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  [ 47 votes ]   [ Discuss This Article ] • July 15, 2006

According to leading CFS physician David S. Bell, M.D., "Learn to discriminate between the two different types of fatigue (heavy-like-a-log-fatigue, and frazzled fatigue) and use coffee judiciously, like a medication. It is the same with other stimulants, such as amantadine, Ritalin™, Cylert™, and others. If you are in a bad relapse, forget it; stimulants will usually not help at all and may make you feel worse. The sleep disorder usually parallels the type of fatigue. The worse courses have light, disrupted sleep and a frazzled type of fatigue. Avoid stimulants and use benzodiazepines or sedatives (antihistamines, Baclofen™, Flexeril™, and others) sparingly. The heavy-like-a-log-fatigue usually has better sleep and should avoid benzodiazepines and sedatives." (Source: David S. Bell, M.D., on Medications for Chronic Fatigue Syndrome and Chronic Pain Control.

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