What causes extreme fatigue? Antidepresants haven't helped and my TSH was normal. I also take 40 mg Adderall (dextroamphetamine and racemic amphetamine) but still no energy and I must nap everyday.

Many Causes. Other causes of fatigue: low or high blood sugar, hormonal imbalances, low blood pressure, mineral deficiencies, excessive oxidative stress (lack of antioxidant protection), lack of oxidative processes (low oxygen), immune system overload (lyme's, epstein-barr virus, mold toxins...), autonomic imbalance, medication effects.
Proper Sleep Hygiene. Chronic fatigue can have a myriad of etiologies. I would first examine your sleeping habits. Eliminate naps, do not use your bedroom for anything but sleep, no caffeine or sugar products before bed, etc... Furthermore, please discuss having a sleep study with your primary care provider before adjusting or adding additional psychotropics.
Fatigue? I agree wit dr. Rothmans recommendation, in addition I advise u to start exercise program, it can increase u central nervous system endorphin level, increase u energy, concentration, prove u mood and if u do it before 4 pm it can help u sleep well.

Related Questions

Can Adderall (dextroamphetamine and racemic amphetamine) act as an antidepressant?

Not normally. Adderall (dextroamphetamine and racemic amphetamine) is not an antidepressant. It is a stimulant medication that is used to treat add/adhd. It would not be used first line even as an off label medication. If other medications have failed it could be considered as an adjunct medication in a situation where depression presents with low energy level. It might also be considered as an off-label option for depression with a traumatic brain >>>.
Maybe sometimes. In my practice, with my patients, I have prescribe Adderal regularly for patients with ADHD, and sometimes to patients with depression. In those cases, the patients are on full therapeutic doses of the antidepressant, and their mood is better, but their concentration is still poor. I have found that small or modest doses of Adderall (dextroamphetamine and racemic amphetamine) help tremendously. Used alone though, no.

Hi, I am a 41 year old male with OSA and use the CPAP but still have fatigue. What do you recommend. I've taken 40-50 mg of adderall (dextroamphetamine and racemic amphetamine) IR daily but don't like the emotional effect.

Nuvigil. Consider talking to your healthcare provider about the possibility of getting a prescription for nuvigil.
FATIGUE WITH OSA. Provigil is cheaper and better tolerated than Nuvigil/Ritalin/Starttera can help. Start a gluten free diet Wholeapproach. Com gutbliss. Com. If CPAP/BIPAP is poorly tolerated seek ENT CONSULT for UPP/ vs Hyoid suspension. ALSO FOCUS ON WEIGHT LOSS. See if they can titrate your thyroid Meds or add in Cytomel (liothyronine) (active T3)
Retitration. If you are compliant with the use of CPAP and still feel fatigued during the day, you may want to go back and see your sleep physician to get your CPAP pressure retitrated. If you have been using the CPAP for couple of years, you may need your pressure readjusted. This is especially true if you have gained significant amount of weight or have started on new medications.
Alternatives. Speak to your doctor about alternatives to Adderall (dextroamphetamine and racemic amphetamine). these might include Provigil, Nuvigil and sustained release methylphenidate like Concerta. Hopefully you will not experience emotional side effects.