Additional medications including an increase in dose within 6 months after the disaster were 31 for the fibromyalgia group (duloxetine, six patients; benzodiazepines, six patients; gabapentin, five patients; pregabalin, four patients; nonsteroidal anti-inflammatory drugs, four patients; lamotrigine, three patients; quetiapine, three patients) and eight for the RA group (pregabalin, three patients; TNFα inhibitors, two patients; gabapentin, one patient; benzodiazepines, one patient; lamotrigine, one patient). This evidence concerns the gene TNF and fibromyalgia.