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Crohn's Disease
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Posted 1/30/2010 8:31 PM (GMT 0)
Hi,

I'm not actually in a flare atm.  i've been feeling more or less ok for a few weeks as my azathioprine seems to have kicked in (other than last weekend, when i over did it on the alcohol!)

i was just wondering how you guys manage with the fatigue?!  I started a new placement at uni this week, and it has been hard-work and kindof intense.  Since about wed, i've been extremely tired.  i'm hoping that this is just due to the intense new placement, and not the start of a relapse, or a sign of anaemia etc.  The past 3 days, i've needed a nap in the afternoon - each being at least 2 hours! Today i haven't made it out of the house, i've barely made it out of my bed!  Any ideas on how to make it through the rest of my placement?  I can't have caffeine, and i'm getting as much sleep as i possibly can, but it's meaning that i'm getting behind with my work too, and i'm only a week in.... :(

Posted 1/31/2010 1:29 AM (GMT 0)
It's possible the azathioprine is causing the fatigue, particularly if you are on 100mg or higher. I'd talk to your doctor about it.

More likely, though, is that you weren't in full remission and an intensive, stressful placement has tipped your body over the edge into tiredness. I wish I could help, but I can't really. I find that the less I eat, the less my body is stressed by food and more energy I have - but obviously I need to eat to live so it's a catch-22. Enough sleep is vital, so don't feel guilty about taking a nap if you need one. Get tested for anaemia. And good luck: hope the fatigue passes.
Posted 1/31/2010 10:57 AM (GMT 0)
Hi Do you get B12 shots? these could help. Bev x
Posted 1/31/2010 1:00 PM (GMT 0)
i am on 100mg azathioprine, and i'm due to go up to 125mg on friday, and so i hope this sorts itself out before then! I'm still having regular blood tests with my azathiprine, and so if this continues, i'll call my doctor and see if they have shown any anaemia, especially before i increase my dosage! I dont have b12 shots, hopefully it hasn't come to that yet! Thanks for your help and advice!
Posted 1/31/2010 2:17 PM (GMT 0)
How about trying some sublingual B12? That might help a little. Also are you taking the Imuran in the a.m. or p.m.? If its, in the morning, I would suggest switching to taking it at night. Good luck!
Posted 1/31/2010 11:19 PM (GMT 0)

 Tez25 I've had the extreme fatigue three times now The first 2 due to prednisone and the last just recently caused by a 5-asa called salofalk. I'm now trying asacol to see if I don't get this side effect. FYI as I dropped my dose of salofak the hours I slept dropped as well with only a 2 day delay. Thats how I knew it was the salofalk. Ask your Dr. if you could try the same thing and see what happens. Robsmile

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