OK....I am of the mind that "nothing" should be kept off the table when it comes to a cancer patient getting through this ordeal. I've had a few famous discussions on these boards (some of which I'm not proud of) about antidepressants. I am for them IF that's what a patient believes they need to help them through a situation.

The studies on the effectiveness of ALL antidepressants aren't great...up to 50% of those on the various types (SSRI's, MAOI's, TCA's etc...) don't report a difference when on them and then consider the "placebo effect". Point is...antidepressants aren't the end all be all when it comes to depression.

As far as fatigue goes...I've suffered from CRF (cancer related fatigue) for over 2 years after treatment. I no longer take pain meds, my thyroid levels are fine...but I did find that getting my testosterone levels checked and then supplemented helped me some...as well as upping my B vitamin intake. I use 5 hour energy, they came in especially handy when I opened up my own business and started working 16-18 hour days but I still "hit a wall" often where I just can't do anymore and have to just rest.

Keep your chin up

Eric