Review of effective treatments for asthenia

Many patients who are faced with causeless weakness and constant fatigue, are wondering what kind of doctor to apply for asthenia?

Asthenia is treated depending on what disease it is associated with. If the disease appeared as a result of emotional or physical overstrain, stress, neurosis, then they turn to psychologists, psychiatrists, psychoneurologists or psychotherapists.

Children are treated by a pediatrician who can, if necessary, give directions to another specialist. If the pathology has a post-infectious or traumatic nature, then therapists, surgeons and neurologists are consulted during the treatment.

[1], [2], [3], [4], [5], [6], [7], [8]

Means for asthenia

To date, there are many tools used to treat vegetative pathologies. Various approaches can quickly and effectively eliminate the disease. Since the ailment is associated with the expenditure of vital and mental forces, the patient needs a full rest, a change in the environment and the type of activity. This will allow the body to rest and accumulate energy. But sometimes these recommendations for some reason are not feasible. Therefore, resort to drug therapy.

• Nootropic or neurometabolic means refer to safe and affordable medicines to eliminate a psychopathological disorder. But their clinical effectiveness remains unproven, since not all the symptoms of malaise are manageable. Because of this, this category of drugs is used with varying intensity in different countries. In Ukraine they are widely used, but in America and Western Europe it is rare.
• Antidepressants - are inhibitors of serotonin reuptake, used to treat asthenic symptoms and signs of depression.
• Atypical antipsychotics or antipsychotics are effective in vital-asthenic conditions.
• Psychostimulants - this category of medications is prescribed by a psychiatrist with appropriate indications for use. They include the means of procholinergic action.
• Blockers NMDA receptors - help with cognitive impairment due to cerebral atherosclerosis and other pathologies that cause impairment of cognitive functions.
• Adaptogens are plant-based products. Most often, patients are prescribed ginseng, Chinese magnolia vine, pantocrine, rhodiola rosea and eleutherococcus.
• B group vitamins - this method of therapy is popular in the US, but is limited in application because of the high risks of allergic reactions. Therefore, optimal vitamin therapy is used, which includes vitamins B, C and PP.

All of the above means require appropriate indications for use. However, in general practice, their use is limited.

Stimulus from asthenia

Stimol is a solution for oral use with an active ingredient - citrulline malate. The active substance activates the formation of energy at the cellular level. The mechanism of action is based on increasing the level of ATP, reducing the level of lactate in blood plasma and tissue and preventing metabolic acidosis. Stimulates the removal of metabolic products from the body, eliminates emotional lability and a feeling of fatigue, increases efficiency.

• Used for the treatment of asthenia of different genesis, including senile, sexual, postinfectious, physical. Helps with weakness, drowsiness, emotional lability, increased fatigue. It can be used by patients with vegetative-vascular dystonia for hypotonic type and with abstinence syndrome.
• Take orally, is well absorbed in the intestine. The maximum concentration in the plasma occurs 45 minutes after admission. It is displayed within 5-6 hours. Before use, the powder must be dissolved in ½ cup of water. Dosage and duration of treatment are determined by the attending physician. But, as a rule, adults and teenage patients are prescribed 1 packet (10 ml) 3 times a day. For patients under 15 years of age, 10 ml 2 times a day.
• From side effects only discomfort in the stomach is possible. It is not recommended to use with intolerance of the active substance and other components. Do not prescribe to patients with peptic ulcers of the stomach and duodenum, pregnant women and patients younger than 6 years.

Phenibut from asthenia

Phenibut is a nootropic agent, gamma-amino-beta-phenylbutyric acid hydrochloride. It has a tranquilizing, psycho-stimulating and antioxidant effect, facilitates the transmission of nerve impulses to the central nervous system. Improves cerebral circulation, reduces feelings of anxiety, fear, anxiety. It helps to normalize sleep and has an anticonvulsant effect.

• After oral administration, it is rapidly absorbed, penetrates into all tissues of the body. It is evenly distributed in the kidneys and liver, metabolized in the liver by 80-90%. Do not cumulate, metabolites are not pharmacologically active. It is excreted by the kidneys 3-4 hours after administration, but the high concentration in the brain tissue lasts for 6 hours. 5% of the substance is excreted unchanged by the kidneys and part of the bile.
• It is prescribed for the therapy of anxiety-neurotic states, asthenia, anxiety, fear, obsessive states, psychopathy. Helps in the treatment of enuresis and stutter in children and insomnia in elderly patients. The drug is effective for dysfunctions of the vestibular analyzer, as well as for motion sicknesses. Can be used as a complex therapy for alcoholism.
• Tablets are taken orally, regardless of food intake. Dosage and duration of treatment depend on the indications, individual characteristics of the patient's organism and his age. A single dosage for adults is 20-750 mg, and for children 20-250 mg.
• Contraindicated use when hypersensitivity to active substances. With special care appoint to patients with hepatic insufficiency, erosive-ulcerative lesions of the gastrointestinal tract. Long-term use requires monitoring of liver function and peripheral blood. During pregnancy and lactation is used with appropriate medical indications.
• Side effects cause increased irritability, anxiety, headaches and dizziness, drowsiness. There may be attacks of nausea and allergic reactions to the skin. With simultaneous use with sleeping pills, analgesics, antipsychotic and antiepileptic drugs, enhances their effect.

Grandaxin for asthenia

Grandaxin - a tranquilizer with the active substance tofisopam. The drug belongs to the group of benzodiazepine derivatives. Has an anxiolytic effect, but is not accompanied by a sedative, anticonvulsant effect. The psycho-vegetative regulator eliminates vegetative disorders, has moderate stimulating activity.

• After oral administration, it is rapidly and almost completely absorbed from the gastrointestinal tract. The maximum concentration in blood plasma persists for two hours after administration and decreases monoexponentially. The active component does not accumulate in the body, metabolites do not have pharmacological activity. It is excreted by the kidneys 60-80% in urine and about 30% with feces.
• It is used for the treatment of neuroses, apathy, depression, obsessive experiences, post-traumatic stress disorders, climacteric syndrome, myopathy, premenstrual tension syndrome and alcohol abstinence.
• Dosage is individual for each patient and depends on the clinical form of the vegetative disease. Adults appoint 50-100 mg 1-3 times a day, the maximum daily dose should not exceed 300 mg. For patients with renal failure, the dose is reduced by half.
• Overdose causes suppression of the central nervous system, vomiting, coma, epileptic seizures, confusion and respiratory depression. Treatment is symptomatic. Side effects provoke insomnia, convulsive seizures, headaches, problems with the gastrointestinal tract, various allergic reactions, pain in the muscles and joints.
• Contraindicated to use in respiratory failure and respiratory arrest in a dream, with severe psychomotor agitation and with deep depression. Do not use in the first trimester of pregnancy and lactation, with intolerance to galactose, hypersensitivity to benzodiazepines. With special care apply for organic brain lesions, glaucoma, epilepsy.

Terialzhen with asthenia

Terialgen is an antipsychotic, neuroleptic. Has a moderate antispasmodic, antihistamine action. The active ingredient, alimamazine, has an antipsychotic effect. Due to blockade of adrenoreceptors, a sedative effect occurs.

• After oral administration, the active ingredient is quickly and completely absorbed in the digestive tract. The maximum concentration in the blood plasma persists for 1-2 hours. Binding to proteins at the level of 30%. It is excreted by the kidneys in the form of a metabolite, the elimination half-life is 3-4 hours, about 70% is excreted within 48 hours.
• It is used for the therapy of neuroses, asthenia, increased anxiety, apathy, psychopathy, phobic, senestopatic and hypochondriacal ailments. Helps with sleep disorders, can be used as a symptomatic therapy for allergic reactions.
• Tablets are taken whole, not liquid, squeezed with enough water. Adults for the treatment of psychotic conditions appoint 50-100 mg, children 15 mg 2-4 times a day. The maximum daily dosage for adults is 400 mg, for children 60 mg.
• Side effects arise from the nervous system, causing increased drowsiness and confusion. In addition, it is possible to reduce visual acuity, noise in the ears, dry mouth, constipation, heart rhythm disturbance, bladder retention and allergic reactions.
• Contraindicated for patients with individual sensitivity to the active ingredient and additional ingredients. Do not appoint patients with malabsorption syndrome of glucose-galactose and deficiency of lactase. It is forbidden to apply to patients taking monoamine oxidase inhibitors. With extreme caution appoint patients with chronic alcoholism, epilepsy, jaundice, arterial hypotension and with oppression of bone marrow function. It is not used during pregnancy and lactation.

Cytoflavin for asthenia

Cytoflavin - a drug that affects the processes of tissue metabolism. Refers to metabolic agents with cytoprotective properties. Activates the formation of energy and respiration in cells, restores the antioxidant defense of the body, stimulates protein synthesis in cells, participates in the rapid utilization of fatty acids. These effects restore the intellectual and mnestic properties of the brain, improve coronary and cerebral blood flow.

• The medication is released in the form of tablets and a solution for infusions. The drug contains several active ingredients: succinic acid, nicotinamide, riboflavin-mononucleotide and inosine. After application it is quickly distributed in all tissues, penetrates through the placenta and into breast milk. Metabolized in the myocardium, liver and kidneys.
• Assign in the complex therapy to eliminate acute disorders of cerebral circulation, chronic ischemia of brain tissue, vascular encephalopathy, increased fatigue and asthenic disease.
• The solution is applied only intravenously drip, diluting with 0.9% sodium chloride solution or glucose solution. Tablets are taken in the morning and in the evening, 30 minutes before meals, 2 times a day for 2 pieces. The course of treatment is 25-30 days.
• Side effects cause a feeling of heat, flushing of the skin, sore throat, bitterness and dry mouth. Perhaps an exacerbation of gout. In rare cases, there is discomfort in the epigastric region, short-term pain in the chest, nausea, headaches, allergic reactions. Contraindicated in breastfeeding, reducing partial pressure. With regard to use during pregnancy, if a woman does not have allergic reactions to the components of the remedy, then it can be used.

[9], [10], [11], [12]

Vitamins for asthenia

Vitamin therapy for asthenic syndrome is carried out regardless of the form of the disease and its clinical features. For therapeutic purposes, use B vitamins, as they restore vital resources and energy reserves of the body.

Let's look more closely at each of the vitamins in this group:

• B1 - thiamine synthesizes bioactive amines, affects the metabolism, participates in the breakdown of glucose, that is, it helps to convert food into energy. It is necessary for the normal functioning of the body, its deficiency is reflected in the work of all organs and systems, and especially the central nervous system. It is not synthesized in the body, so it must necessarily come from food.
• B6 - pyridoxine hydrochloride, is involved in the exchange process. Synthesizes neurotransmitter mediators, which are necessary for the transmission of nerve impulses and the synthesis of hemoglobin. This substance stimulates the work of the bone marrow, antibodies and blood cells, affects the skin condition. Its regular use prevents the development of paresthesias and seizures. In a small amount, it is synthesized by the intestinal microflora.
• B12 - cyanocobalamin, is involved in the metabolism of carbohydrates, proteins and fats. Regulates the nervous and digestive system.

The lack of vitamins can be the cause of the development of a psychopathological syndrome. With a deficiency of nutrients, there is increased nervousness, sleep disorders, decreased efficiency, fatigue, digestive system disorders and asthenia. The use of vitamins is included in the complex of treatment and measures to restore normal body functioning.

Alternatives for asthenia

Along with traditional methods of treating asthenia, alternative means are also used. Such therapy is based on the use of plant components to restore the normal functioning of all organs and systems.

Effective and simple remedies for autonomic ailments, nervous exhaustion and neuroses:

• Grind 300 g of walnuts, two heads of garlic (boiled) and 50 g of dill. Stir well all the ingredients, pour 1 l of honey and let it brew in a dark cool place. Take 1 spoon 1-2 times a day before meals.
• Chop the walnuts and pine nuts to the state of flour, mix with honey (lime, buckwheat) 1: 4. Take 1 spoon 2-3 times a day.
• Spoon the seeds of flax mixed with 20 grams of chamomile medicinal, pour 500 ml of boiling water and let it brew for 2-3 hours. After the drug has been infused into it, you need to add a spoonful of honey and take 100 ml 3 times a day before eating.
• Grind the dates, almonds and pistachios in a 1: 1: 1 ratio. The mixture is consumed 2 times a day for 20 g.
• Restorative properties have warm baths with essential oils. Add a couple of drops of cloves, lemon, cinnamon, ginger or rosemary to the water. This will help to relax and quickly fall asleep.
• Crush 250 g of rosehip, 20 g of St. John's wort and marigold flowers. Mix all ingredients thoroughly and add 500 ml of honey. The product should be infused for 24 hours, take one spoon 3-5 times a day.
• Herbal collection from motherwort, peppermint, oregano and hawthorn will help cope with irritability and bouts of anger. All ingredients are taken in equal proportions, poured 250 ml of boiling water and infused. Take 1/3 cup 3-4 times a day.
• Prepare 100-150 ml of freshly squeezed carrot juice and add a spoonful of honey to it. Drink helps with the decline of strength and fatigue.
• Grass thyme, rhodiola rosea and root leuzei in equal proportions, mix and pour 250 ml of boiling water. Insist for 1-2 hours, strain, add a spoonful of honey and 5 grams of ginger powder. Take ¼ cup 3-4 times a day.

In addition to taking the above described means, spend more time in the fresh air, get enough sleep, rest and do not forget about fully healthy food.

[13], [14], [15], [16], [17]

Herbs for asthenia

Herbs in the treatment of neurological and asthenic diseases are included in the category of alternative means. The advantage of using herbal ingredients is naturalness, a minimum of side effects and contraindications.

Effective herbs in psychopathology:

• Aralia Manchu

From the roots of the plant an alcoholic setting is prepared, which stimulates the work of the heart muscle. To prepare the product, the ground roots of the plant are poured 70% with alcohol in a proportion of 1: 6 and insist two weeks in a warm place. The medicine should be filtered and taken on 30 drops 2-3 times a day, the course of treatment - a month.

• Eleutherococcus spiny

Effectively stimulates the central nervous system, improves mental and physical performance, speeds up the metabolism, increases visual acuity. The plant increases appetite, lowers blood sugar. Helps in the therapy of pathologies of the nervous system, with depression and hypochondria. To make the tincture, take 200 g of the roots of the plant for 1 liter of vodka. The mixture is insisted in a dark, warm place for 2 weeks, constantly shaking. Tincture should be filtered and take 30 drops in the morning and in the evening.

• Schizandra Chinese

Toning and stimulating the nervous system. Excellent increases physical and mental performance, protects the body from the adverse effects of the external environment. Helps with psychosthenia, reactive depression. The medicine is prepared from the seeds or fruits of the plant. Take 10 g of dried fruit of Schisandra and pour 200 ml of boiling water. Infusion take 1 spoon 1-2 times a day.

• Rhodiola rosea

Preparations from this plant improve working capacity, restore strength, help with neuroses and neurotic pathologies. Their daily use reduces irritability, improves attention and memory. The tincture is prepared from the rhodiola root. 20 g of crushed root, pour 200 ml of vodka, insist 2 weeks in a dry, warm place. Therapeutic dose of 25 drops 2-3 times a day.

• Leuzea safflower

Stimulates the central nervous system, helps with hypochondria, vegetative diseases, impotence. It has a general tonic, tonic effect, relieves fatigue and weakness. Infusion is taken 40 drops, diluting in 30 ml of water 1-2 times a day.

• Coffee

Natural stimulator of the central nervous system, relieves fatigue and drowsiness, improves the heart, increases efficiency, relieves muscle fatigue. The abuse of caffeine can lead to hypertension and even myocardial infarction. Contraindicated in patients with heart defects, hypertensive patients, with angina pectoris and heart failure.

Homeopathy for asthenia

Homeopathic therapy involves the use of small doses of substances, which in large doses cause pathological symptoms. Treatment with this method is based on the elimination of a primary disease that caused signs of a nervous breakdown. Malaise is characterized by increased fatigue, decreased efficiency, fast exhaustion, both physical and mental.

Traditional medicine uses the psychostimulants and sedatives to eliminate the ailment. Homeopathy involves the use of harmless medications that are not addictive and side effects. Such funds do not regulate, but do not suppress the functions of the brain and the central nervous system. The drug should be selected by the doctor, indicating the dosage and duration of therapy. Most often use such means: ignacia, nuks vomica, thuja, gelmasium, actea ratsemoza, platinum, cocculus and others. Ginseng Ginseng has proved its worth. He relieves fatigue, tones, gives strength and energy. Helps with fatigue of traumatic nature, increased weakness in elderly patients. Eliminates hand trembling and muscle strain.

Homeopathy is used in combination with other methods, for example, with acupuncture, hirudotherapy and color therapy. The complex approach is more effective, as it helps to quickly eliminate the symptoms of the syndrome. But the main advantage of the method is the opportunity to lead a habitual way of life.

Psychostimulants for asthenia

Psychostimulants are medicines that temporarily improve physical and mental performance. A positive effect is achieved due to the mobilization of reserve capabilities of the body, but the long-term use of tablets depletes them. In contrast to medications that depress the central nervous system, psychostimulants are deprived of selectivity of action, since after stimulation, the oppression of the nervous system occurs.

This group of drugs quickly eliminates fatigue, weakness, helps to fight with irritability and emotional lability. They can be considered a kind of doping for the nervous system, which temporarily eliminates asthenic symptoms.

Classification of psychostimulants:

1. Means that affect the central nervous system:

• Stimulating the cerebral cortex - Meridol, Phenamin, Methylphenamine, Xanthine alkaloids.
• Stimulating the spinal cord - Strychnine.
• Stimulating oblong could - Carbon dioxide, Bemegrid, Camphor, Cordiamin.

2. Acting on the nervous system reflexively - Lobelin, Nicotine, Veratrum.

The above classification is considered conditional, since if the drugs are prescribed in large doses, then stimulate the CNS completely. The medicine is prescribed by the attending physician, since such preparations require a prescription for the purchase.

Psychotherapy for asthenia

Psychotherapy in the treatment of asthenic conditions refers to additional methods, since the main focus is on drug therapy. It is a system of psychological influence on the patient's body. It eliminates the symptoms and the traumatic circumstances that caused them, that is, minimizes the negative impact of psychotraumatic factors. Can be used as a method of rehabilitation and psycho prophylaxis.

For the preparation of the treatment program, the doctor conducts psychological diagnosis and makes a plan. Therapy can be group and individual. The success of its application lies in the patient's close contact with a psychotherapist or a psychologist. But to improve well-being requires compliance with the regime of the day, taking vitamins and adequate nutrition. Regular consultations with a psychologist will help to understand and eliminate the true causes of the ailment.

Treatment of asthenia after the flu

Treatment of asthenic syndrome after influenza refers to the therapy of post-infection psychopathological diseases. As a rule, parasitic, bacterial, viral and fungal infections occur within a short time after recovery. Unpleasant symptoms can last from 2-4 weeks. The main causes of the disease - a metabolic acidosis and tissue hypoxia, which arise due to viral intoxication. Oxygen deficiency disrupts the energy metabolism of cells and accumulates oxidation products, which reduces the absorption of oxygen by tissues and aggravates acidosis at the metabolic level.

In order to cure increased weakness and unreasonable fatigue after the flu, it is necessary to restore the metabolic balance of the body. In the treatment, Stimol proved to be well established. It improves well-being in a short time. In addition, patients are prescribed vitamin therapy (vitamins B, C, RR), adequate nutrition and rest, frequent outdoor walks, minimum stress and more positive emotions.