People with chronic fatigue syndrome have a worsening of their symptoms after physical, mental or emotional effort. Exercise regimens that start at a very low intensity and increase very gradually over time may be helpful in improving long-term function. Aggressive exercise regimens often lead to worsened symptoms, but maintaining activities that are tolerated is important to prevent deconditioning. Sleep apnea can be treated by using a machine that delivers air pressure through a mask while you sleep. Your doctor might suggest avoiding caffeine or changing your bedtime routine. Sleep deprivation can make other symptoms more difficult to deal with. It can also be helpful for managing depression. Talking with a counselor can help build coping skills to deal with chronic illness, address limitations at work or school, and improve family dynamics. Many people with chronic fatigue syndrome benefit from: These include pregabalin (Lyrica), duloxetine (Cymbalta), amitriptyline or gabapentin (Neurontin). If over-the-counter medications such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve) don't help enough, prescription drugs sometimes used to treat fibromyalgia might be options for you. Medications to regulate blood pressure or heart rhythms may be helpful. Some people with chronic fatigue syndrome, particularly adolescents, feel faint or nauseated when they stand or sit upright. Low doses of some antidepressants can also help improve sleep and relieve pain. Treating your depression can make it easier for you to cope with the problems associated with chronic fatigue syndrome. Many people with long-term health problems, such as chronic fatigue syndrome, are also depressed. Some problems associated with chronic fatigue syndrome can be improved with either prescription or over-the-counter medications. The most disruptive or disabling symptoms should be addressed first.

There is no cure for chronic fatigue syndrome. These symptoms must last for at least six months and occur at least half the time at moderate, substantial or severe intensity.

Dizziness that worsens with moving from lying down or sitting to standing.

Difficulties with memory, focus and concentration.

To meet the Institute of Medicine's diagnostic criteria for chronic fatigue syndrome, a person would also need to experience at least one of these two symptoms:

Worsened by physical, mental or emotional exertion.

Of new or definite onset (not lifelong).

So severe that it interferes with the ability to engage in pre-illness activities.

Guidelines proposed by the United States Institute of Medicine define the fatigue associated with chronic fatigue syndrome as being: In fact, there are so many overlapping symptoms between chronic fatigue syndrome and fibromyalgia that some researchers consider the two disorders to be different aspects of the same disease. It's also common for people who have chronic fatigue syndrome to also have other health problems at the same time, such as sleep disorders, irritable bowel syndrome, fibromyalgia, depression or anxiety.

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