What is your preferred first line treatment for chronic fatigue in patients with long Covid?
Answer from: at Academic Institution
Assuming that a thorough work up for other causes of fatigue (anemia, thyroid dysfunction, sleep apnea, etc) has been performed and is negative, no single medication has been proven by a randomized placebo-controlled trial to help chronic fatigue in PASC. Anecdotally, my colleagues who treat PASC ha...
Comments
at UPMC I’ve had frequent success with the FLCCC pro...
Vitamin D if level is below 35
Vitamin C
Attention to circadian rhythms (exposure to sunlight in the morning
Minimizing artificial light at night (blue light-blocking glasses)
Minimize exposure to non-native EMF
Treat insomnia if present (Melatonin, etc) and attention to sleep pattern
Vit D Fish oil Magnesium CoQ10
Rule out Myalgia Myopathic Syndromes, EDS and other Collagen Connective tissue disorders, Spondylosis, Lyme, and other tick-borne disorders EBV, etc
Low dose Modafinil
Low dose Ritalin or A...
I am making two assumptions in formulating my answer to this question: (1) Fatigue in long Covid (post-acute sequelae of SARS-CoV-2 infection, or PASC) is often just a starting point for discussion of what is typically a multi-system disorder manifesting a great deal of heterogeneity; and (2) as alr...
Comments
at Lake Pointe Medical Center Good thoughts but none is evidence-based.
I’ve had frequent success with the FLCCC pro...