Background and Aims:
Fibromyalgia is a chronic pain condition presented in at least 2% of the population. Fibromyalgia is characterized by widespread pain with similarities to neuropathic pain and is often accompanied by fatigue, sleep compromise, memory impairment, irritable bowel syndrome and mood disorders. The diagnosis of fibromyalgia should not be an exclusion diagnosis and often appears in patients with other conditions. No clear pathophysiology mechanism has been established in this condition but an abnormality in central pain processing is suggested by evidence. This condition is responsible for a great decrease in quality of life of patients. 
The aim is to do a review of management strategies.

Methods:
A literature review was conducted using the PubMed search database.

Results:
Successful management of this condition should blend education, patient support, physical therapy, exercise, nutrition, cognitive behavioral therapy and pharmacological therapy. Patient self-handling is of extreme importance in aiming for a good management. Pharmacological therapies with high quality evidence include triciclics, serotonin norepinephrine reuptake inhibitors, and gabapentinoids. More controversial is the use of various opioids, dopamine agonists and cannabinoids.

Conclusions:
Fibromyalgia is a complex condition that requires a multidisciplinary approach from clinicians. Further evidence-based knowledge is needed to better comprehend the mechanisms of this condition as well as to give more and better pharmacological options in the treatment of this patients and improve their quality of life.

04 - PHARMACOLOGICAL AND NON PHARMACOLOGICAL STRATEGIES IN FIBROMYALGIA - A REVIEW