|How do I deal with the constant fatigue
Feb 6, 2011
I am 47 yrs old, diagnosed full blown aids on 1999, had a stroke in 2001 and developed epilepsy, today despite testosterone shots and b12 complex, i am tired, fatigued and exhausted all the time, also take anti depresants but does not seem to make any difference, what should i do? i have not being able to return to work, and cant take any epilepsy meds any more as I cant function when I take them
Response from Dr. Frascino
Fatigue associated with HIV/AIDS is remarkably common and extremely annoying! The cause is often multifactorial. That means more than one cause is acting in tandem to zap our zip. You will need to work closely with your HIV specialist to try to identify all the potential underlying causes of your fatigue and treat each underlying condition individually. Common causes of HIV-associated fatigue include anemia; psychological problems (depression, anxiety); hormonal imbalances (low testosterone, low thyroid hormone, adrenal insufficiency); unrecognized opportunistic infection or malignancy; inadequate sleep, nutrition and/or exercise; medication side effects; and drug interactions. There are many not-so-common causes as well, such as sleep apnea, etc.
In your case, you should check "free testosterone" blood levels to see if your testosterone replacement dose is adequate. In addition antidepressants can cause fatigue. Psychotherapy (counseling) for your depression may help. If, despite a thorough workup and treatment of the underlying problems, you remain exhausted, talk to your doctor and neurologist about a trial of Provigil. You can read more about this therapy as well as the many causes of HIV-associated fatigue in the archives of the fatigue and anemia expert forum. Have a look. I hope your energy batteries are soon recharged!
hey Doc........it's Alabama Gal! (ALABAMA GAL, 2011)
Is further testing neccessary?
- Chills After Kissing Cold Sore Worried I Have HIV
- Diarrhea After Giving Oral Worried I Have HIV
- Dizziness After Anal Fingering Worried I Have HIV
- Enlarged Lymph Nodes After Rubbing Stripper Worried I Have HIV
- Itchy Testicles After Fisting Sign Of HIV AIDS
- Painful Ejaculation After Touching Vomit Worried I Have HIV
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.