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Long COVID Outcome unclearNeeds ongoing treatment

Long COVID with POTS and MCAS, well managed with medication

Condition
Long COVID
At worst
Not stated
Ill for
Not stated
Last post
Jun 2026
In their words
  • Condition: Long COVIDI get the pyridostigmine from a Long Covid NP In context ↗
Read from 1 of their posts and comments; links to the one this page draws on

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Summary

Pelican 75721 reported having both POTS and MCAS and said the combination was pretty well managed with medication. Xolair, metoprolol and pyridostigmine helped most, reducing histamine food reactions, itchiness, flushing and anxiety; LDN and oral cromolyn also helped. They still had POTS and MCAS at the time of writing.

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What they tried

Their words about each treatment
  • Xolair · HelpedXolair got rid of most of my histamine food reactions and I've been able to add so much back to my diet, as well as itchiness, skin flushing and anxiety In context ↗
  • Metoprolol · HelpedMetoprolol (12.5 mg) and pyridostigmine (Mestinon, just 30mg) have really helped with the POTS and MCAS combo In context ↗
  • pyridostigmine (Mestinon) · Helpedpyridostigmine (Mestinon, just 30mg) have really helped with the POTS and MCAS combo In context ↗
  • LDN · HelpedI also take LDN and oral cromolyn sodium, which help for sure, but I think the others made a bigger impact for me In context ↗

Symptoms mentioned

Their words about their symptoms
  • POTS & dysautonomiaI definitely still have both POTS and MCAS In context ↗
  • Anxiety & low moodas well as itchiness, skin flushing and anxiety In context ↗

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