Myalgic Encephalomyelitis or Chronic Fatigue Syndrome: Difference between revisions
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== Medications == | == Medications == | ||
While studies have investigated the use of various medications, none have been found to have consistent results. However, the following drugs are used to address and manage symptoms<ref name="Teitel and Zieve">Teitel AD MD MBA, Zieve D MD MHA. Chronic fatigue syndrome. PubMed Health: A.D.A.M. Medical Encyclopedia. 2012. Available from: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002224/. (accessed 21 Mar 2012).</ref>:<br> | |||
*Medications to reduce pain, discomfort, and fever | |||
*Medications to treat anxiety | |||
*Medications to treat sleep disturbance (amitryptyline, nefazodone<ref name="Gur">Gur, A., Oktayoglu, P. Central nervous system abnormalities in fibromyalgia and chronic fatigue syndrome: new concepts in treatment. Current Pharmaceutical Design. 2008: 14;1274-1294. Available at http://search.proquest.com/docview/215122883/fulltextPDF/135C47E1A18699351F5/9?accountid=6741. (accessed 29 Mar 2012).</ref>) | |||
*Medications to treat joint pain (amytryptyline<ref name="Gur" />) | |||
*Medications to treat depression (sertralin, paroxetine, nefazodone<ref name="Gur" />) | |||
*Anti-inflammatory drugs (aspirin, acetaminophen<ref name="Gur" />) | |||
*NSAIDS to address headache relief<ref name="Gur" /> | |||
*Deydroepiandrosterone (DHEA) was found in a pilot study to significantly reduce the pain, helplessness, anxiety, thinking, memory, and activities of daily living difficulties associated with CFS; however, further research is necessary<ref name="Gur" />. | |||
*Based on current evidence corticosteroids cannot be recommended for CFS due to complications of long-term use, Mineralcorticoids and Intravenous Immunoglobulin are not recommended either and need further research<ref name="Gur" /><ref name="Vinjamury">Vinjamury, S.P. MD, Singh, B.S. PhD. Ayurvedic Treatment of chronic fatigue syndrome-a case report. Alternative Therapies in Health and Medicine. Sept/Oct 2005: 11(5);76-78. Available at http://search.proquest.com/docview/204831607/135C479C2A91BF7E3C6/4?accountid=6741. (accessed 29 Mar 2012).</ref><br><br> | |||
== Diagnostic Tests/Lab Tests/Lab Values == | == Diagnostic Tests/Lab Tests/Lab Values == | ||
Revision as of 04:45, 1 April 2012
Welcome to PT 635 Pathophysiology of Complex Patient Problems This is a wiki created by and for the students in the School of Physical Therapy at Bellarmine University in Louisville KY. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!
Original Editors - Sarah Carlisle & Jill Thompson from Bellarmine University's Pathophysiology of Complex Patient Problems project.
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Definition/Description[edit | edit source]
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Prevalence[edit | edit source]
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Characteristics/Clinical Presentation[edit | edit source]
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Associated Co-morbidities[edit | edit source]
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Medications[edit | edit source]
While studies have investigated the use of various medications, none have been found to have consistent results. However, the following drugs are used to address and manage symptoms[1]:
- Medications to reduce pain, discomfort, and fever
- Medications to treat anxiety
- Medications to treat sleep disturbance (amitryptyline, nefazodone[2])
- Medications to treat joint pain (amytryptyline[2])
- Medications to treat depression (sertralin, paroxetine, nefazodone[2])
- Anti-inflammatory drugs (aspirin, acetaminophen[2])
- NSAIDS to address headache relief[2]
- Deydroepiandrosterone (DHEA) was found in a pilot study to significantly reduce the pain, helplessness, anxiety, thinking, memory, and activities of daily living difficulties associated with CFS; however, further research is necessary[2].
- Based on current evidence corticosteroids cannot be recommended for CFS due to complications of long-term use, Mineralcorticoids and Intravenous Immunoglobulin are not recommended either and need further research[2][3]
Diagnostic Tests/Lab Tests/Lab Values[edit | edit source]
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Etiology/Causes[edit | edit source]
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Systemic Involvement[edit | edit source]
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Medical Management (current best evidence)[edit | edit source]
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Physical Therapy Management (current best evidence)[edit | edit source]
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Alternative/Holistic Management (current best evidence)[edit | edit source]
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Differential Diagnosis[edit | edit source]
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Case Reports/ Case Studies[edit | edit source]
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Resources
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Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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- ↑ Teitel AD MD MBA, Zieve D MD MHA. Chronic fatigue syndrome. PubMed Health: A.D.A.M. Medical Encyclopedia. 2012. Available from: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002224/. (accessed 21 Mar 2012).
- ↑ 2.0 2.1 2.2 2.3 2.4 2.5 2.6 Gur, A., Oktayoglu, P. Central nervous system abnormalities in fibromyalgia and chronic fatigue syndrome: new concepts in treatment. Current Pharmaceutical Design. 2008: 14;1274-1294. Available at http://search.proquest.com/docview/215122883/fulltextPDF/135C47E1A18699351F5/9?accountid=6741. (accessed 29 Mar 2012).
- ↑ Vinjamury, S.P. MD, Singh, B.S. PhD. Ayurvedic Treatment of chronic fatigue syndrome-a case report. Alternative Therapies in Health and Medicine. Sept/Oct 2005: 11(5);76-78. Available at http://search.proquest.com/docview/204831607/135C479C2A91BF7E3C6/4?accountid=6741. (accessed 29 Mar 2012).
