CFS: 2 different types of fatigue

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According to leading CFS physician 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: S. Bell, M.D