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Treatment Plans For Me/cfs

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There’s no single way of managing ME/CFS that works for everyone, but there are a number of treatment options.

The National Institute for Health and Care Excellence says you should be offered a treatment plan tailored to your symptoms.

Your doctor should discuss all of the options with you, and explain the benefits and risks of any treatment.

They should work with you to develop a treatment plan that suits you and takes into account your circumstances and preferences.

You may need advice about making lifestyle changes, specialist treatments, or a combination of both.

If your symptoms are severe, your doctor should ask a specialist for advice.

Your treatment plan should be reviewed regularly.

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How Is Fatigue Related To Multiple Sclerosis

Fatigue is the most common symptom of multiple sclerosis . It occurs in 75 percent to 95 percent of patients with MS. Fatigue can occur at all stages of the disease. The symptom is not related to the severity or to the duration of MS. At times, fatigue interferes with function and is an important symptom to manage. There are a variety of ways to combat fatigue in MS.

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What You Can Do

If you’re starting a new drug that may cause drowsiness, Dr. Carr recommends that you avoid activities that require alertness, like driving, until you find out how the medication affects you.

In some cases, your sleepiness will lessen over time, as your body adjusts. If your medication is causing excessive drowsiness or affecting your ability to drive or work, call your doctor. “Resolving the drowsiness may simply be a matter of adjusting the dose or changing the medication that’s causing the drowsiness,” says Dr. Carr.

She also suggests that you keep healthy sleep habits to get a good night’s rest limit over-the-counter drugs that have drowsiness as a side effect limit other substances that can cause tiredness, such as alcohol and talk to your pharmacist to see if it’s possible to take the medication at night, when you’re already preparing for sleep.

Selective Serotonin Reuptake Inhibitors

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Selective Serotonin Reuptake Inhibitors are used to treat the depression that may accompany CFS. They may also be beneficial for CFS even if you are not depressed. Improvement may be seen in four to six weeks after beginning treatment.

Common names include:

***Please note FDA Public Health Advisory for Antidepressants:

The FDA advises that people taking antidepressants should be closely observed. For some, the medications have been linked to worsening symptoms and suicidal thoughts. These adverse effects are most common in young adults. The effects tend to occur at the beginning of treatment or when there is an increase or decrease in the dose.Although the warning is for all antidepressants, of most concern are the SSRI class such as:

  • Prozac , Zoloft , Paxil , Luvox , Celexa , Lexapro

Possible side effects include:

Atypical antidepressants are used to treat depression that may accompany CFS. Improvement is usually seen in four to six weeks after beginning treatment.

Possible side effects include:

Benzodiazepines are used to reduce anxiety and panic that may accompany CFS. They may also be used to promote sleep. Benzodiazepines are fast acting but can be habit-forming when used long-term or in excess. In such cases, withdrawal must be accomplished slowly, over a period of weeks or months.

Possible side effects include:

  • Slow reaction time or impaired driving

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Any Kind Of Exercise Could Help

It seems to go against common sense to exert yourself if you experience fatigue. But there is strong evidence that exercise helps keep your body working at its best and can improve strength, fitness and mood.

Its possible to do too much exercise, so balance the exercise with rest. And keep cool while you exercise, especially if heat makes your fatigue worse.

You might want to plan your exercise and avoid long sessions to prevent overheating. Some people find water-based exercise helpful for maintaining a steady temperature.

Cooling vests may also help. A physiotherapist can help you devise a suitable exercise programme.

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Are There Other Causes Of Fatigue Besides The Ms

Obviously, people with MS can be tired for other reasons. For example, they may have sleep disorders that interfere with restful sleep. People with MS may have a condition called restless leg syndrome, where they feel that they have to move their legs to get relief. They may also have periodic leg movements, which is when legs kick involuntarily during sleep. Another condition affecting sleep is sleep apnea, which is also common among the general population.

Certain medications may affect sleep or cause fatigue. Alcohol or drug use may alter sleep or cause drowsiness. Sometimes, people have other medical conditions, such as infections, anemia, or a reduced thyroid function, which can increase fatigue.

Lifestyle Changes That Combat Fatigue

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According to studies, including several by Patti Katz, PhD, of the University of California San Francisco, the most effective interventions for fatigue are good lifestyle choices, such as these.

Get Up and Move. Exercise helps with fatigue in many ways. It increases muscle mass, strength, blood circulation and flexibility, all of which boost energy and reduce pain. Exercise also generates endorphins, brain chemicals that produce a sense of well-being and vitality and help improve nighttime sleep.

Hydrate. Dehydration can be a hidden source of fatigue. There’s no set amount of fluids you should consume, but a rule of thumb is to drink at least a half-gallon or more a day, depending on your activity level and how hot and dry the weather is.

Eat Well. Nourish your body with good, whole foods. Eat plenty of fruits and vegetables, and be sure to get adequate lean protein and healthy fats. If you need to lose weight, reduce your portions and limit processed, high-salt, sugary foods. Always start your day with breakfast that includes lean protein and complex carbohydrates to provide long-lasting energy.

Ease Your Mind. If depression or stress is adding to your fatigue or keeping you awake at night, you might want to see a therapist. Cognitive behavioral therapy, mindfulness-based stress reduction and mind-body exercise like yoga and tai chi can help calm your thoughts and boost your energy.

Managing Pain

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Does Blood Pressure Medication Cause Fatigue

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It May Be As Simple As Adjusting The Dose Avoiding Alcohol Or Taking The Drug At A Different Time Of Day

One of the most commonly reported side effects of some medications is drowsiness. “Many people report tiredness or fatigue as a side effect from their medicines. However, there are things you can do to minimize the feelings of daytime sleepiness,” says Laura Carr, a pharmacist at Harvard-affiliated Massachusetts General Hospital.

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Treatments For Chronic Fatigue Syndrome

Since researchers do not yet fully understand the cause of chronic fatigue syndrome/myalgic encephalomyelitis and people with the illness can experience a wide variety of symptoms, multiple treatments exist. Treatments are aimed at managing and reducing the severity of CFS/ME symptoms, rather than at curing the illness.

What Are The Symptoms

Symptoms can vary with ME/CFS. If you have ME/CFS:

  • You feel exhausted all or much of the time. And it doesn’t get better with rest.
  • Your symptoms may flare up after a mental or physical activity that used to be no problem for you. Often there is a delay before it starts. And it can take days, weeks, or more to feel better.
  • You have problems sleeping. Or you may wake up feeling tired or not rested.
  • It may be harder for you to think clearly, to concentrate, and to remember things.
  • You may feel dizzy, weak, or in more pain when you have been standing or sitting upright for a long time.
  • You may also have headaches, muscle and joint pain, a sore throat, and tender glands in your neck or armpits.

Depression is common with ME/CFS, and it can make your other symptoms worse.

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Medications For Chronic Fatigue Syndrome

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The information provided here is meant to give you a general idea about each of the medications listed below. Only the most general side effects are included. Ask your doctor if you need to take any special precautions. Use each of these medications only as recommended by your doctor, and according to the instructions provided. If you have further questions about usage or side effects, contact your doctor.

Many people with CFS appear particularly sensitive to drugs, especially those that affect the central nervous system. For this reason, your doctor may begin with very low doses. The dose will be gradually increased as necessary.

The complex symptoms in CFS may require the use of different types of medication. Medication may also be given for anxiety and , pain control, and sleep disturbance.

Treat The Worst First

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Start by listing your worst symptomsthe ones that make it hardest to get through the day. With your doctor, focus first on treating those symptoms. Decide whether a specialist might be helpful for any of them.

The most common ME/CFS symptoms can also be the most treatable.

Symptoms worse after activity

Learning how to manage your activity can help you be as active as possible without causing your symptoms to get worse. This includes:

  • Estimating how much energy you have on a given day. This is sometimes called your “energy envelope.” You spend only that much energy, and not more.
  • Estimating how much energy an activity takes and how long you can do that activity. You stop when you reach that time, and then take a break.
  • Not pushing yourself to get more done on days you feel well.
  • Adapting activities to make them easier. One example is sitting down while doing the dishes.

Sleep

Good sleep habits can help improve the quality of your sleep. If you also try medicine for sleep, it’s best to start on a low dose. Certain antidepressants help with sleep, mood, and chronic pain, so your doctor may suggest trying one.

Feeling dizzy or weak while sitting or standing

Your doctor may have you wear pressure stockings, put your legs up while sitting, or increase your salt intake. Your doctor may also suggest medicines like fludrocortisone or midodrine.

Pain

Depression, anxiety, and distress

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Living With Chronic Fatigue Syndrome

Although experts have not yet found a cure for CFS/ME, many people who have the illness are able to make lifestyle changes and find treatments that allow them to reduce or manage their symptoms. Improvement is possible by living within your limits and working with a doctor to find treatments that help you. There are also many CFS/ME support groups both online and in-person. Meeting with such a group might prove to be helpful.

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Seeds Serotonin And 5

What it does: The chemical known as â5-hydroxytryptophanâ â or 5-HTP â can positively affect serotonin levels in the brain. Although it’s naturally made as a byproduct in the body from the amino acid âL-tryptophanâ, it’s available commercially in pill form sourced from the seed of an African shrub, âGriffonia simplicifoliaâ.

Like most substances used to treat depression, 5-HTP is âonly useful for someâ. A 2016 study by Duke University showed that the OTC pills significantly helped roughly one-third of participants. It’s most effective in the form of a time-release capsule, thanks to extended bioavailability in the body.

5-HTP is generally safe in doses up to 400 milligrams per day, with the most common treatments being 100 to 300 milligrams. In larger doses, stomach and muscle problems can develop. Similar issues can also arise if you take the substance at 400 milligrams for more than a year.

Stop this supplement completely two weeks before surgery â side effects, such as anxiety, shivering and heart problems, can arise when there’s too much serotonin in the brain.

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