MEDICAL MATTERS
- Medical Matters features questions asked by Members of the ME Association on health-related topics.
- Dr Charles Shepherd and the ME Association's other advisers answer these questions by sharing their expert knowledge.
- Medical Matters is based on the popular ‘Ask the Doctor’ series in ME Essential magazine.
- It is a free resource that supplements the detailed information contained in the full range of literature that can be found in the website shop.
Search all questions
Choose a letter to see our categories
- Show all
- A
- B
- C
- D
- E
- F
- G
- H
- I
- J
- K
- L
- M
- N
- O
- P
- Q
- R
- S
- T
- U
- V
- W
- Y
- SLE
- SNOMED-CT
- SPECT Scans
- SSRI
- Safety
- Salbutamol
- Saliva Tests
- Samaritans
- Sarcoidosis
- Sarcopenia
- Scotland
- Seasonal Allergic Rhinitis
- Second Opinion
- Secondary Care
- Seizure
- Selective Serotonin Reuptake Inhibitor
- Self-Help
- Sensory Disturbances
- Sensory Neuropathy
- Sepsis
- Septicaemia
- Serotonin
- Sertraline
- Serum Alkaline Phosphatase
- Severe ME/CFS
- Severe Pain
- Sex ratio of ME/CFS
- Shakiness
- Shaking
- Shingles
- Shortness of Breath
- Side-effects
- Sjogren’s syndrome
- Skin
- Skin Rashes
- Sleep
- Sleep Disturbance
- Sleep Paralysis
- Slurred Speech
- Smoking
- Social Care
- Social Services
- Sodium
- Solicitor
- Sore Throat
- Sotrovimab
- Specialist Services
- Specialists
- Spinal Cord
- Statins
- Steroids
- Stimulants
- Stomach Issues
- Stomach Pains
- Stress
- Stretching Exercises
- Stroke
- Supplements
- Surgery
- Swallowing
- Swallowing Problems
- Sweating
- Swimming
- Swimming Pool
- Swollen Glands
- Swollen Lymph Nodes
- Swollen Salivary Glands
- Swollen hands and feet
- Symptoms
- Synacthen
- Synacthen stimulation test
Questions in the Category: Stimulants
Muscle twitching/fasciculations
Unlike some people with ME, I don’t have a big problem with muscle pain. But I do get muscle twitching, especially when I’m tired or going through a ‘bad patch’. The twitching not only affects the big muscles in my arms and legs – it sometimes affects muscles on the face and makes my eyelids twitch as well! Is this a recognized problem in ME? And is there anything I can do to relieve it?
The 2021 NICE Guideline ME/CFS: Drug Treatments
Comparing some of the recommendations on the use of specific drugs in the new NICE guideline to those in the previous 2007 NICE guideline, I see that melatonin is no longer given a possible recommendation for sleep disturbance in the 2021 guideline and the “do not use” instruction in the 2007 guideline no longer applies to antiviral drugs, fludrocortisone, steroids and thyroxine.
Does this mean that doctors can no longer prescribe melatonin but that they can now prescribe amphetamines, antiviral drugs, steroids, etc for people with ME?
Dr Charles Shepherd
Dr Shepherd has been Trustee and Hon. Medical Adviser to the ME Association for more than 40 years. He is integral to the charity's activities and provides information and support based on his professional knowledge, personal experience as a doctor with ME/CFS, and the understanding gained from helping many thousands of people with the condition. He was a member of the comittee responsible for the 2021 NICE Clinical Guideline and is a recognised expert on ME/CFS in the UK. His knowledge extends to Post-Viral Fatigue Syndromes (PVFS), Myalgic Encephalopathy/Encephalomyelitis (ME), Chronic Fatigue Syndrome (CFS), and Post-Acute Sequelae of SARS-CoV-2 infection (PASC) or Long Covid.
If you have questions about ME/CFS or Long Covid, you can:
- Review the free information in the What is ME/CFS section of the website, and the free Covid-19 and Long Covid information in the website shop.
- Review the largest range of literature covering all aspects of living with ME/CFS. Download detailed information about symptoms, diagnosis, management, co-mordidities, employment, education, related health conditions, The 2021 NICE Clinical Guideline, welfare benefits etc.
- Join the ME Association as a member and you'll receive the highly-rated ME Essential magazine, and you can ask questions of the charity’s expert advisers including Dr Shepherd.
- Contact us via the ME Connect Telephone Helpline (open 365 days a year) and speak to one of the national team of fully-trained volunteers who waiting to provide information and support.
- Contact us via email or social media:
Medical Matters is based on the popular ‘Ask the Doctor‘ series featured in the highly-regarded member’s magazine, ME Essential, and in the healthcare professional magazine, ME Medical. Both are produced by the ME Association and published as hard-copy magazines every 3 months and sent to members and healthcare professionals by post to home or business addresses.
If you are a Health Care Professional you can sign-up to receive ME Medical magazine (people with ME/CFS can also nominate their HCP by completing the sign-up form).