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	<title>Comments on: Coping with MS and the extreme exhaustion?</title>
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		<title>By: stephanie</title>
		<link>http://managing-multiple-sclerosis.com/multiple-sclerosis-general/coping-with-ms-and-the-extreme-exhaustion#comment-7585</link>
		<dc:creator>stephanie</dc:creator>
		<pubDate>Fri, 10 Dec 2010 06:51:47 +0000</pubDate>
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		<description>I have also heard that some patients find relief from exhaustion and heat sensitivity when taking AMPYRA (spl?).  I believe that it is prescribed primarily for mobility issues but some friends report that heat sensitivity and exhaustion is relieved as an off label benefit.  I have no idea but any good neurologist should know about this drug as well as provigil and the better SSRI&#039;s like celexa and lexapro.  HE/SHE should be able to counsel you.  If your neuro just says something like, well it&#039;s tough being a mom and exhaustion is normal - FIND A NEW DOCTOR.   This kind of exhaustion is very special and you should need to prove how debilitating your fatigue is making you feel.</description>
		<content:encoded><![CDATA[<p>I have also heard that some patients find relief from exhaustion and heat sensitivity when taking AMPYRA (spl?).  I believe that it is prescribed primarily for mobility issues but some friends report that heat sensitivity and exhaustion is relieved as an off label benefit.  I have no idea but any good neurologist should know about this drug as well as provigil and the better SSRI&#8217;s like celexa and lexapro.  HE/SHE should be able to counsel you.  If your neuro just says something like, well it&#8217;s tough being a mom and exhaustion is normal &#8211; FIND A NEW DOCTOR.   This kind of exhaustion is very special and you should need to prove how debilitating your fatigue is making you feel.</p>
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		<title>By: stephanie</title>
		<link>http://managing-multiple-sclerosis.com/multiple-sclerosis-general/coping-with-ms-and-the-extreme-exhaustion#comment-7584</link>
		<dc:creator>stephanie</dc:creator>
		<pubDate>Fri, 10 Dec 2010 06:44:28 +0000</pubDate>
		<guid isPermaLink="false">http://managing-multiple-sclerosis.com/multiple-sclerosis-general/coping-with-ms-and-the-extreme-exhaustion#comment-7584</guid>
		<description>I have had MS for almost 20 yrs. Diagnosed for 13yr.  I know how desperate you are feeling.  I won&#039;t relay all of the similar painful incidents but instead give you some suggestions.  First of all, you need to make sure that you have a good dialogue with your neurologist or psychiatrist. It may require trial and error with several different drugs before you figure out what prescription mix works best for you.  I&#039;ve tried drugs that made my body awake but not my mind -the eyes open but no one home effect (cyclert and amantadine) and I&#039;ve tried antidepressants that made me feel psychotic.  The one drug that worked for me was provigil and I needed to take 400mg to feel just awake for 12 hrs.  I have friends that function well on 100 mg.  It really depends on your own chemistry.  Personally, I think a combo of an anti- depressant plus alert-enhancing drug is the best solution since interferon can cause fatigue inducing depression.  Nevertheless, find a good MS specialist and work on it.  With regard to your 3 yr old., if she is willing to take a nap with you - GO FOR IT.

You are not alone and it will not be this difficult forever.</description>
		<content:encoded><![CDATA[<p>I have had MS for almost 20 yrs. Diagnosed for 13yr.  I know how desperate you are feeling.  I won&#8217;t relay all of the similar painful incidents but instead give you some suggestions.  First of all, you need to make sure that you have a good dialogue with your neurologist or psychiatrist. It may require trial and error with several different drugs before you figure out what prescription mix works best for you.  I&#8217;ve tried drugs that made my body awake but not my mind -the eyes open but no one home effect (cyclert and amantadine) and I&#8217;ve tried antidepressants that made me feel psychotic.  The one drug that worked for me was provigil and I needed to take 400mg to feel just awake for 12 hrs.  I have friends that function well on 100 mg.  It really depends on your own chemistry.  Personally, I think a combo of an anti- depressant plus alert-enhancing drug is the best solution since interferon can cause fatigue inducing depression.  Nevertheless, find a good MS specialist and work on it.  With regard to your 3 yr old., if she is willing to take a nap with you &#8211; GO FOR IT.</p>
<p>You are not alone and it will not be this difficult forever.</p>
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		<title>By: Cat55</title>
		<link>http://managing-multiple-sclerosis.com/multiple-sclerosis-general/coping-with-ms-and-the-extreme-exhaustion#comment-2586</link>
		<dc:creator>Cat55</dc:creator>
		<pubDate>Tue, 24 Nov 2009 22:22:06 +0000</pubDate>
		<guid isPermaLink="false">http://managing-multiple-sclerosis.com/multiple-sclerosis-general/coping-with-ms-and-the-extreme-exhaustion#comment-2586</guid>
		<description>I know exactly what you are going through.  I also suffer from SPMS, and at times I sleep for days, during which I do not take my meds.

I know that there are meds out there to relieve the severe fatigue we experience.  I hope you have a supportive partner, my hubby is great and DOES understand the fatigue part of MS.

There is:
ritalin
(sorry that;s the only I can remember at this time)  You can go on the MS site (sponsered by the Multiple Sclerosis Society) and you will get the names of the other 3 out there.  Then go to your doc and ask for one.

Hope you feel better.

All the best.</description>
		<content:encoded><![CDATA[<p>I know exactly what you are going through.  I also suffer from SPMS, and at times I sleep for days, during which I do not take my meds.</p>
<p>I know that there are meds out there to relieve the severe fatigue we experience.  I hope you have a supportive partner, my hubby is great and DOES understand the fatigue part of MS.</p>
<p>There is:<br />
ritalin<br />
(sorry that;s the only I can remember at this time)  You can go on the MS site (sponsered by the Multiple Sclerosis Society) and you will get the names of the other 3 out there.  Then go to your doc and ask for one.</p>
<p>Hope you feel better.</p>
<p>All the best.</p>
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