Hello dear Understand your concern I generally advice to consult the psychiatric for fibromylagia and he/she will give following explanation, advice and drugs: Exact cause of fibromygia flare is not known, Following are the factors: Genetic predisposition, Polygenetic factor, Sympathetic over activity, Defect in dopamine and serotonin pathways in brain, Excessive stress and depression, Disturbance in sleep, Psychological disturbance Advice for you are below: Life style changes, Start exercise: Play mind games and walking and swimming, Acupuncture therapy, Regular yoga in morning for 40 minutes. Relaxation therapy: whole body massage and breathing technique in fresh air, Bath in salted water, Maintain weight according to normal BMI Take healthy diet. Green leafy vegetables, milk, meat, chicken that high in magnesium Diet rich in omega three fatty acid: egg, salmon fish, flaxseed oil Drug that help to reduce pain: Cognitive behavioral therapy Drug: Tramadol, duloxentine, savella Avoid negative self talk and behavior, Be creative and learn new things Spends more time with family and friends, enjoy your hobby. Hope this may help you Best regards Dr. Sagar