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Treatments for Fatigue

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    The doctor may prescribe low doses of a psychostimulant to be used for a short time in patients with advanced cancer who have severe fatigue. Talk to your doctor about the risks and benefits of these drugs.

    Treatment of fatigue may include teaching the patient ways to increase energy and cope with fatigue in daily life.

    Exercise

    Exercise (including walking) may help people with cancer feel better and have more energy. The effect of exercise on fatigue in cancer patients is being studied. One study reported that breast cancer survivors who took part in enjoyable physical activity had less fatigue and pain and were better able to take part in daily activities. In clinical trials, some patients reported the following benefits from exercise:

    • More physical energy.
    • Better appetite.
    • More able to do the normal activities of daily living.
    • Better quality of life.
    • More satisfaction with life.
    • A greater sense of well-being.
    • More able to meet the demands of cancer and cancer treatment.

    Moderate activity for 3 to 5 hours a week may help cancer-related fatigue. You are more likely to follow an exercise plan if you choose a type of exercise that you enjoy. The health care team can help you plan the best time and place for exercise and how often to exercise. Patients may need to start with light activity for short periods of time and build up to more exercise little by little. Studies have shown that exercise can be safely done during and after cancer treatment.

    Mind and body exercises such as qigong, tai chi, and yoga may help relieve fatigue. These exercises combine activities like movement, stretching, balance, and controlled breathing with spiritual activity such as meditation.

    A schedule of activity and rest

    Changes in daily routine make the body use more energy. A regular routine can improve sleep and help the patient have more energy to be active during the day. A program of regular times for activity and rest help to make the most of a patient's energy. A health care professional can help patients plan an exercise program and decide which activities are the most important to them.

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