Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
140 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What causes severe fatigue while treating lupus and Sjogrens disease?

Answered by
Dr.
Dr. Indranil Ghosh

Oncologist

Practicing since :2004

Answered : 1500 Questions

default
Posted on Sat, 3 Sep 2016 in Cancer
Question: I have Lupus and Sjogrens disease..... I am very tired all the time. I am currently taking Plaquinel and 2.5 of Prednisone every day. I am trying to find out what kind of stimulant I can use as the fatigue is effecting my work. What can I take to help pick me up
doctor
Answered by Dr. Indranil Ghosh 26 minutes later
Brief Answer:
need to ascertain the contributors to fatigue in you

Detailed Answer:
Hi
Thanks for your query.

There are many factors which can contribute to fatigue in a patient of lupus or sjogrens. Factors that are related to lupus include anemia, fever, and problems of lungs or heart. Decreased exercise capacity from reduced blood flow or inflammation in the muscles can also cause fatigue. In some cases, iron deficiency anemia, low thyroid function, infection and certain medications are responsible. Simple investigations like blood counts, hormonal panel and infection markers will help is ascertaining the cause.

Lack of sleep, fibromyalgia and depression can also contribute to fatigue in patients.

From medicine point of view I think increasing steroids is the right move, maybe for short time to minimize side effects.

There are other things you can do daily to ensure that you aren't always feeling exhausted. Try to pace yourself in your daily activities. Taking frequent planned breaks or a nap during the day — even if you don't feel tired — can help you slow down and give your body the additional rest it may require to get through the day. Plan your day and eliminate unnecessary tasks or chores that can be delegated. Avoid total bed rest, as it can lead to deconditioning of muscles and worsen fatigue.

Hope this helps. I will be available for followup.
Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
default
Follow up: Dr. Indranil Ghosh 15 minutes later
This is going to cost me my job. I have a management position so I am able to leave work mid morning and take a nap in my car but I cant go on this way. I am not anemic nor do I have sleep apnea as I have been tested for both. Is there nothing I can take for a stimulant to help me get through my day?
doctor
Answered by Dr. Indranil Ghosh 8 minutes later
Brief Answer:
no stimulant is approved for fatigue in lupus

Detailed Answer:
I understand your situation. But none of the so called stimulants have been studied well for lupus fatigue and they are not approved for this use. Some small studies have shown no benefit. So they can't be recommended in this setting.

I will be available for followup.
Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication

Recent questions on  Prednisone

doctor1 MD

My grandaughter had a red rash on her neck abnd layers of skinyou sloughed off. A weekand later ittoday is back. What couldto it be?out the size of...

doctor1 MD

here s my story...I started to have something on my scalp back in aug and n I went to see my family doc and she shouldn t tell me anything. so my...

doctor1 MD

Took a dose of Fluticasone Propionate and soon developed a thickening under my chin. How can I make this go away? I ve seen people who have taken...

doctor1 MD

About 2 & 1/2 weeks ago I was treated for a facial trauma I had sustained tripping on a brick and landing on a gas main. I was given antibiotic and...

doctor1 MD

how often can you take Prednisone? I have reallybad inflamation in my hands and it took it away . The swelling has come back now and I dont know...

doctor1 MD

6 days ago my lips swelled up and my eyes swelled shut I had prednisone and it took 40mg to get it down. It came back in about 12 hours and took...

doctor1 MD

Took Prednisone & Azithromycin in early November for acute bronchitis . X-ray to r/o pneumonia vs bronchitis. NP couldn't hear breath sounds in...