Efficacy and safety of interventions for Fibromyalgia syndrome comorbid with Irritable bowel syndrome: systematic review - Summary - MDSpire

Efficacy and safety of interventions for Fibromyalgia syndrome comorbid with Irritable bowel syndrome: systematic review

  • By

  • Mai A. Elkalla

  • Yousef G. Ali

  • Mohamed M. Ewais

  • Ahmed S. Taha

  • Mohab Sherif

  • December 22, 2025

  • 0 min

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Objective:

To evaluate the efficacy and safety of oral interventions in adults with both Fibromyalgia syndrome (FMS) and Irritable bowel syndrome (IBS), focusing on pain reduction and secondary outcomes.

Key Findings:
  • Current treatment strategies include pharmacological agents like pregabalin and cyclobenzaprine, with varying degrees of efficacy.
  • Dietary modifications and probiotics have shown inconsistent results in symptom management, with some studies reporting significant improvements.
  • A personalized medicine approach may yield better outcomes due to heterogeneity in treatment responses.
Interpretation:

The review highlights the complexity of treating FMS and IBS comorbidity, emphasizing the need for tailored interventions that consider individual symptom profiles and underlying mechanisms.

Limitations:
  • Limited number of studies included in the review.
  • Inconsistencies in findings regarding the efficacy of probiotics and dietary interventions.
  • Potential biases in the included studies affecting the overall conclusions, including publication bias.
Conclusion:

A multidimensional therapeutic approach is essential for managing FMS and IBS comorbidity, with further research needed to establish effective treatment protocols.

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