• Condition of extreme tiredness that may affect the entire body
• Symptoms may include muscle weakness and persistent unexplained extreme tiredness and problems concentrating which last for at least one year
• Cause unknown
• Cannot be spread from person to person
• Affects males and females but more common in females
• Can occur at any age but more common in young to middle aged adults
• May be mild with few symptoms to severe and debilitating affecting quality of life

GENERAL THERAPY

• Adjust schedule to take advantage of your more energetic times
• Try not to overdo it when you are energetic
• Get adequate rest, go to bed when sleepy and get up at same time every day
• Get regular exercise, but not within 2 hours of bedtime
• Take naps early in day if necessary
• Reduce stress
• Over-the-counter medicine (refer to manufacturer’s recommendations for dosage):
  • Acetaminophen
  • Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)
  • Antihistamines
  • Decongestants

Treatment for hypotension:

• Fludrocortisone acetate
• Atenolol
• Midodrine hydrochloride

Treatments for nervous system:

• Clonazepam
• Lorazepam
• Alprazolam

ALTERNATIVE THERAPY

• Acupuncture
• Massage therapy
• Yoga

PRECAUTIONS AND AVOIDANCES

• Avoid alcohol, caffeine, and tobacco before bedtime
• Keep bedroom at comfortable temperature
• Avoid heavy meals in the evening
• Graded exercises which starts out easy and progresses gradually are best

SEEK MEDICAL ATTENTION IF:

• You have severe fatigue that last longer than 2 weeks, that limits your activities or does not improve with rest
• Sleep problems that last longer than 1 or 2 months
• You feel like you are depressed
• Severe fatigue along with frequent urination, extreme thirst, weight loss, blurred vision