[Overview of medical treatment and management of chronic fatigue syndrome].
A tailor-made management plan that includes various combinations of non-pharmacologic and pharmacologic therapy for patients with chronic fatigue syndrome (CFS) is important. We present an overview of four aspects of our medical treatment and management for CFS: introduction of our medical management system, summary of our management strategy, non-pharmacologic therapy, and pharmacologic therapy; according to foreign guidelines and the latest studies. The main non-pharmacologic therapies for CFS are rehabilitation and lifestyle guidance. Using a graded exercise therapy, we have constructed a broad management strategy for CFS. Herein we introduce our graded exercise therapy. If the symptoms continue despite careful management of the program by the physician, consultation with a psychiatrist or psychosomatic medicine specialist is necessary.
Yoshihara
Kazufumi
K
Department of Psychosomatic Medicine, Graduate School of Medical Sciences, Kyushu University.
Kubo
Chiharu
C
D001205:Ascorbic Acid / Q000008:administration & dosage; D015928:Cognitive Behavioral Therapy; D005081:Exercise Therapy / Q000379:methods; D015673:Fatigue Syndrome, Chronic / Q000534:rehabilitation / Q000628:therapy*; D006801:Humans; D008019:Life Style; D017410:Practice Guidelines as Topic; D011619:Psychotropic Drugs; D012017:Referral and Consultation; D012720:Severity of Illness Index; D014805:Vitamin B 12 / Q000008:administration & dosage
D011619:Psychotropic Drugs; D014805:Vitamin B 12; D001205:Ascorbic Acid