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Time to effect
2–4 weeks
Effort level
medium
Category
Lifestyle
Typical approach
Habit / practice
How it works
Poor sleep impairs descending pain inhibitory pathways and increases pro-inflammatory cytokines. Fibromyalgia patients show disrupted slow-wave sleep — interventions that restore deep sleep reduce pain.
CBT-I adapted for fibromyalgia is the most evidence-based sleep intervention. Low-dose tricyclic antidepressants (amitriptyline) improve slow-wave sleep in fibromyalgia. Sleep hygiene alone is insufficient for significant sleep pathology.
Getting started
This is a lifestyle-based approach. Start gradually and consult a health professional if you have any concerns about suitability for your situation.
Community experiences
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WikiRemedy surfaces community experience, not medical advice. Always consult a qualified health professional.