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How do you approach the pharmacologic management of cancer-related fatigue?

After optimizing symptoms and reversible factors, and attempting cognitive-behavioral interventions and exercise, do you recommend pharmacologic agents? If yes, which medications (steroids, methylphenidate, others) do you recommend? Is there an algorithm you use?
2 Answers
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Medical Oncology · Yale
Answered on

After the above considerations mentioned in the question, management considerations regarding cancer-related fatigue depend on the stage of disease (advanced/metastatic disease vs not) and whether the patient is on active cancer therapy.

For both groups, non-pharmacologic interventions have the high...

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Mednet Member
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Medical Oncology · Mayo Medical School
Answered on

In addition to what @Dr. First Last said, another thing to consider is ginseng.

Two trials completed by Mayo Clinic investigators and colleagues from community cancer centers evaluated a pure ground root product of American ginseng. While this product has not been definitively proven to be beneficial...

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