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Chronic Fatigue Syndrome Treatment

There is no cure for CFS, 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 CFS symptoms. Counseling and stress reduction techniques also may help some people with CFS.

Many medications, nutritional supplements, and herbal preparations have been used to treat CFS. While many of these are unproven, others seem to provide some people with relief. People with CFS should discuss their treatment plan with their doctors, and carefully weigh the benefits and risks of each therapy before making a decision.

Drugs us as a Chronic Fatigue Syndrome Treatment

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 CFS are:

  • Fludrocortisone (Florinef), a synthetic steroid, which is currently being tested for treatment of people with CFS. It causes the body to retain salt, thereby increasing blood pressure. It has helped some people with CFS 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 CFS.
  • Ampligen, a drug which stimulates the immune system and has antiviral activity. In one small study, ampligen improved mental function in people with CFS.

Treatment of Chronic Fatigue Syndrome with Cognitive Behavioral Therapy (CBT)

Cognitive behavioral therapy, or CBT, is often prescribed to help chronically ill patients cope with illness and develop behaviors and strategies that help alleviate symptoms. It has been successful in helping patients with cardiovascular disease, diabetes and cancer, and recent studies indicate that CBT can be useful in treating some CFS patients.

CBT is frequently prescribed as part of therapeutic process; it help patients learn to manage activity levels, stress and symptoms. Optimally, CBT can help you better adapt to the impact of CFS and improve your level of function and quality of life.

 

Alternative treatment used for Chronic Fatigue Syndrome

A variety of nutritional supplements are used for treatment of CFS. 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 CFS 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 CFS 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 CFS.

Modified 3-11-04
Information compiled from the National Institutes of Health

 
 
 

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This web site is intended for your own informational purposes only. No person or entity associated with this web site purports to be engaging in the practice of medicine through this medium. The information you receive is not intended as a substitute for the advice of a physician or other health care professional. If you have an illness or medical problem, contact your health care provider.

01/18/2010

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