Posted by Ilene on February 28, 2004, at 12:23:22
In reply to Re: Chronic fatigue syndrome ADs, posted by socialdeviantjeff on February 27, 2004, at 23:28:07
> Well, I wish I had something constructive to add. I haven't had an MAOI yet. My experience has basically been bad side effects and swinging from major fatigue and pain to major stimulation and agitation depending on whether the AD was sedating or stimulating.
>
> IMHO, it seems that CFS can be divided into two subtypes: a dysautonomia or an autoimmune problem. Of course, I'm probably overgeneralizing. I do think that the dysautonomic type of CFS could cause AD's to work in odd ways. I can't find any real research on this, though.
>
I believe you're right about CFS having subtypes. At least two. Mine is recurrent and triggered by specific things--heat, exertion, and emotional stress--and I have dysautonomic symptoms. When it flares up I feel like I have the flu, plus I can't think.I can't find any research about this either. My doc seems to enjoy reasoning things out, he has some background in epidemiology, and he has a large CFS practice. He's not a researcher. I think he's developed some theories but doesn't have the resources (or maybe the interest ) to follow them up with research. He said something about writing up a series of case studies. He thinks people with CFS just don't have a lot of neurotransmitters to begin with, so it's hard to manipulate. The MAOI should do the trick, in theory, because it prevents neurotransmitter breakdown.
> Abilify has helped with the fatigue to some degree. which is more than anything. May be worth discussing with your doc.
>
I'm taking minimal doses of Risperdal. We might increase it.I think my ordinary, day-to-day fatigue is caused by the depression rather than the CFS, because the CFS is clearly intermittant.
Glad you're feeling better.
I.
poster:Ilene
thread:317995
URL: http://www.dr-bob.org/babble/20040228/msgs/318507.html