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Chronic fatigue syndrome - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 595 Questions
User :   hello, i have previously used dexamphetamines in the past after having glandular fever and chronic fatigue. at the moment i am experiencing waves of chronic fatigue which is hampering my ability to study and focus for lengthy periods of time. if i go back to my gp and describe these symptoms, is there anything my gp will be able to prescribe to help me? thanks
Doctor :   Hi THis is Dr. xxx
Doctor :   Ok
Doctor :   Let me read ur query
Doctor :   The disease is characterised by a sore throat, swollen lymph nodes (usually in the neck) and extreme fatigue.
Doctor :   The treatment is to ease the symptoms, and the illness usually passes without serious problems.
User :   yes, i receive regular blood tests for glandular fever and they are all negative
Doctor :   Before the disease breaks out, one to two weeks may pass with symptoms that are similar to those of flu.
Doctor :   A sore throat, with swollen tonsils that are heavily covered by a white coating.
Doctor :   Fever.
User :   what i'd like to know is if there is anything my doctor can prescribe to me at this time to overcome the fatigue i have? i
Doctor :   Good advice
Doctor :   Hot drinks can relieve the sore throat.
Doctor :   Drink plenty of fluids when you run a fever.
Doctor :   Rest when you're tired or are running a fever.
User :   no you're not undersntading what i'm saying
Doctor :   Resume physical activities slowly.
Doctor :   Wait at least eight weeks before resuming activities, involving heavy physical strain.
Doctor :   It's sensible to avoid drinking alcohol for six weeks, while recovering from glandular fever.
Doctor :   there's a risk of damage to the spleen while participating in heavy physical activities
Doctor :   There's no efficient treatment of infections caused by the Epstein-Barr virus other than to ease the symptoms.
Doctor :   Except thr conservative treatment there is no medecal treatment for virus
Doctor :   reagrding persistent fatigue
Doctor :   you can try antidepreseeant
Doctor :   like zolift
Doctor :   *zoloft
User :   i have come off zoloft
User :   in favour of natural therapies which work fine
Doctor :   there are two kinds of antidepressants some make u sllepy
Doctor :   some make u more energetic and actoive'
Doctor :   *active
User :   ok
User :   is it possible that re-prescibing dextroamphetamines would be helpful?
Doctor :   Regarding herbal medicine meds - there is St Johm Wat
User :   i have use them in the past and found them extremely useful when combined with natural therapies
Doctor :   which helps to to some extent
Doctor :   which one u used
Doctor :   How about going for celex
Doctor :   R u there
User :   dexedrine
Doctor :   these r stimulants
User :   i'm in australia, do they have celex here?
Doctor :   Yea , celex is avaialavle all over the world
User :   oh ok, so should i explain to the gp (it is not the same gp) that i have used dexedrine in the past?
Doctor :   Try conservative measures with medications
User :   i don't like to use medications, hence, i see a naturopath reguarly and use st johns wort, fish oil etc...
Doctor :   Cymbalta is latest
Doctor :   Yea
Doctor :   Lexapro is there
User :   however, i am quite desperate as i have alot of assessments and exams soon and i am finding naturopathy is not as helpful as i'd like it to be
User :   i have used lexapro before
Doctor :   there are the nbest antidepressants which are stimulating
Doctor :   it is ok
Doctor :   swich to other one
Doctor :   Try some thryroid medications
Doctor :   low doses
Doctor :   synthroid
Doctor :   25micrograms
Doctor :   which is also stimulating
Doctor :   if u have extreme fatigue and unable to concentrate, I recommned you to consult Psychaitry rather than GP\
Doctor :   So there are lot measure for chronic fatigue
Doctor :   Did I answer yur query
Doctor :   *your
Doctor :   fluoxetine (Prozac), paroxetine (Paxil); venlafaxine (Effexor); bupropion (Wellbutrin).
Thank you for consulting
Doctor :   This chat automatically ends after 15 min
Doctor :   if u still want to chat u may have to pay
Doctor :   I am not getting your messages
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