience. Often it’s related to anxiety or nervousness over the disorder and can be accompanied by rapid, deep breathing. This in turn can lead to acroparesthesia, a tingling in the hands and feet from lack of carbon dioxide. Considering that anxiety is a major player in parasthesia, the stress relief techniques recommended for fibromyalgia patients can help. Exercise can also play a role in treatment.

Lipomas. These benign fatty tumors that can appear as lumps in various parts of the body are not directly related to fibromyalgia, but they may cause you to experience more discomfort than the average person does. This may be related to where the lipomas develop — parts of the body that are susceptible to the excessive or inappropriate pain that patients experience, explains Elliot Rosenstein, MD, director of the Institute for Rheumatic and Autoimmune Diseases at Overlook Medical Center in Summit, N.J. “Alternatively, these may be fibro-fatty nodules or localized areas of muscle spasm.”

Excessive sweating. Some people with fibromyalgia perspire heavily and may even believe they have a fever. This is due to what’s called an autonomic dysfunction within the hypothalamus, the almond-sized area in the brain that controls sleep and regulates sweating, bowel movements, and other automatic body functions. “The autonomic dysfunction causes the increase in sweating,” Teitelbaum says. Some medications and lifestyle changes that can keep you cool and dry may help with this fibromyalgia symptom.

Many of these unusual fibromyalgia symptoms respond to general treatment approaches. If not, talk with your doctor about targeted recommendations that may help.

Night Sweats and Fibromyalgia: A Common Pair

Unlike other disorders that we talk about on WickedSheets.com blogs, Fibromyalgia is not a condition whose side effect is night sweats. We’re here to tell you today is that it’s the treatment of fibromyalgia that causes night sweats for many patients. Night sweats and fibromyalgia are a common pair.

Night sweats and fibromyalgia

Fibromyalgia is a syndrome that impacts the muscles and soft tissue. Symptoms include chronic muscle pain, fatigue, sleep problems, and painful tender or trigger points. Most physicians or health specialists believe that these symptoms can be relieved through medication, lifestyle changes, and stress management. However, Fibromyalgia sufferers are oftentimes plagued with additional illnesses (or co-morbidities) that can exacerbate their issues and so this is where the importance of good sleep hygiene is very important.

At Wicked Sheets, we believe that regular sleep patterns coupled with cooler, less interrupted sleep leads to cell restoration and more effective rehabilitation. Take an induced coma, for instance. Think about what’s happening to the body during that sleep. Think about when someone might be put into an induced coma: after an accident where bodily harm was induced, after a fall where the brain was damaged, cell damage from a stroke? In all of these instances, cell restoration and neurogenesis (growing new neural networks) is of utmost importance to get our brain, tissue, and organs back to homeostasis (a balanced state).

You’ve heard us talk about fibromyalgia and night sweats before, when we interviewed fellow sheet aficionado and wicked sleeper, Susan Focke from Harbor Luxury Bedding. And the main takeaway from our conversation was that you need to keep asking questions, doing research, and being your own health advocate. But we wanted to take a deeper dive with this post and talk about the specific medications that are being used to treat fibromyalgia and why they are likely the culprit for your increased sweating at night. Even more so, why people think night sweats and fibromyalgia are linked because of the condition, when it’s often the medication at the root of the sweating.

Medications for Fibromyalgia

Currently, the FDA has approved four types of medications for the treatment (of symptoms) of fibromyalgia:

  • Antidepressants
  • Anti-seizure medicine
  • Pain Relievers
  • Muscle Relaxers

Antidepressants are typically the first prescribed medication to a patient with a new fibromyalgia diagnosis. And not because they’re depressed (even though depression is a common co-morbidity), but because antidepressants raise levels of chemicals, like serotonin and norepinephrine that help control pain. These chemicals directly affect a region in our brain, the hypothalamus, which helps us regulate hunger, thirst, and even some aspects of how we parent, but also (ironically) is the master controller of our body temperature and sweat production. Insert: NIGHT SWEATS!

Here is a list of antidepressants most commonly used in the treatment of fibromyalgia:

  • SSRIs: Celexa, Lexapro, Luvox, Prozac, Paxil/Pexeva, Zoloft
  • SNRIs: Cymbalta (which can help with sleep modulation) and Savella

If you’re interested in learning more about antidepressants and what they do to your body, watch our latest interview with Dr. Elizabeth Nicholson. Here she discusses SSRIs and Benzodiazepene, and their side effects, as well as just how important practicing good sleep hygiene is for the treatment of anxiety and related disorders. These connections go much farther than night sweats and fibromyalgia. There are many links to night sweats and hot flashes with medications and treatments of various conditions.

Wicked Sheets Puts Customers First

When it comes to how we got interested in night sweats and fibromyalgia, it was after many of our customers reported that  after they began sleeping on Wicked Sheets it became easier for them to slide into and out of the bed. Our fabric has a silky, smooth finish and stays tightly against that mattress so as not to tangle the legs when someone needs to use caution entering and exiting the sleep environment. After numerous consistent reports from Wicked sleepers, we took note and make sure that we share this (unintentional) bonus with other chronic pain or limited mobility sleepers.

As always, we love when our customers share these stories or their feedback, so keep ’em coming! We use them to create newer, better content and products that will help you or someone you love sleep better. Feel free to reach out with any comments or suggestions, but until then…be cooler, sleep wicked! And, don’t let night sweats and fibromyalgia keep you up at night.

Night Sweats and Fibromyalgia – Wicked Sheets

Night Sweats and Fibromyalgia

Since sharing the news about Harbor Luxury Bedding now carrying Wicked Sheets on their online store, we’ve learned more about founder, Susan Focke, and her journey to conquer better sleep by combatting night sweats and fibromyalgia.

As a reminder, fibromyalgia is a syndrome that affects the muscles and soft tissue. Symptoms include chronic muscle pain, fatigue, sleep problems, and painful tender points or trigger points, which can be relieved through medications, lifestyle changes and stress management. We are specifically interested in the sleep aspects of this syndrome, because we believe that cooler sleep leads to better, more restorative sleep. Not to mention that a lot of our customers who tell us about their conditions say that sleeping on a softer, smoother sheet allows them to slide in and out of the bed easier.

In an interview earlier this month, we asked Susan to talk more about current treatments for fibromyalgia, along with any advice that she might share with someone else experiencing the numerous side effects of the condition. Here’s what Susan had to say:

What are the go-to treatments for Fibromyalgia? Medicine, Exercise, Lifestyle changes? How do night sweats and fibromyalgia impact you?

“Treatment for me has been a combination of pain and sleep medications, along with supplements. I have also discovered that regular massage, chiropractic care, gentle exercise, hot tub soaks, and tempering my ‘do it all’ personality type, have been the best solutions for me.

It’s very common for Fibro patients to try a multitude of medications or coping methods before finding the right combination of comfort and relief. It is very different for each patient – which makes it hard to treat. Many must change their medications as time goes on and as the efficacy of their medications change. Then…a new search begins.”

What are the side effects of Fibromyalgia treatments?

“I tested many medications for pain, sleep, inflammation, arthritis and then anything new that would come onto the market that advertised as a ‘New Treatment for Fibromyalgia’. Nothing ever solved all of the aches and pains I was having. If it wasn’t my leg or foot, it was my back and neck, sometimes I even felt like my hair hurt!
During this time, I also developed pernicious anemia, high blood pressure, a thyroid condition, high cholesterol, and a blood condition that I learned could later develop into bone cancer. I was overwhelmed with the solutions that the medical community was giving me and how many different ‘diagnoses’ I was given in that short of a period while I was really searching for the one answer…Fibromyalgia.

Having had a hysterectomy a few years before my diagnosis, I was also faced with zero to low estrogen production, to which my doctor recommended me having Estrogen Replacement Therapy. From that point on, I was always the hottest person in the room. I was overheated no matter where I was, inside or out.
I slept with one leg and one arm uncovered, as I even thought my flat sheets were too hot. I was hot and sweaty no matter the weather conditions or the temperature. I kept our A/C at 69 degrees during the day and 67 degrees at night. My poor family was freezing. And on top of it all…I was crying all the time from all that estrogen in the ERT (estrogen replacement therapy). Can you imagine how that felt? I went from a seemingly ‘healthy person’ on no meds and with an active lifestyle, to a ‘sick person’ who cried all the time and now was purchasing pill organizers so that I wouldn’t miss a dose of whatever was going to make me sleep that night.” Night sweats and fibromyalgia can cause significant impediments to sleep.

What’s the best advice you can give to someone with a new Fibromyalgia diagnosis?

“First and foremost,…sleep quality and sleep quantity! I believe that non-restorative sleep is the number one problem that needs to be addressed at the patient’s first physician appointment. I don’t know of one Fibromyalgia patient who doesn’t have underlying sleep problems or a sleep disorder. I feel confident saying that most physician’s aren’t working fast enough after the initial diagnosis to put together a sleep plan for the patient.

Creating your own positive sleep environment is key to ensuring a restful and restorative night’s sleep. For me, a cool, dark bedroom coupled with cool, soft sheets is ideal and I’ve also switched to a Sleep Number mattress that has an additional 3” memory foam topper. It’s supportive in all the right places.

The first year of living with Fibromyalgia is the hardest, simply because you’re changing medications constantly and going through those ‘I’ll try anything to help with the pain’ moments. I don’t know if I would have made it through those first couple of months, even, without soaking in Epsom salt, baking soda, and lavender essential oil baths.
But the most important thing after sleep is to BE YOUR OWN ADVOCATE. Every patient is different which means so are their symptoms, so be prepared for some trial and error and ALWAYS DO YOUR RESEARCH before and after meeting with a physician.”

What’s your favorite quote about sleep?

“A good laugh and a long sleep will cure anything.

Night sweats and fibromyalgia often go hand-in-hand, but we’re here to help you sleep better. Sleep well, sleep wicked.

11 Symptoms of Fibromyalgia You Might Want to Know About

According to prevention.com, there are 20 million people worldwide who suffer from fibromyalgia and many more who may be experiencing symptoms but have not yet been diagnosed.

Here are 11 of the most common symptoms associated with fibromyalgia:

1. Pain
The number one symptom is global pain. Fibromyalgia is a disorder that affects the central nervous system and this manifests as acute pain, mainly in the arms, legs and torso but the pain can be felt over the entire body and deep into the muscles and joints.

2. Exhaustion
Being in so much pain usually means that it’s difficult to get to sleep at night and that sleep is disturbed due to the pain. Because of this, fibromyalgia patients often experience extreme exhaustion and fatigue.

MORE: Dr. Patel talks about the use of medical marijuana in the treatment of fibromyalgia

3. Acute sensitivity
Fibromyalgia patients are often acutely sensitive to light, touch, heat, cold, and sound and may find these much more painful to bear than non-sufferers.

4. Depression
It will come as no surprise that if you’re in constant pain and feeling exhausted all the time, then you are more likely to suffer from depression and mood swings.

5. Changes to skin appearance
Fibromyalgia patients often report swelling of the skin, red or blueish blotches, hives and other skin complaints.

MORE: Four facts about fibromyalgia you might find interesting

6. Brain fog
This is a very common symptom for fibromyalgia patients. Brain fog is when you find it extremely difficult to concentrate, remember things, retain information and even find the right words in a conversation. Brain fog severity is usually linked to the severity of pain suffered.

7. Headaches
Fatigue and lack of sleep can often lead to debilitating headaches. Between 50 percent and 70 percent of fibromyalgia patients report experiencing frequent migraines.

8. Issues with balance
Many fibromyalgia patients say they often feel dizzy, as though they are going to fall or lose their balance. They may also experience difficulty walking.

MORE: Seven things people with fibromyalgia want non-sufferers to know

9. GI problems
Problems with diarrhea, constipation, stomach ache, excess gas, bloating, feeling sick, and acid reflux are all very common symptoms in fibromyalgia patients.

10. Stiff joints
Stiff joints, particularly when getting out of bed in the morning is also a common sign of fibromyalgia.

11. Excess sweating
Excess sweating or sweating in unusual parts of the body can also be a sign or symptom of fibromyalgia.

MORE: Breaking down fibromyalgia treatment into the four ‘R’s

Fibromyalgia News Today is strictly a news and information website about the disease. It does not provide medical advice, diagnosis or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.

Fibromyalgia – NHS

Fibromyalgia, also called fibromyalgia syndrome (FMS), is a long-term condition that causes pain all over the body.

Symptoms of fibromyalgia

As well as widespread pain, people with fibromyalgia may also have:

  • increased sensitivity to pain
  • extreme tiredness (fatigue)
  • muscle stiffness
  • difficulty sleeping
  • problems with mental processes (known as “fibro-fog”), such as problems with memory and concentration
  • headaches
  • irritable bowel syndrome (IBS), a digestive condition that causes stomach pain and bloating

If you think you have fibromyalgia, visit a GP. Treatment is available to ease some of its symptoms, although they’re unlikely to disappear completely.

How fibromyalgia is treated

Although there’s currently no cure for fibromyalgia, there are treatments to help relieve some of the symptoms and make the condition easier to live with.

Treatment tends to be a combination of:

Exercise in particular has been found to have a number of important benefits for people with fibromyalgia, including helping to reduce pain.

What causes fibromyalgia?

The exact cause of fibromyalgia is unknown, but it’s thought to be related to abnormal levels of certain chemicals in the brain and changes in the way the central nervous system (the brain, spinal cord and nerves) processes pain messages carried around the body.

It’s also suggested that some people are more likely to develop fibromyalgia because of genes inherited from their parents.

In many cases, the condition appears to be triggered by a physically or emotionally stressful event, such as:

  • an injury or infection
  • giving birth
  • having an operation
  • the breakdown of a relationship
  • the death of a loved one

Who’s affected

Anyone can develop fibromyalgia, although it affects around 7 times as many women as men.

The condition typically develops between the ages of 30 and 50, but can occur in people of any age, including children and the elderly.

It’s not clear exactly how many people are affected by fibromyalgia, although research has suggested it could be a relatively common condition.

Some estimates suggest nearly 1 in 20 people may be affected by fibromyalgia to some degree.

One of the main reasons it’s not clear how many people are affected is because fibromyalgia can be a difficult condition to diagnose.

There’s no specific test for the condition, and the symptoms can be similar to a number of other conditions.

Support groups

Many people with fibromyalgia find that support groups provide an important network where they can talk to others living with the condition.

Fibromyalgia Action UK is a charity that offers information and support to people with fibromyalgia.

If you have any questions about fibromyalgia, call the charity’s helpline on 0300 999 3333.

The charity also has a network of local support groups you may find helpful and an online community, where you can find out about news, events and ongoing research into the condition.

Another support group you may find useful is UK Fibromyalgia.

Community content from HealthUnlocked

Page last reviewed: 20 February 2019
Next review due: 20 February 2022

Excessive Sweating, Fibro and Your Hypothalamus

Image: Image Point Fr/Shutterstock

If you have fibromyalgia, an “invisible illness”, you often experience severe symptoms that no one can see, sometimes leading to misunderstandings and causing more stressful situations. You’re most likely used to taking a more cautious approach to outdoor activities or an kind of exertion for fear of aggravating your symptoms, but if you don’t have an understanding support system of family and friends, you might find yourself surrounded by people who can’t sympathize with what’s going through inside your body. Pain and migraines are the most common invisible symptoms of fibro, but overheating is one that often gets overlooked. However, staying indoors and in the shade is not nearly enough to combat sweating and hot flashes, reactions of a faulty limbic and endocrine system.

At least 5 million adults are affected by fibromyalgia, and 3.4 percent of the sample population of the 2015 Center for Disease control study was female. Men who have fibromyalgia tend to have fewer and milder symptoms that don’t typically last as long. Scientists and medical professionals are still unsure about this phenomenon, but the link may be due to hormones and fluctuations. Like pain and tenderness, symptoms of sweating and hot flashes are usually more prevalent and severe among women, competing with menopause for the spot of most annoying non-treatable condition. The one thing we do know is that whatever mystery surrounds fibro, the symptoms of fever and sweating and other hormone-related issues originate from a deficiency in the hypothalamus.

Hypothalamus: Why is it important?

The hypothalamus is one of the most important and underrated parts of the brain currently known to man, and that’s no stretch of the imagination. This almond-shaped nucleus performs a variety of functions, including it’s most important function of linking the nervous system to the endocrine system via the pituitary gland, or hypophysis. The hypothalamus is a part of the limbic system—the limbic system supports a variety of functions including emotion, behavior, motivation and long-term memory. The limbic system being affected would explain some symptoms such as depression, “fibro fog” and moodiness of people with fibro, because emotional control and memory-making is largely based in the limbic system.

Metabolism is linked to the hypothalamus. Most people associate metabolism with simply an ability to convert food into energy more than fat, making it easier to eat more and stay thin. But it’s more complicated than that. The metabolic process is mainly the conversion of food/fuel to energy and building blocks for biomolecules such as protein, so any abnormality in the metabolic system can explain a wide range of biological changes, not limited to fatigue and weight loss. The hypothalamus is responsible for some metabolic processes and activities of the autonomic nervous system.

But as it affects people’s health, the hypothalamus’ role in the limbic system is of paramount importance. The hypothalamus produces releasing hormones, which control the release of other hormones, and they stimulate or inhibit the secretion of pituitary hormones. Between the endocrine system’s pituitary gland and the limbic system’s hypothalamus, the following processes are controlled and effected:

  • growth
  • hunger and thirst
  • fatigue and sleep
  • blood pressure
  • functions of the sex organs
  • thyroid glands
  • metabolism
  • pregnancy, childbirth and nursing
  • parenting and attachment behaviors
  • temperature regulation
  • pain relief
  • water/salt concentration (salt causes swelling)
  • circadian rhythms

Stiffness, cold and numbing feelings in your hands and feet are common symptoms of fibro, and if you have concurring symptoms of hot flashes and sweating, the results can be miserable. Women must deal with the consequences of having makeup melt off of their face, especially during hot months. There are a few known causes of excessive sweating that can be pinpointed, such as anxiety, that are all related to the nervous, limbic and endocrine system. One “treatable” cause is the possible side-effects from antidepressants—high levels of norepinephrine. But the only way to cure that cause is to cease taking the medication, a compromise that might not be worth it if the benefits outweigh the consequences.

Unfortunately, excessive sweating and hot flashes is a symptom that can negatively affect your daily living, and it’s one you either have to live with or find a way to manage. Wearing layered clothing is one simple way to make a difference in your life with fibro. Because you tend to switch between hot and cold, having the ability to remove clothing to suit your body temperature gives you some control back. Another important thing to remember is the need to stay hydrated. Water replaces the electrolytes you lose when you sweat, and without them we can become dehydrated. Loose powders and antiperspirants can keep you feeling fresh, but dress shields, absorbent sweat pads and even menstrual pads might be a better defense.

Night Sweats and Fibromyalgia – Redorbit

Image: Shutterstock/ Stock-asso

There are a lot of things we don’t know about fibromyalgia. And one of the most perplexing mysteries of the condition is the way it seems to affect and be affected by your internal body temperature. Cold temperatures seem to make symptoms worse, but conversely getting over-heated seems to affect your symptoms as well. And regulating your internal temperature can be difficult, which is why many people with fibromyalgia suffer from night sweats.

Night sweats are basically what they sound like: an intense period of sweating that tends to come at night. But while that might not sound like too serious a problem, having night sweats is uncomfortable, irritating, and makes it difficult to get a decent night’s rest. So what causes night sweats when you have fibromyalgia? And what can you do to treat them?

Generally, there are a lot of things that can cause night sweats. They usually result from a fluctuation in the body’s internal temperature. And the most common reason that people suffer from these kinds of hot flashes is the hormonal changes that often accompany menopause.

But when you have fibromyalgia, you’re also far more likely to have night sweats. And these hormonal changes that typically cause the condition don’t seem to be involved. The cause of them in people with fibromyalgia seems to be the inability of the body to properly regulate its internal temperature. The body’s internal temperature rises and so you start to sweat as if you just ran a marathon and got overheated.

But again, we just don’t know why this happens to people with fibromyalgia. There are a few theories. Some doctors have suggested that fibromyalgia may affect certain mechanisms in the body that regulate temperature, like the action of the thyroid gland. There is some evidence that people with fibromyalgia suffer from thyroid problems at a higher rate than normal, suggesting that the condition may be playing a role.

Others have proposed that the sort of small nerve damage that is quite common in fibromyalgia might be restricting blood flow, which makes it impossible for your body’s natural mechanisms of regulating body heat to work properly.

But while we don’t know why they seem to be so common in people with fibromyalgia, there are still a few things that you can do to treat them.

How to Treat Night Sweats

Night sweats can keep you up at night, which makes it hard to get the rest you need. This is especially true when you have fibromyalgia. Fibromyalgia causes chronic fatigue, of course, but it can perversely also lead to insomnia. And not getting enough sleep has been shown to significantly increase both the severity and frequency of your fibromyalgia symptoms.

Night sweats from fibromyalgia can be bad enough to soak your sleepwear and bedsheets, which means having to do extra loads of laundry, always a dicey proposition when you’re already low on energy and in significant pain.

That’s why finding a way to treat your night sweats is important. Finding a way to get a good rest can leave you feeling better when it comes to all your symptoms. And there are a few things you can do.

First, make sure that you’re not over bundling when you sleep. Use a lighter sheet and blanket and don’t wear thick, woolen clothes to bed like long johns. These trap heat against the skin and can make the issue much worse. In addition, some

In addition, some pain medications can lower the ability of your body to regulate your temperature. Check the warning labels on any medications you are taking and talk to your doctor about the possibility of this specific side effect.

It can also be helpful to lower the temperature of the room you’re sleeping in and dress for bed in layers so that as you get hot you can remove a few.

Finally, night sweats are often caused by some of the complications of fibromyalgia. For instance, obstructive sleep apnea is a big contributor to night sweats, and people with fibromyalgia suffer from sleep apnea at a much higher rate than the general population. Check with your doctor if you’re showing any signs of sleep apnea. They will be able to recommend you to a sleep study for a diagnosis and then give you some ways to treat the condition.

And night sweats can also be a sign of more serious conditions like certain cancers, so it’s always a good idea to see a doctor if you’re suffering from severe sweating at night so that they can eliminate other possible causes.

So let us know, do you suffer from night sweats? Is it related to your fibromyalgia? How do you treat it? Tell us in the comments.

90,000 7 early signs of fibromyalgia | Symptoms and clinical signs

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Here are 7 early signs of fibromyalgia that can help you recognize a chronic condition early and get the right treatment. Early diagnosis is very important for making the right decisions about treatment, training and adjustments in daily life. None of these symbols mean that you have fibromyalgia on your own, but if you develop any symptoms, we recommend that you consult with your GP.

More emphasis should be placed on research focusing on a condition that affects so many – although unfortunately many disagree – which is why we encourage you to share this article on social media, preferably through our Facebook page, and say, “ Yes, for more research on fibromyalgia. ” Feel free to click the Share button below to share the post further on your Facebook.

In this way, the “invisible disease” can be made more visible and the funding of research on new therapies can be prioritized.

We know that the early signs of fibromyalgia are very different from person to person, and therefore note that the following symptoms and clinical signs are generalizations – and that the article does not contain a complete list of possible symptoms that may be affected in the early stages of fibromyalgia, but rather an attempt show the most common symptoms of early fibromyalgia.

Feel free to use the comment box at the bottom of this article if you missed something – we’ll do our best to add it.We also remind you that you will find a training video almost at the end of the article.

Les også: 5 movement exercises for people with fibromyalgia (including instructional video)

1. “Fibro-fog”

Fibrous fog, also known as brain fog, is a symptom that affects many people with fibromyalgia. – and this often becomes apparent early in the diagnosis. Brain fog can temporarily impair the ability to think clearly (hence the “fog”) and to choose the right words when speaking.

Short-term memory may be affected and the person may phrase differently and more incoherently than usual. This is a scary and confusing symptom as it can be obvious stress for those affected. Many people will notice improvement if they get enough rest.

Affected? Join the Facebook group “ Rheumatism – Norway: Research and News ” (Click here) for the latest research news and media coverage of this disorder.Here, participants can also get help and support – at any time of the day – by sharing their own experiences and advice. We also recommend the Norwegian Rheumatism Association (NRF) where you can also get very good follow-up and support through their nationwide association.

2. Allodynia: abnormally increased sensitivity to touch.

Fibromyalgia is characterized by increased pain and regular touching.In other words, increased sensitivity of the skin and muscles. Allodynia means that even normal contact (which shouldn’t be harmful) – such as squeezing a muscle slightly or stroking your skin – can be painful.

The symptom is especially manifested if the patient has not recovered or is mentally tired.

3. Paresthesia: sensory changes.

People with fibromyalgia may experience abnormal sensations such as tremors and numbness in muscles and skin.Often times, again, physical and emotional stress seems to be the main factor and trigger for this problem.

Thus, the methods and forms of treatment that can help improve daily life and reduce negative factors are of particular importance.

Chronic fatigue and weakness

Fibromyalgia can cause significant stress on the body and mind – which, in turn, can cause feelings of fatigue almost all the time.Because of the high pain sensitivity in the muscles, many people experience a decrease in muscle strength caused by pain and dysfunction of the nerves.

This prolonged fatigue and feeling of constant tiredness can also lead to impairment of exercise and ability.

5. Headache with fibromyalgia.

In those who suffer from fibromyalgia, the sensitivity of the muscle fibers is increased, which, in turn, gives more and more painful signals – often even with a light touch (allodynia).This leads to an increased incidence of headaches and especially this type of combined headache called “fibromyalgia headache”.

Les også: Research: Q10 may relieve fibromyalgia headaches.

6. Increased sweating.

Have you noticed that you are sweating more than usual? Researchers believe that the increased sweating among those who suffer from fibromyalgia (as well as those who suffer from ME / CFS) is primarily due to overactive autoimmune responses, that is, the immune system that is constantly working overtime and is on stress for 24 hours. a day, 7 days a week.

It is also believed that increased skin sensitivity can make you react more to heat and cold than others.

7. Sleep problems

People often find it difficult to fall asleep due to increased levels of pain and an almost constant feeling of “pain” in the body. And when they are allowed to sleep, it happens that deep sleep often lasts a long way – and they remain in what we call “REM sleep,” that is, in the “weakest” and most restless form of sleep.

The problem is that sleep deprivation leads to a significant increase in muscle sensitivity and pain. – so then it is easy to fall into a vicious circle where one interferes with the other.

This highlights the importance of sleep for people with fibromyalgia and chronic pain. There are tips and tricks on how to improve sleep – which you can read about in the article below (7 Tips for Overcoming Fibromyalgia).

What can you do if you have fibromyalgia?

– Work with your therapist and learn a plan for how you can stay as healthy as possible, this may include:

Neurological direction for the examination of nervous function

Treatment by a publicly authorized therapist (physiotherapist, chiropractor or similar)

Set up your daily life (more on this here: 7 Tips on How to Cope with Fibromyalgia)

Cognitive processing

Adapted exercise program for people with fibromyalgia (read: 6 exercises for those affected by fibromyalgia)

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Fibromyalgia causes increased pain in muscles and joints – how to get rid of them

Below, we present an instructional video with personalized exercises to help you relieve pain.

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Heavy Sweating in Fibromyalgia and CFS – Health

Unexplained and excessive sweating is a common problem in fibromyalgia and chronic fatigue syndrome. Excessive sweating is one of those weird symptoms that rarely appear on the



Unexplained and excessive sweating is a common problem in fibromyalgia and chronic fatigue syndrome.Excessive sweating is one of those strange symptoms that rarely make it onto symptom lists or get the attention of researchers.

This is understandable, because we have much bigger problems. However, heavy sweating can seriously affect your life.

Although doctors and researchers have noted that excessive sweating can be a symptom of these conditions, you may want to talk to your doctor about complex regional pain syndrome. He has similar symptoms and some research suggests excessive sweating may be more common in this condition.


Several factors may be responsible for our perspiration, either alone or in combination. These include:

  • Dysfunction of the autonomic nervous system
  • Thermal sensitivity
  • High norepinephrine as a side effect of antidepressants
  • Anxiety as a symptom or partial condition

The only ‘curable’ cause is a side effect of the drug and may not be very attractive you if the medicine is doing more good than harm.

However, some medications can help control sweating, so it’s worth talking to your doctor about.

Living with excessive sweating

If you do have to live with this symptom, you may want to keep some items close at hand so that it is not obvious or embarrassing.

  • Loose powder on face or other sweaty areas can help absorb sweat before you even notice it. You can also apply it after you dry the sweat from your skin to keep it from shining.
  • Oil-absorbing face wipes will also help prevent oily skin. They are usually better than wipes or wipes, which work as a last resort, but may be worse for your skin and less effective.
  • Sweat guards and pads can help absorb sweat before it soaks through clothing. If you sweat especially heavily, menstrual pads may be the best option.
  • Sweat-wicking clothing may also be a good option for you. However, they can be more expensive.
  • The hat or ponytail holder will help hide hair problems caused by sweat.

You may find that you need to store excess clothing in your car, wallet, locker, desk, or other convenient location.

Preventing excessive sweating

If your sweating is not associated with a specific irritant, you may not be able to prevent it. However, if it is related to heat, and especially our tendency to overheat, you may find that some of these things reduce the problem.

  • Supplemental antiperspirant, reapplied several times throughout the day and applied to atypical areas where you tend to sweat a lot, can help.
  • Taking a cooler bath or shower or running cool water over your body before going outside can prevent overheating and increased sweating.
  • If you are often cold, you may often find yourself dressed too warmly for the environment. Layering gives you more control over temperature.
  • Choosing cold drinks over hot drinks and avoiding hot foods can help prevent overheating.

Once sweating begins, it can be difficult to stop, so try to prevent it first.

Dehydration from excessive sweating

If you sweat excessively, it is important to ensure that you are not dehydrated. It’s important to replace both the water and electrolytes you sweat.

Electrolytes are minerals, including:

  • Potassium
  • Calcium
  • Magnesium

If you think you need to replace electrolytes but don’t have a sports drink on hand, you can get them through supplements or even through food.

It can be difficult for us to tell when we are dehydrated because symptoms may be similar to those we already have. You should be aware of the symptoms of dehydration.

Symptoms of dehydration

Zelenograd – Advertising – Do not endure acute pain. Fibromyalgia syndrome is treated

There are people among us whose every day of life turns into an endless, excruciating struggle with pain and misunderstanding.

Relatives, colleagues at work, and the boss are inclined to consider simulators as well.General practitioners, not finding objective reasons for the occurrence of pain, explain it by the mental disorder of the patient and entrust the patient to a psychiatrist. But this is not the fantasy of the sick! Perhaps we are talking about a disease such as fibromyalgia. In domestic practice, this diagnosis is almost never made, since it is still little known to doctors.

Fibromyalgia is currently one of the most frequent diseases of outpatient practice (2-3rd place of all visits to a rheumatologist), in 3-6% of the population, the criteria for this diagnosis are found.Fibromyalgia is a complex disorder with common musculoskeletal pain, depression, sleep disturbance, morning stiffness, and fatigue.

Fibromyalgia is an inflammation of certain areas of muscles and places of muscle attachment to bones (tendons). The disease is associated with stress, decreased immunity, and infection. Mostly people of a certain psychological make-up are ill: emotional, but with well-developed self-control. Chronic fatigue is a common companion of fibromyalgia.This is a state of depletion of the nervous system against a background of chronic stress. The main signs are a feeling of fatigue starting in the morning, difficulty in doing the usual work. The disease begins with a prolonged stay of the nervous system in a state of stress. It could be mental stress or overwork, surgery, or injury. Normally, stress is a beneficial response in the nervous system. The purpose of stress is a short-term increase in the physical capabilities of the body in response to danger.Under stress, the body throws out the accumulated “emergency resources” of hormones, immune factors, heat, various biologically active substances.

If stress continues for too long, resources are depleted, and this primarily concerns the nervous and immune systems. In response to the activity of infections, the depleted immune system produces whatever response it can. Or she may be giving out a strong, but not focused enough response. In the blood appears “immune special forces”, that is, a large number of killer cells, which attack not only infections, but, by mistake, and some of the body’s own tissues, primarily muscles and tendons.That’s when the inflammation appears, and then the pain.

Panic attacks, pressure surges and headaches. How to recognize IOP? | HEALTH

Coldness or numbness of the extremities, fatigue, rapid or slow heartbeat, fluctuations in blood pressure, pain in the left side of the chest, difficulty breathing, dizziness. Often with such symptoms, those who complain of vegetative-vascular dystonia turn to doctors. The doctor told AiF-Yug what kind of ailment it was and how to deal with it.

Capricious since childhood

If we turn to terminology, vegetative-vascular dystonia is a complex symptomatic complex of various clinical manifestations that affect many human organs and body systems. The reason for the development of the disease is abnormalities in the work of the human nervous system, both peripheral and central.

“The main regulator of blood circulation, heat exchange, digestion and other vital processes in our body is the autonomic nervous system.Errors in her work lead to vegetative-vascular dystonia, which occurs in 40% of the adult population of the planet, – explains chief neurologist of the Ministry of Health of the Krasnodar Territory Marianna Barabanova . – This ailment is called a “ghost disease”, because often it goes like a “trailer” with some other disease or even banal overwork.

Sometimes the vegetative system begins to malfunction in childhood. A child with dystonia is usually capricious, conflicted, often ill, and does not tolerate physical and intellectual stress.Body temperature can exceed the norm, appetite periodically disappears. In adolescents, an exacerbation of the disease manifests itself in excessive sweating, redness of the skin, increased heart rate, dizziness, ringing in the ears, and headaches. In the process of growing up, the autonomic nervous system can come into balance, and dystonia will subside. But this is not always the case. Many women in adulthood continue to suffer from these attacks to one degree or another.

With an exacerbation of IOP, panic attacks and fainting occur.

As for adults, their dystonia is more severe, attacks occur more often. Its signs are: dizziness, increased sweating, rapid or slow heartbeat, difficulty breathing, sleep disturbances, numbness of the extremities, rapid fatigue. ”

“Attack – Dangerous!”

With an exacerbation of the disease, panic attacks and fainting occur. A panic attack is a violent, intense attack of panic anxiety. It is accompanied by various somatic and psychological symptoms, in particular, tachycardia, excessive sweating, muscle tremors, chills, shortness of breath, shortness of breath, feeling short of breath, tremors, pain in the chest, abdomen, nausea, vomiting, dizziness, fluctuations in blood pressure, and so on. Further.

“These symptoms are very similar to those of a heart attack,” the doctor continues. – In any case, every patient should be aware that it is impossible to waste time, it is necessary to consult a doctor as soon as possible. A neurologist deals with the diagnosis and treatment of vegetative-vascular dystonia. Anxiolytics (anti-anxiety medications) and antidepressants may be prescribed by a specialist. Special breathing exercises, cessation of smoking and alcohol, walking in the fresh air and outdoor recreation will be a good help in both therapy and prevention of the disease. “If the doctors did not find any serious health problems, and you continue to “storm”, it will not be superfluous to make adjustments to your lifestyle: walk more often, take a gym membership, try to limit the consumption of table salt, fatty meats, sweet and starchy foods, get enough sleep, fall in love with a contrast shower.

See also:

90,000 why does someone tolerate it well, and someone badly? Doctor’s answer

Many enjoy high temperatures, while others suffer from high temperatures.In this article, your doctor will explain why a person may be more sensitive to heat and what to do about it.

Why is fever a problem for people with neurological diseases?

High temperatures can be a problem for many people with impaired brain and spine function. Heat is not just a problem in summer, it can also affect your body if you take a hot bath or spend time in a warm place like a sauna.

There is a part of the brain called the hypothalamus that is responsible for controlling body temperature by regulating it in hot or cold conditions.The brain does this by sending signals to the body to sweat if it gets too hot, or shiver if it gets cold.

Hot temperatures can interfere with nerve fibers. This means that sometimes messages cannot get into and out of the brain. Because of this, you may experience fatigue, weakness, balance or vision problems.

In addition, in some people with a number of medical conditions, the hypothalamus does not work as it should, and therefore they cannot adequately cool the body.If it is a neurological condition, the person may suffer from fatigue, exhaustion, or lack of energy, and the condition may worsen from heat. This is because the body is more easily dehydrated and the blood does not circulate easily throughout the body. Certain medications, such as those for blood pressure, can also affect heat tolerance. In hot weather, you may be more vulnerable to heat breakouts or eczema because the body is hotter and sweats more and the risk of heat stroke increases.

Let’s consider several reasons why heat intolerance occurs and what to do about it:

Stress and Anxiety

Let’s start with the most obvious and least disturbing reason why heat tolerance is impaired.Stress causes your body temperature to rise because the body detects a stressful or threatening situation, activates the sympathetic nervous system, which prepares your body for “fight or flight.”

Along with sweating, you may notice that your heart rate increases and you start to sweat during moments of anxiety, panic. In most cases, these symptoms resolve on their own, as and when the stressful situation is resolved. However, chronic stress over a long period of time leads to a longer rise in body temperature.This is called psychogenic fever.

Diseases of the thyroid gland

The thyroid gland is one of the central players in the endocrine system of the body. The endocrine system, along with the nervous system, is responsible for synchronizing and regulating body functions and responses to the environment. The thyroid gland is responsible for regulating the body’s metabolism and actively controls a number of processes that are directly or indirectly related to how the body produces and expends energy.

Hyperthyroidism refers to a group of conditions in which the thyroid gland produces more thyroid hormones (T3, T4). These hormones “activate” the body’s metabolism, so their amount causes a number of symptoms, including heat intolerance. An unconditional symptom of hyperthyroidism is a feeling of excessive heat and a tendency to sweat.

Other symptoms of hyperthyroidism include weight loss, anxiety, poor sleep, palpitations, and excessive appetite.The most common cause of hyperthyroidism is an autoimmune condition called Graves’ disease, in which the body’s immune cells attack the thyroid gland, causing it to produce more thyroid hormones.

If you have any of these symptoms, you need to have your thyroid checked by an endocrinologist and get treatment.


Both type 1 and type 2 diabetes impair the ability to adequately cope with heat and high temperatures.This is especially noticeable in patients with diabetic complications such as microangiopathy (damage to small blood vessels) and neuropathy (damage to nerves). They may be very sensitive to hot weather. This is because these complications can damage the sweat glands, making it difficult to cool the body in hot weather.

What’s more, diabetics tend to become dehydrated easily, making them sensitive to heat. Therefore, people with diabetes need to constantly monitor their blood sugar and drink more fluids to stay hydrated.


Some over-the-counter medications are associated with side effects such as excessive heat and sweating. This is, for example:

  • Zinc additives
  • Hormonal preparations
  • Antidepressants such as Norpramine and Nortriptyline
  • Pseudoephedrine and other sympathomimetics
  • Antihypertensive drugs such as hydrochlorothiazide.

It is important to note that medications do not cause the same side effects for everyone who takes them.Therefore, it is very important to consult with your doctor before starting new medications.


It is a well known fact that women experience hot flashes during menopause due to hormonal fluctuations. But this type of sensitivity to heat can also be present in pregnant women. During pregnancy, a woman’s hormonal levels are subject to sharp fluctuations, which causes changes in response to heat. In this case, you need to choose light clothing, drink more and monitor your health.

Hypohidrosis and anhidrosis

Sweating is one of the body’s key defense mechanisms against heat. Sweat helps the body to release heat to the environment and to cool down. Hypohidrosis refers to a condition in which a person’s ability to sweat is significantly reduced. It is difficult for such patients to cool down, their bodies are unable to do it adequately.

Hypohidrosis can result from a number of systemic, nervous, or dermatological conditions.Treatment options depend on the underlying cause of the disease. However, in many cases, unfortunately, hypohidrosis cannot be treated. When there is no reaction to sweating at all, the condition is called anhidrosis.


Fibromyalgia is a painful condition characterized by chronic pain in multiple areas of the body and increased sensitivity to pressure. People with fibromyalgia tend to be very sensitive to extreme weather conditions like heat and cold.Some patients report feeling worse during hot months and some during cold months.

Fibromyalgia, among other symptoms, impairs the body’s ability to adapt to different temperatures (thermoregulation). In hot weather, people with fibromyalgia are extremely hot and are especially susceptible to heatstroke or rashes. This is because people with fibromyalgia have decreased blood flow to their skin and therefore do not sweat well. In addition, they tend to dehydrate quite easily, further contributing to heat intolerance.

Multiple sclerosis

Multiple sclerosis (MS) is a very serious condition of the nervous system that can be very debilitating due to a wide range of symptoms. It is caused by demyelination of the nerves. Nerves have insulating sheaths made of a substance called myelin. In demyelinating diseases such as multiple sclerosis, this membrane is damaged, resulting in the exposure of the nerves and inability to properly transmit signals.

Heat intolerance is one of the many symptoms of MS.Because the nerves of MS patients are exposed, they are much more sensitive to heat. Even the slightest increase in body temperature is accompanied by a strong exacerbation of symptoms. Something innocuous, such as a hot shower or light exercise, can cause flare-ups in these patients.


Older people have more metabolic problems compared to their younger counterparts. Consequently, it is difficult for them to regulate their body temperature depending on external conditions.They are less resistant to heat

Ovarian failure

Primary ovarian failure or premature ovarian failure refers to a condition in which the ovaries cease to function adequately before menopausal age. One of the main functions of the ovaries is the production of estrogen – the female sex hormone. Without enough estrogen, the body experiences menopausal symptoms such as hot flashes ahead of time.

Women with primary ovarian failure are overly sensitive to hot weather.They also experience many other symptoms, such as poor concentration, low sex drive, and irregular periods.

If you cannot avoid the high temperatures, here are some tips on how to cope with the heat.

Memorial Sloan Kettering Cancer Center

This document, provided by Lexicomp ® , contains all the information you need to know about the drug, including the indications, route of administration, side effects and when you should contact your healthcare provider.

Trade names: USA

Cymbalta; Drizalma Sprinkle

Trade names: Canada

AG-Duloxetine; APO-Duloxetine; Auro-Duloxetine; Cymbalta; JAMP-Duloxetine; M-Duloxetine; Mar-Duloxetine; MINT-Duloxetine; MYLAN-Duloxetine [DSC]; NRA-Duloxetine; PMS-Duloxetine; PRIVA-Duloxetine; RAN-Duloxetine; RIVA-Duloxetine; SANDOZ Duloxetine; TEVA-Duloxetine


  • Drugs like this have increased the likelihood of suicidal thoughts or actions in children and young people.This risk may be higher in people who have attempted suicide or have had suicidal thoughts in the past. All people taking this drug must be closely monitored. Call your doctor right away if you have signs such as depressed mood (depression), nervousness, anxiety, grumpiness, or anxiety attacks, or if other mood or behavior changes occur or worsen. Call your doctor right away if you have suicidal thoughts or attempted suicides.

What is this drug used for?

  • The drug is used to treat depression.
  • Used to treat anxiety.
  • It is used in the treatment of painful nervous diseases and diabetic nervous disorders.
  • Used to relieve chronic pain.
  • This medication is used to treat fibromyalgia.
  • This medicinal product may be used for other indications.Check with your doctor.

What do I need to tell my doctor BEFORE taking this drug?

  • If you are allergic to this drug, any of its ingredients, other drugs, foods or substances. Tell your doctor about your allergy and how it manifested itself.
  • If you have any of the following: kidney disease or liver disease.
  • If you are taking thioridazine.
  • If you are taking any of the following drugs: ciprofloxacin or fluvoxamine.
  • If you are taking any of the following drugs: linezolid or methylene blue.
  • If you have taken a drug for depression or Parkinson’s disease in the past 14 days. These include isocarboxazid, phenelzine, tranylcypromine, selegiline, or rasagiline. An episode of very high blood pressure may occur.

This list of drugs and diseases that may be adversely associated with this drug is not exhaustive.

Tell your doctor and pharmacist about all the medicines you take (prescription and over-the-counter, natural products and vitamins) and your health problems. You need to make sure that this drug is safe for your medical conditions and in combination with other drugs you are already taking. Do not start or stop taking any drug or change the dosage without your doctor’s approval.

What do I need to know or do while I am taking this drug?

  • Tell all healthcare providers that you are taking this drug. These are doctors, nurses, pharmacists and dentists.
  • Avoid driving or other activities that require special attention until you see how this drug is affecting you.
  • To reduce the risk of dizziness or loss of consciousness, get up slowly from a lying or sitting position.Use caution when going up and down stairs.
  • Low blood pressure, falls, and fainting have happened with this drug. Falls can lead to problems such as bone fractures and necessitate hospital admissions. The risk of falls is increased in older people. Check with your doctor.
  • If you have high blood sugar (diabetes), your blood sugar should be checked regularly.
  • High blood pressure has happened with this drug.Monitor your blood pressure as directed by your doctor.
  • Consult your doctor before using alcohol, marijuana or other forms of cannabis, or any prescription or over-the-counter medications that may slow you down.
  • This drug may increase the risk of bleeding. Sometimes bleeding can be life-threatening. Check with your doctor.
  • A serious and sometimes life-threatening complication called serotonin syndrome may occur.This risk may increase with the concomitant use of certain other drugs. Call your doctor right away if you have anxiety, imbalance, confusion, hallucinations, fever, tachycardia or irregular heartbeat, flushing, muscle twitching or stiffness, seizures, tremors or tremors, excessive sweating, severe diarrhea, nausea or vomiting , very severe headache.
  • There may be an increased risk of eye problems with this drug.Your doctor may order you to see an ophthalmologist to see if you are at increased risk of developing these eye problems. Call your doctor right away if you have eye pain, change in vision, swelling, or redness around the eye.
  • This drug may lower sodium levels. Very low sodium levels can be life-threatening, leading to seizures, fainting, difficulty breathing, or death.
  • This drug may interfere with some lab tests.Tell all healthcare providers and lab staff that you are taking this drug.
  • If you are 65 years of age or older, use this drug with caution. You may have more side effects.
  • In some cases, the drug may affect the growth rate in children and adolescents. They may need to have their growth rate checked regularly. Check with your doctor.
  • If used during pregnancy, the drug may have a harmful effect on the fetus.If you are pregnant or become pregnant while taking this drug, call your doctor right away.
  • Taking this drug during your third trimester of pregnancy may cause some health problems in your newborn. Check with your doctor.
  • If you are breast-feeding or planning to breast-feed, tell your doctor. This drug passes into breast milk and may harm your baby.

What side effects should I report to my doctor immediately?

WARNING. In rare cases, some people with this drug can have serious and sometimes deadly side effects. Call your doctor or get medical help right away if you have any of the following signs or symptoms, which may be associated with serious side effects:

  • Signs of an allergic reaction such as rash, hives, itching, reddened and swollen skin with blistering or scaling, possibly associated with fever, wheezing or wheezing, tightness in the chest or throat, difficulty breathing, swallowing or speaking, unusual hoarseness, swelling in the mouth, face, lips, tongue, or throat.
  • Signs of low sodium levels such as headache, trouble concentrating, memory impairment, confusion, weakness, seizures, balance problems.
  • Signs of bleeding such as vomiting or coughing up blood; vomiting like coffee grounds; blood in the urine; black, red, or tarry stools; bleeding from the gums; non-cyclic vaginal bleeding; bruising that occurs or increases for no reason; bleeding that you cannot stop.
  • Signs of high or low blood pressure, such as very severe headache or dizziness, fainting, or vision changes.
  • Convulsions.
  • Obstruction of the urinary tract.
  • Sexual dysfunction has been reported with these drugs. These included decreased interest in sex, problems reaching orgasm, problems with ejaculation, or problems getting or maintaining an erection. If you have any problems with sexual function or questions, consult your doctor.
  • Liver problems have happened with this drug. In rare cases, these violations have resulted in death. Call your doctor right away if you have signs of liver problems, such as dark urine, fatigue, lack of appetite, upset stomach or abdominal pain, lightened stool, vomiting, yellowing of the skin or eyes.
  • Possible severe skin reaction (Stevens-Johnson syndrome / toxic epidermal necrolysis).This can lead to serious and permanent health problems and sometimes death. Get immediate medical attention if you experience symptoms such as redness, skin swelling with blistering or scaling (with or without a high fever), eye redness or irritation, or ulceration in the mouth, throat, nose, or eyes.

What are some other side effects of this drug?

Any medicine can have side effects.However, many people have little or no side effects. Call your doctor or get medical help if these or any other side effects bother you or do not go away:

  • Constipation, diarrhea, abdominal pain, nausea, vomiting, or decreased appetite.
  • Headache.
  • Dry mouth.
  • Sleep disorders.
  • Feeling dizzy, sleepy, tired, or weak.
  • Excessive sweating.
  • Weight loss.
  • Irritation of nose or throat.

This list of potential side effects is not comprehensive. If you have any questions about side effects, please contact your doctor. Talk to your doctor about side effects.

You can report side effects to the National Health Office.

You can report side effects to the FDA at 1-800-332-1088. You can also report side effects at https: // www.fda.gov/medwatch.

What is the best way to take this drug?

Use this drug as directed by your healthcare practitioner. Read all the information provided to you. Follow all instructions strictly.

All forms of issue:

  • Continue taking this drug as directed by your doctor or other healthcare professional, even if you feel well.
  • Take this drug with or without food.
  • Do not stop taking this drug suddenly without talking to your doctor. This can increase the risk of side effects. If necessary, this drug should be stopped gradually as directed by your healthcare professional.


  • Swallow whole. Do not chew, open, or crush.

Detachable capsule:

  • Swallow whole. Do not chew or crush.
  • If you cannot swallow this drug whole, add the contents of the capsule to the applesauce.Then swallow the mixture straight away without chewing.
  • Patients with feeding tubes may use this medication. Apply as directed. Flush the feeding tube after using this drug.

What to do if a dose of a drug is missed?

  • Take the missed dose as soon as you can.
  • If it’s time to take your next dose, do not take the missed dose and then return to your normal dose schedule.
  • Do not take 2 doses at the same time or an additional dose.

How do I store and / or discard this drug?

  • Store at room temperature in a dry place. Do not store in the bathroom.
  • Store all medicines in a safe place. Keep all medicines out of the reach of children and pets.
  • Dispose of unused or expired drugs.Do not empty into toilet or drain unless directed to do so. If you have any questions about the disposal of your medicinal products, consult your pharmacist. There may be drug recycling programs in your area.

General information about medicines

  • If your health does not improve or even worsens, see your doctor.
  • Do not give your medicine to anyone or take other people’s medicines.
  • Some medicines may come with other patient information sheets. If you have questions about this drug, talk with your doctor, nurse, pharmacist, or other healthcare professional.
  • A separate patient instruction sheet is included with the product. Please read this information carefully. Reread it every time you replenish your supply. If you have questions about this drug, talk with your doctor, pharmacist, or other healthcare professional.
  • If you think an overdose has occurred, call a Poison Control Center immediately or seek medical attention. Be prepared to tell or show which drug you took, how much and when it happened.

Consumer use of information and limitation of liability

This information should not be used to make decisions about taking this or any other drug. Only the attending physician has the necessary knowledge and experience to make decisions about which drugs are suitable for a particular patient.This information does not guarantee that the drug is safe, effective, or approved for the treatment of any disease or specific patient. Here are only brief general information about this drug. It does NOT contain all available information on the possible use of the drug with instructions for use, warnings, precautions, information about interactions, side effects and risks that may be associated with this drug. This information should not be construed as a treatment guide and does not replace information provided to you by your healthcare professional.Check with your doctor for complete information on the possible risks and benefits of taking this drug. Use of this information is governed by the Lexicomp End User License Agreement available at https://www.wolterskluwer.com/en/solutions/lexicomp/about/eula.


© UpToDate, Inc. and its affiliates and / or licensors, 2021. All rights reserved.

Three diseases that are often disguised as vegetative vascular dystonia

What lies behind the widespread and habitual diagnosis of vegetative vascular dystonia? Why are doctors accustomed to, in incomprehensible cases, with general, vague symptoms, to put the patient exactly the VSD?Have you ever had to go to the doctor with complaints such as dizziness and fainting, rapid pulse, weakness and low blood pressure, anxiety, pain in the back and chest, bloating? And, probably, you have heard from the doctor at least once that you have “vegetative-vascular dystonia”. What is this disease and is it really there?

Vegetovascular dystonia does not exist?

What is VSD

Hypochondriacal disorder

Irritable bowel syndrome


Psychological and behavioral factors associated with disorders or diseases

Have you heard that a disease called “vegetative vascular dystonia” does not exist in nature? What does this mean? And what then do we get sick with, if not vegetative-vascular dystonia? Let’s figure it out.

What is the VSD? Vegetovascular dystonia, or in abbreviated form – VSD, is a mythical disorder with indistinct manifestations, this diagnosis does not exist in the international classification of diseases ICD-10. A diagnosis close to the VSD according to ICD-10 is formulated as follows “Somatoform dysfunction of the autonomic nervous system.”

Characteristics of this disorder: “Symptoms are usually of two types. none of them is intended to refer to a violation of that particular organ or system.


The first type is complaints that are based on general, vague symptoms of a vegetative nature: palpitations, sweating, skin redness, tremors and a feeling of fear and anxiety about probable health problems.

The second type – subjective complaints of an unspecific or changeable nature: transient general pain in the body, a feeling of heat, heaviness, fatigue or bloating, which the patient associates with a certain organ or system. ” In other words, vegetative-vascular dystonia is if a person has something and somewhere hurts, but where exactly is not clear.Usually doctors make a general diagnosis of VSD when they cannot make out what is happening to the patient. In general, rather serious ailments can hide behind the symptoms of VSD. According to ICD-10, doctors are required to rule out other disorders before diagnosing vegetative vascular dystonia.

Three real diseases instead of the mythical VSD:

Hypochondriacal disorder

Hypochondria is an immense concern about one’s own health. A patient with a similar disorder is convinced that he has some rare, dangerous ailment inside him, although he has the necessary tests and diagnostic results in perfect order.Therefore, the hypochondriac sees the usual symptoms (which are indicated above in the text), normal in the given circumstances, as signs of an incomprehensible disease. A person with hypochondria can go from one doctor to another for a long time, receiving a diagnosis of VSD. Why is this happening?

Yes, hypochondria can be a companion to depression or anxiety disorder. In this case, instead of visiting narrow specialists in an effort to remove symptoms, you just need to go to an appointment with a psychiatrist.

Irritable bowel syndrome

Digestive disorders of an incomprehensible nature, bloating and flatulence are also often referred to as symptoms of VSD.But usually we are talking about the so-called irritable bowel syndrome (IBS). IBS symptoms: bloating, gas, diarrhea, constipation, abdominal pain. As a rule, these disorders appear stronger, then suddenly disappear. Lifestyle plays an important role in this case.

How to be?

1. Reconsider nutrition: patients with IBS should limit the use of a number of foods. Each has a different set of so-called “food triggers”: it can be, for example, dairy products or baked goods.What these foods have in common is that they all contain carbohydrates.

For the treatment of IBS, doctors recommend a special FODMAP diet. Firstly, it is necessary to withdraw from the use of foods with carbohydrates, and secondly, gradually, one by one, reintroduce them into the diet. If a specific category of food leads to a worsening of symptoms, you need to abandon them completely.

2. The manifestations of IBS are influenced by stress. The longer a person is under stress, and the heavier it is, the more problems with the digestive system will be.


Pain in various areas of the body, such as the back, head and chest, chronic fatigue, tingling in the arms and legs, the so-called restless legs syndrome – doctors habitually attribute all this to the VSD. But these painful manifestations may also indicate fibromyalgia – a chronic pain syndrome, the nature of which has not yet been identified by experts. It is only known that up to 2–8% of people suffer from it, women get sick approximately 10 times more often than men, and there is no analysis to clarify the disease.There are some very effective ways to relieve fibromyalgia. First, it is necessary to normalize the lifestyle: sleep well, exercise moderately, limit the consumption of sweets, and avoid stress.

Fibromyalgia can also be associated with depression – but it is not yet clear which of them is the cause and which is the effect. In severe cases, strong medications such as muscle relaxants and anticonvulsants can help with fibromyalgia.

“Psychological and behavioral factors associated with disorders or diseases”

This is how the ICD-10 refers to the category of disorders that cause signs of VSD.Among them are diseases such as asthma, ulcerative colitis and urticaria – ailments in which side effects can be psychosomatic manifestations. They are mistakenly called VVD.

Under the guise of VSD, there is a large list of ailments. This, for example, is the usual irritable bowel syndrome, in which diet is an effective treatment (as mentioned above), or perhaps serious depression of a clinical nature.

One thing is clear: an important psychosomatic component is manifested in the symptoms of VSD.And if doctors regularly diagnose VSD for you, but it is not possible to identify abnormalities in the functioning of organs and systems, it probably makes sense to find another doctor and / or turn to a psychotherapist or psychiatrist.

It is not for nothing that there is a proverb: “All diseases are from nerves.” There is a lot of truth in this. When a person has a calm life, devoid of nervous shocks, diseases (often far-fetched) disappear by themselves. Establish a daily routine, try to lead a healthy lifestyle, give up bad habits that provoke stress and depression, and you will see that you have not and never had any vegetative dystonia.