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Long COVID Severe → near normalIll 2 years before improving or writingNeeds ongoing treatment

Long COVID with migraines and POTS-like tachycardia, now near normal with a stimulant

Condition
Long COVID
At worst
Severe (mostly bedbound)
Ill before improving or writing
2 years
Last post
Feb 2024
In their words
  • Condition: Long COVIDvery direct long haul symptoms In context ↗
  • At worst: SevereI was in basically the same situation in about month 2 and I never thought I'd get better. In context ↗
  • Now: Near normalhas made me feel almost normal again even with dysautonomia, food intolerances, post-exertional fatigue, etc. In context ↗
  • Began after: COVIDCaught covid in late December
Read from 18 of their posts and comments; links to the 8 this page draws on

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Summary

Stone 39048 caught COVID in late December 2021, then developed heartburn, GI problems, a three-week migraine that hospitalised them, leg tendonitis and POTS-like tachycardia. A beta-blocker, rest and diet helped; by nine months they felt much better. A possible reinfection in August 2023 caused neck and jaw pain, but by February 2024 an ADHD stimulant had them near normal, with dysautonomia, food intolerances and post-exertional fatigue remaining.

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What they tried

Their words about each treatment
  • nortriptyline · Helpednortriptyline was the only med that relieved a 3 week long migraine I had ... Nortriptyline brought me up to like 60% in a matter of a week or two
  • metoprolol · HelpedBeta blockers currently helping ... Metoprolol has made it much less noticible in daily activities
  • Ibuprofen · HelpedAssuming its just costo flares since Ibuprofen seems to help a bit. In context ↗
  • Rest · HelpedRest and improved diet made the most difference for me. In context ↗
  • horse chestnut supplements · HelpedBeen taking horse chestnut supplements and wearing compression socks during flares and it seems to help. In context ↗
  • Heat and cold · No changeBeen trying heat, cold, and ibuprofen but not much is helping. In context ↗
  • stimulant medication · Helped a lota low dose of stimulant medication (for prior ADHD combined with new brain fog) has made me feel almost normal again In context ↗

Approaches: Beta-blockers · Diet · Pacing · Stimulants · Tricyclic antidepressants

Their path

What they say at each step doesn’t fit the worst point or outcome above on the severity scale, so the steps are listed as they describe them. Dates are when they posted.

WhenWhat happenedAfter
late December 2021Caught COVID, then weeks of severe heartburn and GI problemsCaught covid in late December, January had the most intense heartburn of my life In context ↗
March 2022Three-week migraine that hospitalised them, then out-of-control heart ratestarted having a migraine which would go on for 3 weeks straight eventually hospitalizing me In context ↗
May 2022Diagnosed with tachycardia, started a beta-blocker and began improvingBeen properly diagnosed with tachycardia and on beta-blockers now. Been much better as of lately thanfully. In context ↗Metoprolol (Lopressor, Toprol)
September 2022Feeling much better after rest and diet changesRest and improved diet made the most difference for me. In context ↗Pacing and the energy envelope
2023Doing a lot better in the months before the reinfectionBeen doing a lot better in the last few months and not having a good time In context ↗Stimulants (unspecified)
August 2023Reinfection with something; neck, shoulder and jaw painReinfected with something, not sure if covid or not, but my neck, shoulder, and jaw keep rotating in and out of being stiff and painful. In context ↗
February 2024Almost normal on a low-dose stimulant, with some limits remaininga low dose of stimulant medication (for prior ADHD combined with new brain fog) has made me feel almost normal again even with dysautonomia, food intolerances, post-exertional fatigue, etc. In context ↗Stimulants (unspecified)

Adverse events

  • Nortriptyline (Pamelor)“Tachycardia and believed to have POTs which was further aggravated by the nortriptyline I was put on for migraine prevention.” In context ↗ Heart rhythm problems
  • Metoprolol (Lopressor, Toprol)“I've tapered down from 25 to 12.5 over the course of about 2 weeks. Still on 12.5 and my body is having a hard time moving down from here but stable at consistent dose.” In context ↗ Withdrawal problems

Symptoms mentioned

Their words about their symptoms
  • POTS & dysautonomiahas made me feel almost normal again even with dysautonomia In context ↗
  • Headaches & migrainea migraine which would go on for 3 weeks straight eventually hospitalizing me In context ↗
  • Gut problemsJanuary had the most intense heartburn of my life that wouldn't let me eat or barely sleep In context ↗
  • Sleep problemsa lot of trouble sleeping In context ↗
  • Pain & fibromyalgiamy neck, shoulder, and jaw keep rotating in and out of being stiff and painful In context ↗

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