Medicines

You may need to take several different types of medicines for fibromyalgia, including painkillers and antidepressants. Different medicines are described in more detail below.

Painkillers

If you have fibromyalgia, you can treat your pain using simple painkillers, such as paracetamol, available over the counter from a pharmacy. Always read the manufacturer’s instructions.

If paracetamol is not effective, your GP (or another healthcare professional treating you) may prescribe a stronger painkiller, such as codeine or tramadol. Research has found that tramadol can improve pain and may also help you function better in your daily activities.  

Side effects of tramadol include:

diarrhoea 

fatigue (extreme tiredness)

withdrawal symptoms if you stop taking it

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source:http://www.nhs.uk/Conditions/Fibromyalgia/Pages/Treatment.aspx

Treating fibromyalgia

There is no cure for fibromyalgia, but treatment aims to ease your symptoms and improve your quality of life.Your treatment will be decided between you and your GP, depending on what you prefer and what is available. Several different healthcare professionals may also be involved, such as:

a rheumatologist (a specialist in conditions which affect muscles and joints)

a neurologist (a specialist in conditions of the central nervous system)

As fibromyalgia has a number of different symptoms, no single treatment will work for all of them. You will need to try a variety of treatments to find a mix that suits you. This will normally be a combination of medication and lifestyle changes.

Information and support

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You may find it helpful to research fibromyalgia to improve your understanding of the condition. Many people also find support groups helpful. Just talking to someone who knows what you are going though can make you feel better.

You can visit UK Fibromyalgia's support group section for a list of fibromyalgia support groups across the country.

source: http://www.nhs.uk/Conditions/Fibromyalgia/Pages/Treatment.aspx

Causes

Fibromyalgia causes widespread pain and extreme tiredness. People with fibromyalgia may also have:
difficulty sleeping
headaches
irritable bowel syndrome (IBS)
muscle stiffness

What causes fibromyalgia?

The exact causes are not known, but there are certain changes in the way the body functions which have been noticed in people with fibromyalgia, including:
disturbed pain messages
low levels of hormones
sleep problems
However, it is not clear what causes these changes in the first place and how they lead to fibromyalgia.


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source: http://www.nhs.uk/Conditions/Fibromyalgia/Pages/Introduction.aspx