Hello docs, is gabapentin recommended for fibromyalgia?

Yes: I have found it to often provide good improvement in my many patients with fibromyalgia.

Not usually first.: Gabapentin may help with pain and sleep. However, other drugs are often tried first because they’re considered more effective. Drug classes like SNRIs (e.g., duloxetine) and tricyclics (e.g., amitriptyline) are generally recommended before a drug like gabapentin. Working together with your personal doctor to discuss the pros and cons of each is best; these meds are all very different.