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Fibromyalgia

M79.7 · Pain & MSK

Clinical summary

Chronic widespread musculoskeletal pain with fatigue, sleep disturbance, and cognitive symptoms without explanatory inflammatory arthritis.

Category context

Musculoskeletal and chronic pain — common in desk, manual, and travel-heavy roles.

Common symptoms

Chronic pain Reduced stamina Weakness Headaches

Relevant clinicians

Roles commonly involved in assessment and treatment for this condition.

Linked medicines (SA)

Pregabalin

2 brands

Calcium-channel modulator for neuropathic pain and generalised anxiety — sedation and dizziness common.

Brands: Lyrica (pregabalin), Pregabalin (generic)

SA strengths: 25 mg capsule · 75 mg capsule · 150 mg capsule · 300 mg capsule

Typical dosing: Often titrated 75 mg BD to 150–300 mg BD for pain/anxiety per tolerability.

Duloxetine

1 brand

SNRI licensed for depression, anxiety, and neuropathic pain indications.

Brands: Cymbalta (duloxetine)

SA strengths: 30 mg capsule · 60 mg capsule

Typical dosing: Commonly 60 mg daily for depression; fibromyalgia/pain regimens per script.

Tramadol

2 brands

Weak opioid analgesic — seizure risk with SSRIs/SNRIs; sedation affects safety-critical work.

Brands: Tramadol, Tramal (tramadol)

SA strengths: 50 mg capsule · 100 mg SR tablet

Typical dosing: Often 50–100 mg qid PRN or SR 100–200 mg BD — max daily dose per insert.

Prescribed therapy

Session-based referrals — not medicines. Therapy directory

Physiotherapy (prescribed)

Physiotherapy

Prescribed rehabilitation for pain, injury, and mobility restoration.

Session formats: 30 min session · 45 min session · 60 min session

Typical plan: Usually 30–60 min sessions weekly to thrice weekly per referral.

Psychotherapy / CBT

Psychotherapy & counselling

Structured talking therapy (e.g. CBT) for mental health and adjustment.

Session formats: 50 min session · 60 min session

Typical plan: Typically 50–60 min weekly or fortnightly sessions.

Occupational therapy

Occupational therapy

Functional rehabilitation — workplace pacing, ergonomics, ADL retraining.

Session formats: 45 min session · 60 min session

Typical plan: 45–60 min sessions per treating plan.

Therapy references

Data quality & linkage

Core ingest — feeds Library, Clinical Atlas, compiler
Domain Records Completeness Accuracy Cross-refs Linkage Notes
ICD-10 conditions 106 Hand-curated MVP WHO ICD-10 aligned Condition↔med rules WHO API ingest planned Sync source for Clinical Atlas / Library
SA medications 87 Curated brands/strengths SAHPRA/MIMS target Condition generic maps Schedule badges linked SAHPRA register ingest planned

Official sources & ingest

Authority feeds — master ingest in Core ZA (coreza.riskatlas.co.za)
Domain Official source Feed type API / access Refresh Synced to Status
Medical Schemes & PMB Council for Medical Schemes — PMB HTML / portal www.medicalschemes.co.za/resources/pmb/ Daily cache Library · Clinical Atlas Ingested
Medical Schemes & PMB CMS Industry Report 2023 HTML / portal www.medicalschemes.co.za/media-centre/the… Annual Library · Clinical Atlas Ingested
Medical Schemes & PMB PMB conditions spreadsheet (CMS) XLSX download www.medicalschemes.co.za/download/2032/pr… When CMS updates Library · Clinical Atlas Ingested
Medical Schemes & PMB CDL treatment algorithms HTML / portal www.medicalschemes.co.za/publications/#20… When CDL revised Library · Clinical Atlas Ingested
Clinical Atlas WHO ICD-10 HTML / portal icd.who.int/browse10/2019/en Per atlas release Library · Clinical Atlas Curated / partial API
Clinical Atlas SAHPRA HTML / portal www.sahpra.org.za/ Per atlas release Library · Clinical Atlas Curated / partial API
Clinical Atlas MIMS / SA package inserts Reference www.mims.co.za/ Per atlas release Library · Clinical Atlas Curated / partial API
Clinical Atlas SA Essential Medicines List (EML) Reference www.health.gov.za/ Per atlas release Library · Clinical Atlas Curated / partial API
Clinical Atlas ClaimBuddy curated Reference Internal Per atlas release Library · Clinical Atlas Curated / partial API
Social security (shared) ISSA Country Profiles HTML database www.issa.int/databases/country-profiles Two-year regional cycle Core · Compass ZA Primary — structure
News & conduct NFOSA press releases WordPress REST + RSS nfosa.co.za/wp-json/wp/v2/posts Hourly cache Library · compiler Live — master in Core
News & conduct FSCA media releases RSS / HTML www.fsca.co.za/ Daily Library news Planned structured ingest
Practitioners HPCSA i-register Live HTTP iregister.hpcsa.co.za/ 5-min cache Clinical Atlas · compiler HPCSA lookup Live proxy
Life insurers NFO Life Insurance Division participants HTML register www.nfosa.co.za/participants/life-insuran… When NFO updates the participant list Library life-insurers directory · intake autocomplete Curated — Library directory live
Conduct & complaints NFO Life Insurance Division case reports HTML case reports nfosa.co.za/category/case-reports/ When NFO publishes (curated holdings in Library) Library language map · wiki · precedent pages Curated — CR403, CR356, CR351, CR276, CR72, CR259 live in Library

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