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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chronic Fatigue Despite Taking Nuvigil And Cymbalta?

OMG please help!!! I have been diagnosed with chronic fatigue syndrome.As you know, it s not well known or studied. i m suffering. I personally feel like I have ADD/ADHD. I m currently on 50mg of Nuvigil and 60mg of Cymbalta. I feel nothing. Nothing has changed. I m tired and worse, but doctors will not listen to me. Please help.
Mon, 11 Feb 2019
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Neurologist 's  Response
Hello,

I am not sure I understand why you feel you have ADHD. The only symptom you mention is tiredness and that is not a manifestation of ADHD at all if anything ADHD patients are hyperactive, not tired.

So unless there are other symptoms you do not mention it is hard to see a diagnosis of ADHD.

As for the diagnosis of chronic fatigue as you say it is a not-well-understood condition.

It is mainly a diagnosis of exclusion after many tests are conducted to exclude other fatigue causes such as infections, connective tissue disease, hormonal deficiencies, metabolic alterations etc.

You do not provide much information on such tests so it is hard to say whether the doctors were thorough before making that diagnosis.

If all tests have been done and fatigue remains the only symptom then the diagnosis sounds reasonable, if medication is not working maybe other alternatives such as amantadine may be tried.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Olsi Taka, Neurologist
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What Causes Chronic Fatigue Despite Taking Nuvigil And Cymbalta?

Hello, I am not sure I understand why you feel you have ADHD. The only symptom you mention is tiredness and that is not a manifestation of ADHD at all if anything ADHD patients are hyperactive, not tired. So unless there are other symptoms you do not mention it is hard to see a diagnosis of ADHD. As for the diagnosis of chronic fatigue as you say it is a not-well-understood condition. It is mainly a diagnosis of exclusion after many tests are conducted to exclude other fatigue causes such as infections, connective tissue disease, hormonal deficiencies, metabolic alterations etc. You do not provide much information on such tests so it is hard to say whether the doctors were thorough before making that diagnosis. If all tests have been done and fatigue remains the only symptom then the diagnosis sounds reasonable, if medication is not working maybe other alternatives such as amantadine may be tried. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Olsi Taka, Neurologist