CHRONIC FATIGUE SYNDROME
TREATMENTS |
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There is no cure for Chronic Fatigue Syndrome, but many
treatments are available to help relieve the symptoms. Treatments
usually are individualized to each person's particular symptoms and
needs. The first treatment most doctors recommend is a combination
of rest, exercise, and a balanced diet. Prioritizing activities,
avoiding overexertion, and resting when needed are key to
maintaining existing energy reserves. A program of moderate exercise
helps to keep patients from losing physical conditioning, but too
much exercise can worsen fatigue and other Chronic Fatigue Syndrome symptoms. Counseling
and stress reduction techniques also may help some people with Chronic Fatigue Syndrome.
Many medications, nutritional supplements, and herbal preparations
have been used to treat Chronic Fatigue Syndrome. While many of these are unproven,
others seem to provide some people with relief. People with Chronic Fatigue Syndrome
should discuss their treatment plan with their doctors, and
carefully weigh the benefits and risks of each therapy before making
a decision.
Drugs
Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and
naproxen, may be used to relieve pain and reduce fever. Another
medication that is prescribed to relieve pain and muscle spasms is
cyclobenzaprine (sold as Flexeril).
Many doctors prescribe low dosages of antidepressants for their
sedative effects and to relieve symptoms of depression. Antianxiety
drugs, such as benzodiazepines or buspirone may be prescribed for
excessive anxiety that has lasted for at least six months.
Other medications that have been tested or are being tested for
treatment of Chronic Fatigue Syndrome are:
Fludrocortisone (Florinef), a synthetic steroid, which is currently
being tested for treatment of people with Chronic Fatigue Syndrome. It causes the body to
retain salt, thereby increasing blood pressure. It has helped some
people with Chronic Fatigue Syndrome who have neurally mediated hypotension.
Beta-adrenergic blocking drugs, often prescribed for high blood
pressure. Such drugs, including atenolol (Tenoretic, Tenormin) and
propranolol (Inderal), are sometimes prescribed for neurally
mediated hypotension.
Gamma globulin, which contains human antibodies to a variety of
organisms that cause infection. It has been used experimentally to
boost immune function in people with Chronic Fatigue Syndrome.
Ampligen, a drug which stimulates the immune system and has
antiviral activity. In one small study, ampligen improved mental
function in people with Chronic Fatigue Syndrome.
Alternative treatment
A variety of nutritional supplements are used for treatment of Chronic Fatigue Syndrome.
Among these are vitamin C, vitamin B12, vitamin A, vitamin E, and
various dietary minerals. These supplements may help improve immune
and mental functions. Several herbs have been shown to improve
immune function and have other beneficial effects. Some that are
used for Chronic Fatigue Syndrome are astragalus (Astragalus membranaceus), echinacea (Echinacea
spp.), garlic (Allium sativum), ginseng (Panax ginseng), gingko (Gingko
biloba), evening primrose oil (Oenothera biennis), shiitake mushroom
extract (Lentinus edodes), borage seed oil , and quercetin.
Many people have enhanced their healing process for Chronic Fatigue Syndrome with the use
of a treatment program inclusive of one or more alternative
therapies. Stress reduction techniques such as biofeedback,
meditation, acupuncture, and yoga may help people with sleep
disturbances relax and get more rest. They also help some people
reduce depression and anxiety caused by Chronic Fatigue Syndrome. |
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