Overwhelming fatigue

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Regular Member

Date Joined Aug 2008
Total Posts : 96
   Posted 10/23/2008 11:37 PM (GMT -7)   
Hi everyone! I have been diagnosed with fibro.  Have lots of pain issues, but no problems with fatigue.  Then, this last month I have been having  overwhelming problems with fatigue.  I can get plenty of slleep, but towards evening I start to get sleepy and simply cannot stay awake. I can fall asleep sitting on the sofa.  I have never had this problem, but always the opposite (it used to be I couln't fall asleep.)  I have been on a leave of absence from work and have to return on November 1st.  I work different shifts (both day and night.)  I don't know how I am going to stay awake.  It seems like I will be better for a couple of days and then the fatigue starts in again. When this happens I can easily sleep for 16 or 17 hours straight. I have never been tired like this before.  I did  start taking Ultram extended release form, 200mg a day.  Could this be causing the problem?  I told my doctor about the fatigue and he just blew me off and said just set your alarm and get up.  He has no clue had bad this is. Anyone got any suggestions or do any of you feel this way?  Thanks for your help.

bulging discs in neck & thoracic region, low back pain, arthritis in lumbar region, diabetes, high blood pressure, depression, anxiety,
meds: enjuvia, pristiq, actos, amaryl, lyrica, hyzaar, elavil
"Two paths diverged in a yellow wood, and I, I took the one less traveled by...And that has made all the difference."  Robert Frost

Post Edited (Waterbaby) : 10/24/2008 12:51:04 AM (GMT-6)

Veteran Member

Date Joined Mar 2005
Total Posts : 1512
   Posted 10/24/2008 4:50 AM (GMT -7)   
May I ask how old you are Waterbaby?
I had so much fatigue for so long. Fortunately, I didn't have to work. I can't imagine that challenge!
I see you have high blood pressure. When I was on a beta blocker, I had alot more fatigue than usual. Could that be causing some of it?
I see you're on elavil too. I couldn't take that, since it made me so tired.
Do you use any caffeine? I went through several years where I used it as a drug.......I used Exedrine once a day to get a few hours of energy. Could you possibly use it that way? Coffee would work too. But if you have it more than once a day, its starts not working.
I asked your age because I've seen so many women who are going through perimenopause get overwhelming fatigue.

Veteran Member

Date Joined Jun 2008
Total Posts : 846
   Posted 10/24/2008 11:09 AM (GMT -7)   
I don't really have the 'sleepy' kind of fatigue you describe. Mine is more of a 'heavy' feeling, it take so much effort to move. I have gotten much better since I started taking a malic acid/ magnesium combo. Maybe it coudl help you too? Sherrine has a thread on it that she keeps bumped up. It may be worth looking into. Good luck with going back to work. That can't be easy, shift work has to be a killer on your system.

<FONT color=#0000ff>Waiting for appointment with rheumy (March 2009) to get an official dx. waiting, waiting, waiting....
Taking malic acid/magnesium combo, what a life saver! and amitriptyline

Forum Moderator

Date Joined Apr 2005
Total Posts : 17501
   Posted 10/24/2008 1:42 PM (GMT -7)   
Waterbaby, tiredness is a side affect of Ultram (Tramadol).  I tried taking it and it knocked me out so I don't use it.  Here is a link all about it.
The fatigue can be caused by fibro, also.  I used to get sooo tired in the afternoon and still will have moments where I feel the rug has been pulled out from under me.  I used to fall asleep in the chair while on the computer.  I started taking malic acid/magnesium supplements and that rarely happens to me now.  The info about these supplements is in the Fibro 101 thread.  Read it and see what you think. 
Forum Moderator/ Fibromyalgia
Fibromyalgia, Crohn's Disease, Ostomy, Diabetes, Autoimmune Inner Ear Disease, Osteoporosis
God does not give us a spirit of fear, but of power and of love and of a sound mind.    2 Timothy 1:7

Veteran Member

Date Joined May 2008
Total Posts : 1081
   Posted 10/24/2008 4:09 PM (GMT -7)   
Hey there. That's quite a combo of meds you have there. i don't know how much elavil you take, or what time you take it, but it plum knocks me out.

Regular Member

Date Joined Aug 2008
Total Posts : 96
   Posted 10/24/2008 6:09 PM (GMT -7)   
Thanks for all the replies and advice from everyone.  To answer some questions: I am 49 years old.  I had a complete abdominal hysterectomy a year ago.  I am taking 50mg. of elavil at bedtime and 200mg of ultram once daily for pain relief.  Do any of you think these drugs could be causing me this much problem with fatigue?  I will have 2 or 3 really good days with lots of energy and then crash for a couple of days.  One day I slept 17 hours in a row, got out of bed and fell asleep on the couch for 2 more hours.  I have to return to work on Nov. 2nd, and don't know how I am going to deal with this fatigue.  Thanks for any suggestions.
bulging discs in neck & thoracic region, low back pain, arthritis in lumbar region, diabetes, high blood pressure, depression, anxiety,
meds: enjuvia, pristiq, actos, amaryl, lyrica, hyzaar, elavil
"Two paths diverged in a yellow wood, and I, I took the one less traveled by...And that has made all the difference."  Robert Frost

getting by
Forum Moderator

Date Joined Sep 2007
Total Posts : 41840
   Posted 10/24/2008 6:42 PM (GMT -7)   
Hi Hope,

I use to have some terrible fatigue. I started taking adderall. It has saved me. Maybe you could talk to your doctor about that. It made all the difference in the world. I was like you, I felt so heavy. I was so fatigued that I could barely talk. It felt like I needed a brace just to hold my head up. I slept continously. I only got up for a few minutes a few times a day. I was like that for two years. So I would stress to the doctor that you don't want to lose your job due to fatigue.

I have found that also vitamin D helps and I did start the malic acid/magnesium also and that has helped too.

Good luck, I hope that you feel better

Hugs, Karen
  Moderator-Depression and fibromyalgia
fibromyalgia, Chronic fatigue, depression,allergies

Veteran Member

Date Joined Aug 2007
Total Posts : 6067
   Posted 10/25/2008 8:03 AM (GMT -7)   
There are days when I wish I could sleep like that. I'm lucky if I get 6 or 7 hrs sleep a night and there is no sleeping during the day for me.
Fatigue is my biggest problem but I don't get sleepy it's just bone tired can't push another inch tired.
Provigil is suppose to help with the sleepiness.
luv and hugs
Forum Moderator Fibromyalgia
Fibro,Sjogrens, Anxiety, Gastroparesis, IBS, Gastritis, Allergies, High Blood Pressure, Low Blood Sodium and Osteoarthritis
Amitriptyline, Celexa, Xanax, Synthroid, Zyrtec, Micardis, Spironalactone, Tylenol, Reglan, Lidoderm Patches and Tramadol
Co Q 10, Super B Complex, Extra B12, Multi vitamin

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