Autoimmune Diseases and Fatigue

Posted by JohnWBurns @johnwburns, Jul 13, 2016

Fatigue is probably intertwined with the definition of "illness", almost any illness, but with some conditions fatigue becomes ingrained into the afflicted person's being and is a feature of their daily life. Such is the case with the highest profile disorders, cancer and cardiovascular disease, but it is just as true with at least some autoimmune diseases. I have a long history of dealing with autoimmunity and the complaint that kept bringing me back to doctors persisting in finding out what was going on was the dogged lack of energy, vitality. I got guess after guess after guess and when I got the "answer" it was basically that fatigue was part of the deal with the autoimmune disease that I have, Sjogren's, as well as I'm sure many others. So what I'm asking here is if you experience it, fatigue, how has it impacted your life and how do you deal with it? Have you found anything that you are sure mitigates it?

In my case its exercise, rest, and a fairly regulary low dose, around 50 mgs (usual recommended dose 200 mg) of modafinil, which I don't take for Sjogren's but rather for "Excessive Daytime Sleepiness" linked to Obstructive Sleep Apnea. I accidentally found out that it mitigated my general weariness. I've read some solid studies that found that American Ginseng can help cancer-related fatigue but apparently it doesn't work for Sjogren's, for me at least. Since fatigue impacts a person's total life experience in all domains, any information that might lead to dampening or controlling it would be very helpful to a lot of folks I'm sure.

Interested in more discussions like this? Go to the Autoimmune Diseases Support Group.

@johnbishop

Hi @jeriliz, I did a search through the posts on Connect and found some members who have discussed taking Modafinil. I am tagging them to see if they can answer your question on whether it helps. @jmmb, @bren1985, @jyth, @lottiemouse, @bobehrlich, can you offer any information about taking Modafinil for fatigue and if it helps?

@jeriliz I also found a link on Drugs.com that has user reviews of Modafinil here:
https://www.drugs.com/comments/modafinil/
Hope this helps.

John

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Thank you, John.

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Hi @jeriliz and @johnbishop. I do take Modafinil. It is my "speed". I say that because so far that is the only thing that gives me any sort of help for my fatigue. I take 2 200mg tablets every morning. I believe that is the max dose, or at least for insurance. It is very expensive. I am on Medicare and since I am in Arizona, I can't get a supplemental insurance since I am on social security disability. The stupidest thing I ever heard but it is what it is. You can find coupons for it sometimes on the internet.
Anyway, I was put on that because I have Chronic Fatigue Syndrome. Then I had a surgery in 2014 where my celiac and sma arteries were compressed from my diaphragm. I have later come to learn that it is called MALS and a very rare disease. This also adds to the fatigue and I have a number of other medical issues. I still nap everyday. Some days are better than others, and I can tell if I over do it. I could be down for a week. I can tell though a difference if I don't take it. For example, after another surgery, I didn't take the Modafinil since I was resting from getting stents in the arteries. When it was time to start moving around I took one pill and could feel a little more energy but then that wore off, then went back to the 2 pills. I am still looking for other things to help with my fatigue. I read savilla, I think that is how it is spelled, is good for fibromyalgia and fatigue. I will probably be adding that after my surgeon visit next week. I hope this helps you. I know every one is different. I have a bad stomach and I can tolerate this pill with no issues also.
Let me know if you have any other questions. Good luck to you.

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@jmmb

Hi @jeriliz and @johnbishop. I do take Modafinil. It is my "speed". I say that because so far that is the only thing that gives me any sort of help for my fatigue. I take 2 200mg tablets every morning. I believe that is the max dose, or at least for insurance. It is very expensive. I am on Medicare and since I am in Arizona, I can't get a supplemental insurance since I am on social security disability. The stupidest thing I ever heard but it is what it is. You can find coupons for it sometimes on the internet.
Anyway, I was put on that because I have Chronic Fatigue Syndrome. Then I had a surgery in 2014 where my celiac and sma arteries were compressed from my diaphragm. I have later come to learn that it is called MALS and a very rare disease. This also adds to the fatigue and I have a number of other medical issues. I still nap everyday. Some days are better than others, and I can tell if I over do it. I could be down for a week. I can tell though a difference if I don't take it. For example, after another surgery, I didn't take the Modafinil since I was resting from getting stents in the arteries. When it was time to start moving around I took one pill and could feel a little more energy but then that wore off, then went back to the 2 pills. I am still looking for other things to help with my fatigue. I read savilla, I think that is how it is spelled, is good for fibromyalgia and fatigue. I will probably be adding that after my surgeon visit next week. I hope this helps you. I know every one is different. I have a bad stomach and I can tolerate this pill with no issues also.
Let me know if you have any other questions. Good luck to you.

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I’m very sorry to hear what your going through. I will punch up this medication and take a look. I really do feel for you as my fatigue is like a ships anchor always tugging. The funny thing is that, well not funny but you know what I mean, my usual bed time is from 11-1:00am, and the problem is I sleep only until 5-6 due to my problem listed below, Then I get 2-4 more hours in a chair or try to as I wake up about 10 times during that period. I’m also fully disabled and just got new insurance which I’m very excited about Harvard Pilgrim which I’ve been told its one of the better HMO’s with RX provided. I was a very healthy individual, actually a cop-firefighter EMT and had my own business of public safety communications up until 2010 when I had a compressed L3-L5. Doctor talked me into a new procedure and 8 years later that procedure will be the cause of my death I feel. They Use BMP-2 recumbent lab made bone regenerator which I feel has gotten into my blood and is causes a list of issues one being MP, and all the hasty affects. Due to my damaged small intestine and the inability to absorbed needed nutrients I do need something just to keep the battery from bottoming out. They took more blood Friday so to give a marker before trying any new treatment so I will let you know what they have come up with and if it helps. You know when they give medication know there’s about a mile of issues that come with it which sometimes is worse than the issue. Thank you for your time, Scott Sent from Mail for Windows 10 

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@skywave I'm sorry to here about your situation. Fatigue is so hard to deal with. I think it just makes everything else you have to deal with, pain etc. magnified. Is your fatigue from not sleeping due to the back pain, or is it medical if you don't mind me asking?? I can sleep 10 hours and it feels like I slept 1 hour. It doesn't matter. If I sleep less then 7 hours, I actually get sick and feel like I have a 'hangover' or something. Weird. Good luck and I hope they find something that can help you. I would recommend trying the Modafinil if your dr. says ok. Keep me posted if you do.

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At the risk of being reported or ??, I have to share a little here. I recently went through months of torturous insomnia. I don't know if it is related to my autoimmune polyneuropathy--I seem to have autonomic involvement along with the motor neuron degeneration, sensory stuff too--I figure every thing is part of the disease--but it was a devastating development. Zero sleep at times, sometimes a few hours, or usually a couple zzz's after hours of wakefulness, then awake again until morning, trying to grab a couple hours before noon. I was very compromised, brain worse than ever. Yes, that bad hangover feeling on top of cognitive problems and physical exhaustion. Along with the usual fatigue, I was a zombie and unable to do anything but lie around. Hard to even meditate or read. "We" tried drug after drug, some very scary heavy-duty ones. Occasionally one would work a couple times, only to fail shortly thereafter. It was absolutely nightmarish, unreal trying to slog though day after day. And then a friend gave me some Simpson oil, which is a medical cannabis concentrate developed by a guy for his skin cancer (cured it). I had zero confidence it would help wit sleep. Then...first night--zzzzz. All night. Second night-- sleep. It has been months and is still helping. I sleep!!! I'm going to switch to a more CBD form as it has no "high" at all, just good cannibinoids. I actually don't get high from the full flower concentrate I use now for some reason (it is slow acting, taken orally couple hours before bed), but don't want or need the THC it contains. Anyway, it may not be for everybody, obviously so if medical cannabis is not yet legal where you live. I might add that the pain and nasty inflammation in my knees, which are scheduled for replacement surgery this year, is gone, and I have cut narcotics from Fentanyl patch and 40 mg oxycodone every day to no Fentanyl and maybe 10 mg a day oxydone a couple days a week. Mostly taken now only for longstanding crumbling spine and stenosis. My knees are still destroyed, of course, but I can bear weight on them again! For the first time in five years, I walk without a cane. I am still sick from the mystery polyneuropathies, but jeez...I feel like I am experiencing something miraculous. If you are interested, The CBD Project has a lot of information online. Again, CBD's won't get you high, but the different cannibinoids therein are turning out to have some great medicinal effects and are being researched like crazy now. For good reason. I hope this helps you and others, and you can obtain as much relief as I have.

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@grokking

At the risk of being reported or ??, I have to share a little here. I recently went through months of torturous insomnia. I don't know if it is related to my autoimmune polyneuropathy--I seem to have autonomic involvement along with the motor neuron degeneration, sensory stuff too--I figure every thing is part of the disease--but it was a devastating development. Zero sleep at times, sometimes a few hours, or usually a couple zzz's after hours of wakefulness, then awake again until morning, trying to grab a couple hours before noon. I was very compromised, brain worse than ever. Yes, that bad hangover feeling on top of cognitive problems and physical exhaustion. Along with the usual fatigue, I was a zombie and unable to do anything but lie around. Hard to even meditate or read. "We" tried drug after drug, some very scary heavy-duty ones. Occasionally one would work a couple times, only to fail shortly thereafter. It was absolutely nightmarish, unreal trying to slog though day after day. And then a friend gave me some Simpson oil, which is a medical cannabis concentrate developed by a guy for his skin cancer (cured it). I had zero confidence it would help wit sleep. Then...first night--zzzzz. All night. Second night-- sleep. It has been months and is still helping. I sleep!!! I'm going to switch to a more CBD form as it has no "high" at all, just good cannibinoids. I actually don't get high from the full flower concentrate I use now for some reason (it is slow acting, taken orally couple hours before bed), but don't want or need the THC it contains. Anyway, it may not be for everybody, obviously so if medical cannabis is not yet legal where you live. I might add that the pain and nasty inflammation in my knees, which are scheduled for replacement surgery this year, is gone, and I have cut narcotics from Fentanyl patch and 40 mg oxycodone every day to no Fentanyl and maybe 10 mg a day oxydone a couple days a week. Mostly taken now only for longstanding crumbling spine and stenosis. My knees are still destroyed, of course, but I can bear weight on them again! For the first time in five years, I walk without a cane. I am still sick from the mystery polyneuropathies, but jeez...I feel like I am experiencing something miraculous. If you are interested, The CBD Project has a lot of information online. Again, CBD's won't get you high, but the different cannibinoids therein are turning out to have some great medicinal effects and are being researched like crazy now. For good reason. I hope this helps you and others, and you can obtain as much relief as I have.

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Yes, I have done some research into CBD. We have a local shop here that sells to many of those suffering from PTSD. The product they sell is produced by http://www.greenroadsworld.com. They have a lot of information about cannabinoids on their website. So far, I'm too chicken to use it and want to get more information under my belt.

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@grokking

At the risk of being reported or ??, I have to share a little here. I recently went through months of torturous insomnia. I don't know if it is related to my autoimmune polyneuropathy--I seem to have autonomic involvement along with the motor neuron degeneration, sensory stuff too--I figure every thing is part of the disease--but it was a devastating development. Zero sleep at times, sometimes a few hours, or usually a couple zzz's after hours of wakefulness, then awake again until morning, trying to grab a couple hours before noon. I was very compromised, brain worse than ever. Yes, that bad hangover feeling on top of cognitive problems and physical exhaustion. Along with the usual fatigue, I was a zombie and unable to do anything but lie around. Hard to even meditate or read. "We" tried drug after drug, some very scary heavy-duty ones. Occasionally one would work a couple times, only to fail shortly thereafter. It was absolutely nightmarish, unreal trying to slog though day after day. And then a friend gave me some Simpson oil, which is a medical cannabis concentrate developed by a guy for his skin cancer (cured it). I had zero confidence it would help wit sleep. Then...first night--zzzzz. All night. Second night-- sleep. It has been months and is still helping. I sleep!!! I'm going to switch to a more CBD form as it has no "high" at all, just good cannibinoids. I actually don't get high from the full flower concentrate I use now for some reason (it is slow acting, taken orally couple hours before bed), but don't want or need the THC it contains. Anyway, it may not be for everybody, obviously so if medical cannabis is not yet legal where you live. I might add that the pain and nasty inflammation in my knees, which are scheduled for replacement surgery this year, is gone, and I have cut narcotics from Fentanyl patch and 40 mg oxycodone every day to no Fentanyl and maybe 10 mg a day oxydone a couple days a week. Mostly taken now only for longstanding crumbling spine and stenosis. My knees are still destroyed, of course, but I can bear weight on them again! For the first time in five years, I walk without a cane. I am still sick from the mystery polyneuropathies, but jeez...I feel like I am experiencing something miraculous. If you are interested, The CBD Project has a lot of information online. Again, CBD's won't get you high, but the different cannibinoids therein are turning out to have some great medicinal effects and are being researched like crazy now. For good reason. I hope this helps you and others, and you can obtain as much relief as I have.

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@grokking thank you so much for this information. I am definitely going to look into this. I don't know what CBD stands for. Would you mind letting me know, and if you have a website or link you would recommend??? I am really happy for you to hear this has helped you and thank you for sharing.

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@grokking

At the risk of being reported or ??, I have to share a little here. I recently went through months of torturous insomnia. I don't know if it is related to my autoimmune polyneuropathy--I seem to have autonomic involvement along with the motor neuron degeneration, sensory stuff too--I figure every thing is part of the disease--but it was a devastating development. Zero sleep at times, sometimes a few hours, or usually a couple zzz's after hours of wakefulness, then awake again until morning, trying to grab a couple hours before noon. I was very compromised, brain worse than ever. Yes, that bad hangover feeling on top of cognitive problems and physical exhaustion. Along with the usual fatigue, I was a zombie and unable to do anything but lie around. Hard to even meditate or read. "We" tried drug after drug, some very scary heavy-duty ones. Occasionally one would work a couple times, only to fail shortly thereafter. It was absolutely nightmarish, unreal trying to slog though day after day. And then a friend gave me some Simpson oil, which is a medical cannabis concentrate developed by a guy for his skin cancer (cured it). I had zero confidence it would help wit sleep. Then...first night--zzzzz. All night. Second night-- sleep. It has been months and is still helping. I sleep!!! I'm going to switch to a more CBD form as it has no "high" at all, just good cannibinoids. I actually don't get high from the full flower concentrate I use now for some reason (it is slow acting, taken orally couple hours before bed), but don't want or need the THC it contains. Anyway, it may not be for everybody, obviously so if medical cannabis is not yet legal where you live. I might add that the pain and nasty inflammation in my knees, which are scheduled for replacement surgery this year, is gone, and I have cut narcotics from Fentanyl patch and 40 mg oxycodone every day to no Fentanyl and maybe 10 mg a day oxydone a couple days a week. Mostly taken now only for longstanding crumbling spine and stenosis. My knees are still destroyed, of course, but I can bear weight on them again! For the first time in five years, I walk without a cane. I am still sick from the mystery polyneuropathies, but jeez...I feel like I am experiencing something miraculous. If you are interested, The CBD Project has a lot of information online. Again, CBD's won't get you high, but the different cannibinoids therein are turning out to have some great medicinal effects and are being researched like crazy now. For good reason. I hope this helps you and others, and you can obtain as much relief as I have.

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Hi @olegraymare! Please look up The CBD Project. Lots of serious information. There is nothing to fear in CBDs (cannibidiol). They comprise a host of cannabis constituents that are being found to have an important place in health care. I'm not a random druggie--I am a 65-year-old woman with a very mysterious autoimmune neurodegenerative disease,severe inflammatory arthritis, and issues with weight loss (docs seem unconcerned), no appetite, new sleep disorders, fatigue, deppression, etc.. A friend gave me my first trial with cannibinoids for dense refractory insomnia, just an experiment, and that did it for me. My Kaiser doc mentioned that they had some kind of informational relationship with one of our fancier dispensaries here too. Both my doc and shrink are pretty pro- using cannabis for that which they haven't been able to help except temporarily with bad drugs. CBDs appear safe in all I've read. Just plant-derived without corporate adulteration (so far!). They contain no THC, which is the component of cannabis that is the euphoric--what gets you high. Personally I find the oil/thick oil concentrates the most effective, though you can purchase CBD and/or THC-containing products like pills, vape pens, edibles of all sorts, or just smoke the pot (there are CBD-only grades, for light drowsiness.) I am still using the same type of concentrate tried initially because it worked! It is strong, I guess, and in fact has lots of THC, but for some odd reason I don't feel high. Oh, CBDs are potentiated by even a small amount of THC, so it's good to get those (concentrates) that have some THC, which is expressed as a ratio, e.g., 28:1 is highest CBD, not necessarily most effective. Then you can get 8:1 (8 parts CBD to 1 of THC) which is still so low in THC that you won't likely notice it at all. Experiment with CBD edibles first, even dosed capsules (those did not help much), see if they are tolerable, work your way "up" if too much. Know that edibles take a couple hours to start to take effect. I'm in bed when I take mine since I'm so often recumbent. Best of luck. Have no fear. Know you are giving your body and brain good medicine. Some might say it is one of the millions of plant God put here for our use...

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@grokking

At the risk of being reported or ??, I have to share a little here. I recently went through months of torturous insomnia. I don't know if it is related to my autoimmune polyneuropathy--I seem to have autonomic involvement along with the motor neuron degeneration, sensory stuff too--I figure every thing is part of the disease--but it was a devastating development. Zero sleep at times, sometimes a few hours, or usually a couple zzz's after hours of wakefulness, then awake again until morning, trying to grab a couple hours before noon. I was very compromised, brain worse than ever. Yes, that bad hangover feeling on top of cognitive problems and physical exhaustion. Along with the usual fatigue, I was a zombie and unable to do anything but lie around. Hard to even meditate or read. "We" tried drug after drug, some very scary heavy-duty ones. Occasionally one would work a couple times, only to fail shortly thereafter. It was absolutely nightmarish, unreal trying to slog though day after day. And then a friend gave me some Simpson oil, which is a medical cannabis concentrate developed by a guy for his skin cancer (cured it). I had zero confidence it would help wit sleep. Then...first night--zzzzz. All night. Second night-- sleep. It has been months and is still helping. I sleep!!! I'm going to switch to a more CBD form as it has no "high" at all, just good cannibinoids. I actually don't get high from the full flower concentrate I use now for some reason (it is slow acting, taken orally couple hours before bed), but don't want or need the THC it contains. Anyway, it may not be for everybody, obviously so if medical cannabis is not yet legal where you live. I might add that the pain and nasty inflammation in my knees, which are scheduled for replacement surgery this year, is gone, and I have cut narcotics from Fentanyl patch and 40 mg oxycodone every day to no Fentanyl and maybe 10 mg a day oxydone a couple days a week. Mostly taken now only for longstanding crumbling spine and stenosis. My knees are still destroyed, of course, but I can bear weight on them again! For the first time in five years, I walk without a cane. I am still sick from the mystery polyneuropathies, but jeez...I feel like I am experiencing something miraculous. If you are interested, The CBD Project has a lot of information online. Again, CBD's won't get you high, but the different cannibinoids therein are turning out to have some great medicinal effects and are being researched like crazy now. For good reason. I hope this helps you and others, and you can obtain as much relief as I have.

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Sorry, jmmb. I was answering you, but addressed to another. (@olegraymare). Oops. Sorry.

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@grokking

At the risk of being reported or ??, I have to share a little here. I recently went through months of torturous insomnia. I don't know if it is related to my autoimmune polyneuropathy--I seem to have autonomic involvement along with the motor neuron degeneration, sensory stuff too--I figure every thing is part of the disease--but it was a devastating development. Zero sleep at times, sometimes a few hours, or usually a couple zzz's after hours of wakefulness, then awake again until morning, trying to grab a couple hours before noon. I was very compromised, brain worse than ever. Yes, that bad hangover feeling on top of cognitive problems and physical exhaustion. Along with the usual fatigue, I was a zombie and unable to do anything but lie around. Hard to even meditate or read. "We" tried drug after drug, some very scary heavy-duty ones. Occasionally one would work a couple times, only to fail shortly thereafter. It was absolutely nightmarish, unreal trying to slog though day after day. And then a friend gave me some Simpson oil, which is a medical cannabis concentrate developed by a guy for his skin cancer (cured it). I had zero confidence it would help wit sleep. Then...first night--zzzzz. All night. Second night-- sleep. It has been months and is still helping. I sleep!!! I'm going to switch to a more CBD form as it has no "high" at all, just good cannibinoids. I actually don't get high from the full flower concentrate I use now for some reason (it is slow acting, taken orally couple hours before bed), but don't want or need the THC it contains. Anyway, it may not be for everybody, obviously so if medical cannabis is not yet legal where you live. I might add that the pain and nasty inflammation in my knees, which are scheduled for replacement surgery this year, is gone, and I have cut narcotics from Fentanyl patch and 40 mg oxycodone every day to no Fentanyl and maybe 10 mg a day oxydone a couple days a week. Mostly taken now only for longstanding crumbling spine and stenosis. My knees are still destroyed, of course, but I can bear weight on them again! For the first time in five years, I walk without a cane. I am still sick from the mystery polyneuropathies, but jeez...I feel like I am experiencing something miraculous. If you are interested, The CBD Project has a lot of information online. Again, CBD's won't get you high, but the different cannibinoids therein are turning out to have some great medicinal effects and are being researched like crazy now. For good reason. I hope this helps you and others, and you can obtain as much relief as I have.

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Thank you for all this helpful info. on CBD. I can go down the street and check out their products.

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