ProHealth health Vitamin and Natural Supplement Store and Health
Home  |  Log In  |  My Account  |  View Cart  View Your ProHealth Vitamin and Supplement Shopping Cart
800-366-6056  |  Contact Us  |  Help
Facebook Google Plus
Fibromyalgia  Chronic Fatigue Syndrome & M.E.  Lyme Disease  Natural Wellness  Supplement News  Forums  Our Story
Store     Brands   |   A-Z Index   |   Best Sellers   |   New Products   |   Deals & Specials   |   Under $10   |   SmartSavings Club

Trending News

Vitamin D supplements, sleep could help manage pain

Bacopa: The Herb That May Increase Your Brain Power

Eat More Yogurt and Avoid Osteoporosis

Lilac Oil: More Than Just for Fragrance

What Is Bilberry Good For?

Coffee, herbal tea may help prevent liver fibrosis

Crafty Uses for Carrot Seed Oil

Higher omega 3 levels linked to improved brain blood flow

Curcumin, resveratrol, ursolic acid show promise against prostate cancer

Olive oil compound could help protect against brain cancer

 
Print Page
Email Article

Dr. Cheney On Symptomatic Treatment

  [ 89 votes ]   [ Discuss This Article ]
By Source: CFIDS Chronicle • www.ProHealth.com • July 1, 1995


Dr. Paul Cheney, M.D., is one of the leading medical experts on Chronic Fatigue Syndrome. He first started working on the disease in 1984 when patients at Incline Village, Nevada, started coming down with a mysterious illness. Cheney attempts to treat the whole syndrome, not just the symptoms of the disease. In the following interview, Cheney discusses symptomatic treatment of the disease.

Sleep Disorder

The four best drugs for sleep disorder in CFIDS are low-dose tricyclic antidepressants, especially Doxepin or amitripyline; benzodiazepines, especially Klonopin; magnesium due to its ability to block the NMDA receptor and raise neuronal threshold firing potential; and melatonin. Melatonin is a brain hormone that sets the biochemical stage for sleep. There is reason to believe that this hormone is deficient in CFIDS patients. Sleep resistance to the first three drugs suggest the use of melatonin, at least on a trial basis.

Addressing sleep disturbance can yield impressive symptom relief in the areas of fatigue, cognition and pain. Failure to address sleep disturbance substantially reduces the potential benefits of other therapies.

Pain

The approach to pain relief in certain very ill patients with severe pain can easily be the most challenging problem in CFIDS management. Failure to address pain adequately can lead to high risk of suicide and can exacerbate the underlying symptoms.

The rational approach to pain in this disorder includes first addressing the issue of sleep disorder. Patients who have sleep disturbance successfully treated often see significant reduction in pain. Pain can also be managed by centrally acting drugs such as calcium channel blockers, Diamox and the selective serotonin reuptake inhibitors (SSRIs). Analgesics ranging from acetaminophen to some of the non-steroidal anti-inflammatory drugs (NSAIDs) to narcotic analgesics can be used effectively in CYIDS patients. Narcotics deserve special mention in the overall center of CFIDS since INF- injury to the hypothalamus is mediated in part by a narcotic (m opioid) receptor. Because of this, narcotics may actually defend against cytokine brain injury.

NSAIDs need to be used with care in CFIDS patients because they can gut permeability and exacerbate liver-gut dysfunction. Adjutant therapy including Vistaril and Phenergan as well as muscle relaxants such as Flexeril have also been helpful. Relaxation techniques, biofeedback, acupuncture, massage and other alternative therapies have also been helpful in managing pain.

Fatigue

Fatigue, in my view, is one of the most difficult single symptoms to treat since it is so central to the disorder. As a matter of fact, it is possible that in the sicker patients, fatigue represents a defense response. In this instance, excessive attention to the treatment of fatigue may actually worsen the patient's condition.

I've found that fatigue is best treated in the context of the entire syndrome and by addressing sleep disturbance, neurotoxicity and pain. I've found B-12 injections to be particularly effective in the treatment of fatigue. I've also found low- dose (5-10 mg) Prozac elixir to be helpful. Some patients will respond to low-level CNS stimulants such as Ionamin or Symmetrel. Lifestyle adjustment and limiting excessive exertion, overactivity or stress also has a major impact on fatigue.

Depression

I think depression is best treated by nutritional intervention, particularly amino acid therapies based on objective nutritional assessments; Inositol; and addressing sleep disturbance. Failing this, I will use the SSRIC particularly Zoloft.

Of significant importance on this issue is to give the patient some sense of control over their disorder. As they understand the disorder better and gain some sense of control over the symptoms, I've found that as function improves, depression appears to improve significantly.

Cognitive Complaints

Cognitive complaints are common and debilitating in this disorder. The most important treatment is to block neurotoxicity by using Klonopin (low doses in the daytime and higher doses at night), magnesium and Nimotop which block the NMDA receptor and its effects. Occasionally a patient will respond to low-level stimulants such as Ionamin or low-dose Prozac. As mentioned above, cognitive complaints in all patients will improve as sleep improves.

Reprinted by permission from The CFIDS Chronicle, published quarterly by The CFIDS Association of America, Spring 1995, page 41. For more information, please call 1-800-40 CFIDS or write: The CFIDS Association America, PO Box 220398, Charlotte, NC 28222-0398.



Post a Comment

Featured Products From the ProHealth Store
Magnesium Plus Mitochondria Ignite™ with NT Factor® Vitamin D3 Extreme™

Looking for Vitamins, Herbs and Supplements?
Search the ProHealth Store for Hundreds of Natural Health Products


Article Comments



Be the first to comment on this article!

Post a Comment


 
NAD+ Ignite with Niagen

Featured Products

Optimized Curcumin Longvida® Optimized Curcumin Longvida®
Supports Cognition, Memory & Overall Health
Mitochondria Ignite™ with NT Factor® Mitochondria Ignite™ with NT Factor®
Reduce Fatigue up to 45%
Magnesium Plus Magnesium Plus
Natural mineral for nerve & muscle function
FibroSleep™ FibroSleep™
The All-in-One Natural Sleep Aid

Natural Remedies

Why Berries Offer a Rainbow of Health Benefits Why Berries Offer a Rainbow of Health Benefits
The Remarkable Benefits of Reishi Medicinal Mushrooms The Remarkable Benefits of Reishi Medicinal Mushrooms
Mitochondria-Booster NIAGEN® Shows Promise in First Human Clinical Trial Mitochondria-Booster NIAGEN® Shows Promise in First Human Clinical Trial
Reversing Neurodegeneration with a New Magnesium Compound Reversing Neurodegeneration with a New Magnesium Compound
Cell-Charging Compound Gives Steady Energy to Fibromyalgia & Chronic Fatigue Patients Cell-Charging Compound Gives Steady Energy to Fibromyalgia & Chronic Fatigue Patients

CONTACT US
ProHealth, Inc.
555 Maple Ave
Carpinteria, CA 93013
(800) 366-6056  |  Email

· Become a Wholesaler
· Vendor Inquiries
· Affiliate Program
SHOP WITH CONFIDENCE
Credit Card Processing
SUBSCRIBE TO OUR NEWSLETTERS
Get the latest news about Fibromyalgia, M.E/Chronic Fatigue Syndrome, Lyme Disease and Natural Wellness

CONNECT WITH US ProHealth on Facebook  ProHealth on Twitter  ProHealth on Pinterest  ProHealth on Google Plus

© 2017 ProHealth, Inc. All rights reserved. Pain Tracker App  |  Store  |  Customer Service  |  Guarantee  |  Privacy  |  Contact Us  |  Library  |  RSS  |  Site Map