Ugh! I am in such a bad mood today! From the moment I woke up I was just… angry? You see, yes, I am sleeping way better but I still don’t wake up feeling rested (like most of us with Multiple Sclerosis don’t feel). In fact, I really can’t remember the last time I woke up and felt like I actually got the amount of sleep that I did; refreshed and recharged, ready to start my day! Pft… No… Just fatigue. Doesn’t seem to be secondary (the result of poor sleep or some other symptom) since I am actually sleeping again. So that tells me it’s primary (lassitude). Fatigue for no reason other than the fact that MS IS BS.
Or all of the above? The last few days since the “MS Hug” popped back into my life, I have just not felt well. I did get a sore throat but maybe I just slept with my mouth open or something? I don’t know but I checked the inside of my mouth/throat for all the stuff I had to start checking for after Lemtrada and all was good. But still, I just haven’t been feeling well. I feel really week, my skin is almost tender sometimes, and I have been so tired! Fatigued, lethargic, whatever you want to label it as. I don’t want to move. I don’t want to get out of bed. I don’t want to do anything. But I have so much that has to get done, stuff that has a time limit so I have had to push through all this and try to get it done. So maybe between the stress of all that I have to deal with and the stress of trying to push myself so hard I am just breaking down?
Nuvigil (Armodafinil) is a medication used to “promote wakefulness” when treating people with disorders like narcolepsy, sleep apnea or shift work sleep disorder. In Multiple Sclerosis (MS) Nuvigil is a popular choice for treating fatigue. Nuvigil is often compared to Adderall which is primarily used to treat ADHD (attention-deficit/hyperactivity disorder) but I am not sure if it is also an actual amphetamine or not; from what I gather, the chemical structure is very similar. That being said, Adderall is a schedule II controlled substance and Nuvigil is a schedule IV. Schedule II is defined as “drugs with a high potential for abuse, with use potentially leading to severe psychological or physical dependence. These drugs are also considered dangerous” where schedule IV is defined as “drugs with a low potential for abuse and low risk of dependence”. Just for reference, there are 5 schedules (I-V) and the lower the number the more “dangerous”; heroin is a schedule I drug and a cough medication like Robitussin is schedule V. So knowing that I have to imagine it is not exactly the same.
Last week I stopped my “exercise routine” because I was not sure if I was getting sick or not. Guess it was a false alarm (knock on wood). So yesterday I got myself back on track for the week but I kicked it up a notch, a small notch but a notch. First, instead of using the recumbent bike I used the elliptical. On the recumbent bike, I noticed that my legs would fatigue before I really got my cardio going; it didn’t matter how long I was on it, how fast I pedaled or what level of resistance I was on. So even though I hate the elliptical I thought it would be much better for my cardio because you are pretty much moving your entire body rather than just your legs and wow, I am so out of shape!