... to do is sleep. I cant take this anymore. I have no life. I can stay up for about 4-6 hours then I cant seem to fight the fatigue. This is worse than any pain issue I have e.g, fibromyalgia, chronic pain, 2 knee replacements and it just goes on and on. I need energy. Ive tried herbs such as b12 and other herbs, but nothing seems to help. What can i do. There has to be a med to treat this.
27 Dec 2010
I know that Adderall is prescribed to treat Chronic Fatigue Syndrome. I also read that ritalin is prescribed but for some reason is less effective and has more side effects. I took adderall with pain killers. The adderall caused me to have major headaches and the pain killers helped that and then the fatigue that the pain killers caused was cured by the stimulant in the adderall.
28 Dec 2010
Nuvigil or Provigil are 2 drugs that combat chronic fatigue. However the drugs are very expensive. My doctor & I have been "fighting" with my insurance over these drugs. Provigil was offering a free 7 day trial with a 7 pill script from your doctor.
I have taken dexedrine & it helps some. It is in the same class of drugs as the Adderal.
28 Dec 2010
You might ask your Dr for provigil or nuvigil. I take nuvigil to combat my fatigue. It works something like speed without hitting the pleasure centers so not addictive, also not jittery. It takes about 5-6 hrs before working .It is
made for work-shift disorders and for that disease where you fall asleep all the time- I can't remember the name right now. I have really been helped by this. I take it about 4 am and then it helps me all through the work day.
14 Feb 2012
Adderall will keep you energetic, alert, and more awake than you want. I cannot sleep at night without a sleeping pill. But i have been used to insomnia before. I suffered from fatigue for many years. None of the anti-depressants helped for more than 3 weeks. Fatigue became worse and worse. I tried them ALL!
Now I am on a low dose of Adderrall (20 or 30 mg) in the morning, depending on how much energy is needed to finish my duties. Even when I complain to my doctor it does not work sometimes, I do never go above his recommended dose. He thinks it is normal for all of us to have better days than others! So, when I get a good night and early sleep, avoid acidic drinks, I feel its effectiveness.
I keep an eye on my heart rate and its rhythm and keep my cardio informed. As for my BP, luckily Adderrall rises it to the normal range, as mine is in the low 98/60!
12 Jun 2012
I am new to this site and your question hit home. I have a 4-level disc problem with severe arthritic changes now in facet joints etc etc requiring 160 mg of OxyContin. To enhance the impact of the narcotic my pain management specialist prescribed "topic irate" also know as Topamax. Taking 75 mg at night helped with sleep for a number of years but lately the "no sleep syndrome" revisited. So frustrated I had bio identical hormone testing done ( both blood and saliva) and diagnosed with Stage 3 adrenal gland failure which can result from prolonged stressi.e dealing with constant pain and tryin to "keep up and live a life".was prescribed 10 mg of hydrocortisone (cortisol) in morning; 5 mg in afternoon and an optional 5 mg at night. What a difference in sleep, more energy and clarity in thinking...
probably/maybe due to getting sleep? The theory being to "prime the pump" and get adrenals working on their own to manufacture cortisol, hopefully they arent fried out forever. Will b retested for need... you don't want to be on a steroid on a long term basis.. BUT IT WORKED for me. And as I researched more I learned that most doctors don't really understand/know/believe in this hormone therapy except the newer "Wellness Practices" but I am telling you it was an almost immediate effect for me.. Like water on a wilted plant. My husband saw a difference in me also and I hadn't told him I was doing anything different (so he was sort of my "control ") I also take DHEA now for adrenal health and hope to be making my own hormone. Good luck... I encourage you to look into it. I believe it will have to become a more mainstream treatment over time
15 Oct 2012
my boyfriend sleeps about 18 hours out of the day, but he has alot of health problems, diabetic-6 shots a day and has had 8 back surgerys in the last year n a half,he is also depressed ..i feel he is sleeping his life away, we have 3 kids hes misssing out on alot of their lives, and even though we've been together 19 years, i feel alone. so if there is something out there he could ask his doctor for id like to know! i never thought about him taking somethime to stay awake untill i read your question.
22 Jan 2013
I had three major back surgeries and now suffer from FBSS (failed back surgery syndrome) that has left me in massive pain that most likely will follow me for the rest of my life. To treat the pain I take morphine daily and need to take percocet for break through pain when the morphine fails. Needless to say the constant use of the pain killers has tuIrned me into a lethargic mess. I sleep a good 12 to 14 hours a day and when awake I feel ad if I could go right back to sleep. I have absolutely no energy and at times I really wonder what's the point.
Feed up with living like this I consulted with my doctor. We at first went the conservative route with medications such as Nuvigil, but the drug literally did nothing. I wasn't thrilled about considering amphetamine as I really didn't want to be on another potent medication, but there really isn't a whole lot of options when it comes to CNS drugs (central nervous system). So my doctor started me on amphetamine sulfate (same thing as Aderall, but the generic ingredient). He started me on a single 5mg dose and WOW! My life returned, I woke up at 8am, had energy and I wasn't the least bit tired. In fact, the first day I took the medication I was up for almost 48 hours straight without a hint of fatigue.
Sadly, my tolerance built up very quickly. This is very common with amphetamine from what I have read. I have been taking the medication for a little more than a year now and I am taking a10mg dose three times a day. I take the first pill at 3am (I have trouble staying asleep at night because of the back pain and taking it at this time allows me to wake up in the morning.). By doing this I tend to wake up about 8 or 9 am. From there I take another when I wake and one more 2 hours later.
I never experienced the wakefulness and energy that I had the first few weeks I started the medication and quite honestly I started feeling tired again even with the meds. I talked to my doctor and decided that I would take a drug holiday and stop the amphetamine for one month to try and reset my tolerance level. I just went back on it today and while I am still not felling the effect I got when I took it the first time, it does seem to be doing it's job. I can tell you that the past month without the drug had been pure Hell. I was again sleeping 14 hours a day and pretty much useless when I was awake. So it is working, just not like it was in the beginning.
My doctor has told me that dosages above 40mg trend to have no better effect so going up much higher isn't an option. I an truly scared that eventually the amphetamine will cease to work and I will be back to being lethargic and pretty much useless.
I posted this not to cast a downer to the rest of you looking for a solution, but rather to give you some advice. If you doctor agrees that putting you on amphetamine for lethargy is the way to go start of with the absolute smallest dose you can and be wary about increasing the dosage too soon. My advice is to stick out the dose as long as you possibly can, because the increased dosage will help, but it won't take long and your will become tolerant to the higher dose as well. There is a definite limit with the amount of this medication one can take and once you've hit it, there isn't anywhere else to go. It really is a heartbreak to find a medication that changes your life, only to discover that time renders it ineffective and there isn't another option out there. Good luck to all of you.
- Amphetamine Information for Consumers
- Amphetamine Information for Healthcare Professionals (includes dosage details)
- Side Effects of Amphetamine (detailed)
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