Abstract
Current research suggests an involvement of 5‐HT3 receptors in peripheral and central perception and processing of pain as well as in inflammation. Tropisetron and other selective 5‐HT3 receptor antagonists have been used successfully for pain reduction and treatment of related symptoms in patients diagnosed with fibromyalgia. This article proposes a concept of the underlying pathophysiology and mechanisms of action of 5‐HT3 receptor antagonists in the context of the relevant clinical data on their application in patients with rheumatic disease.