Managing the symptoms of fibromyalgia or of related ailments is not easy. So, many patients turn to alternative therapies for relief of pain and sleep problems. They may use Chinese herbs or over-the-counter supplements such as 5-HTP, melatonin, and SAM-e. Because so many people — not just those with fibromyalgia — are using alternative therapies, Congress has formed the National Center for Complementary and Alternative Medicine (NCCAM). It is part of the National Institutes of Health (NIH), and it helps appraise alternative treatments, including supplements, and define their effectiveness. This organization is now creating safe guidelines to help people choose appropriate alternative therapies that may help their symptoms without making them ill.
Are herbs and natural supplements used for fibromyalgia safe and effective?
Some preliminary studies indicate that some medicinal herbs and natural supplements may help treat symptoms of fibromyalgia. Other studies of herbs and natural supplements, though, are less positive. If you want to take a natural approach to treating fibromyalgia, it’s important to learn as much as you can about the therapies you consider. The herbs and natural supplements described in this article are just some of the alternative therapies that may have an impact on fibromyalgia.
How does 5-HTP help fibromyalgia pain?
5-HTP (5-Hydroxytryptophan) is a building block of serotonin. Serotonin is a powerful brain chemical, and serotonin levels play a significant role in fibromyalgia pain. Serotonin levels are also associated with depression and sleep regulation. For those with fibromyalgia, 5-HTP may help to increase deep sleep and reduce pain. In one study published in the Alternative Medicine Review, researchers reported that supplementation with 5- HTP may improve symptoms of depression, anxiety, insomnia, and fibromyalgia pains. Yet, there are some contradictory studies that show no benefit with 5-HTP.
5-HTP is usually well tolerated. But in the late 1980s, the supplement was associated with a serious condition called eosinophilia-myalgia syndrome. It’s thought that a contaminant in 5-HTP led to the condition, which causes flu-like symptoms, severe muscle pain, and burning rashes.
Can melatonin help relieve sleep problems associated with fibromyalgia?
Melatonin is a natural hormone that’s available as an over-the-counter supplement. It is sometimes used to induce drowsiness and improve sleep patterns. Some preliminary findings show that melatonin may be effective in treating fibromyalgia pain. Most patients with fibromyalgia have sleep problems and fatigue, and it’s thought that melatonin may help relieve these symptoms. Melatonin is generally regarded as safe with few to no side effects. Due to the risk of daytime sleepiness, though, anyone taking melatonin should use caution when driving until they know
how it affects them.
Is St. John’s wort a helpful fibromyalgia herb?
There’s no specific evidence that St. John’s wort is helpful in treating fibromyalgia. However, this herb is often used in treating depression, and depression is commonly associated with fibromyalgia.
There are several studies that show St. John’s wort is more effective than placebo and as effective as older antidepressants called tricyclics in the short-term treatment of mild or moderate depression. Other studies show St. John’s wort is as effective as selective serotonin reuptake inhibitors (SSRIs) such as Prozac or Zoloft in treating depression. St John’s wort is usually well tolerated. The most common side effects are stomach upset, skin reactions, and fatigue. St. John’s wort should not be mixed with antidepressants and can cause interactions with many types of drugs. If you’re on medication, check with your doctor before taking St. John’s wort or any supplement. In addition, watch taking St. John’s wort with other medications, including antidepressants, as it could make you ill.
How can SAM-e help fibromyalgia pain and depression?
It’s not known exactly how SAM-e works in the body. Some feel this natural supplement increases levels of serotonin and dopamine, two brain neurotransmitters. Although some researchers believe that SAM-e may alter mood and increase restful sleep, current studies do not appear to show any benefit of SAM-e over placebo in reducing the number of tender points or in alleviating depression with fibromyalgia. Additional study is needed to confirm these findings.
Can L-carnitine help improve fibromyalgia symptoms?
The studies are limited, but it’s thought that L-carnitine may give some pain relief and treat other symptoms in people with fibromyalgia. In a multicenter randomized clinical trial, researchers evaluated the effectiveness of L-carnitine in 102 patients with fibromyalgia. Results showed significantly greater symptom improvements in the group that took L-carnitine than in the group that took a placebo. The researchers concluded that while more studies are warranted, L-carnitine may provide pain relief and improvement in the general and mental health of patients with fibromyalgia.
What about the effect of probiotics on digestive problems associated with fibromyalgia?
Probiotics are dietary supplements that contain potentially beneficial bacteria or yeasts. They may assist with the breakdown and proper absorption of food and help improve digestive problems such as irritable bowel syndrome – a common symptom of fibromyalgia.
Some of the ways probiotics are used include:
* treating diarrhea
* preventing and treating infections of the urinary tract or female genital tract
* treating irritable bowel syndrome
Side effects of taking probiotics are usually mild and include gas or bloating. There are other herbs and natural supplements that people say have helped manage fibromyalgia symptoms. They include echinacea, black cohosh, cayenne, lavender, milk thistle, and B vitamins. Nevertheless, there are no definitive studies on the efficacy of these natural therapies.
How can I know which herb or natural supplement will help my fibromyalgia?
Before taking any herb or supplement, talk to your doctor or pharmacist about possible side effects or herb-drug interactions. Herbal therapies are not recommended for pregnant women, children, the elderly, or those with weakened immune systems. In addition, some herbs have sedative or blood-thinning qualities, which may dangerously interact with anti-inflammatory painkillers or other pain medications. Others may cause stomach upset if taken in large doses.
- oat bran can lower cholesterol, soothe nerves, provide bulk, and gently encourage elimination. When going through a major cleansing, oat bran keeps everything “moving along.”
- milk thistle (Silybum marianum) the angel protector of the liver, cleansing and amending it. So favorable to regenerating damaged liver cells, milk thistle is a must for recovering from drug or alcohol abuse. As the body is revivifying, include this wonderful seed and for a time thereafter too.
- burdock (Arctium lappa) a superior blood cleanser. An anti-microbial, it soothes the kidneys during detoxification. Burdock benefits skin problems, especially ones related to the discharge of wastes.
- pau d’arco (Tabebuia avellanedae) a powerful antibiotic, pau d’arco contains iron which assists the body in the easy assimilation of nutrients and the easy elimination of wastes.
- stillingia (Stillingia ligustina) a potent alterative, stillingia stimulates the glands, especially the liver, and helps rid the body of pollutants and toxic drugs.
- Oregon grape root (Berberis aquifolium) named by none other than Lewis & Clark, this herb rejuvenates the liver and the thyroid. Loaded with minerals, it aids the elimination process while strengthening the immune defenses.
- poke root (Phytolacca americana) an anti-rheumatic, this herb aids in cleansing the lymphatic glands while stimulating the immune system. It can activate metabolism while reducing inflammation. This is a very powerful herb and should only be taken in small quantities for a short period of time.
- black cohosh (Cimifuga racemosa) with an estrogen like performance, this herb normalizes female hormones as well as being an anti-inflammatory and muscle relaxant. A menopause must!
- wild yam (Dioscorea villosa) contains the plant steroids which are needed for progesterone, a partner of estrogen, which can ease raging hormones back into equilibrium. Both black cohosh and wild yam are indispensable for stabilizing female hormones.
- white willow bark (Salix) a safe, natural anti-inflammatory, it quiets pains in the connective tissue because it is a source of salicylates. Mild on the stomach, this one is good for headaches too.
- calcium and magnesium Calcium helps with bones, teeth, and gums, and aids in neuromuscular activity. Magnesium must be present for calcium to be absorbed. A deficiency will not only impede calcium uptake, but can interfere with nerve transmission and muscle impulses. Magnesium deficiency has also been related to depression.