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Dr. Andrew Rynne

Family Physician

Exp 18 years

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Suggest treatment for neurasthenia

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Dr. Abhishek Kapoor

Psychiatrist

Practicing since :2007

Answered : 2496 Questions

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Posted on Mon, 11 Aug 2014 in Brain and Spine
Question: Wow 58 year old male-generalized loss of sensation throughout body- no tingling or loss of feeling-Hypertensive-Sleep apnea-on meds for hypertension-Provigil for daytime sleepiness-Antidepressant-Klonopin-MRIS normal-cardiovasular normal-MRI show some small vessel ischemic changes-exercise daily symptoms have been present for 34 years no serious changes or improvements-chronic back problems post injury working out-sacral-lumbar thoracic-some disc changes nothing major-three terms of shots in back-degree of cloudiness at times cognitively-work 6 days per week 50 hrs-am a psychologist-onpoint at work etc-saw a plethora of doctors for about ten years-use a cpap machine but not as much as I should-am tired in am until provigil takes effect-any suggestions on supplements-because it looks like I have to treat myself on this one
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Answered by Dr. Abhishek Kapoor 46 minutes later
Brief Answer:
You may have neurasthesia

Detailed Answer:
Hi
Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query.

In your case, all investigations like MRI scan is normal. What ever changes MRI has shown, is age related and is normal. There is nothing to worry about them. I think, you have one main symptoms, that is, tiredness. If you have continuous tiredness for last many years, it would go in favor of neurasthenia. It is a psychological disorder marked especially by easy fatigability and often by lack of motivation, feelings of inadequacy. In that case, you can try higher dose of stimulant like provigil (modafinil) or armodafinil along with antidepressant. Rest, you are a psychologist, so how could you motivate yourself, that you can decide. In supplement, any supplement like Swanson Premium triple Magnesium Complex etc could be tried.

If you need further help, you can ask.

Regards
Dr. Abhishek Kapoor
Psychiatrist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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