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ME/CFS Severe → no benefit

ME/CFS with intractable migraine; drugs and sleep apnoea treatment no help

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill for
Not stated
Last post
Oct 2026
In their words
  • Condition: ME/CFSafter the same virus that kickstarted my me In context ↗
  • At worst: Severei rest in bed in the dark for most of the day In context ↗
  • Now: No benefiti have not had any luck with preventative meds (have trialed all of the new ones, and the majority of the older ones) In context ↗
  • Began after: another virusafter the same virus that kickstarted my me In context ↗
Read from 8 of their posts and comments; links to the 8 this page draws on

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Summary

Dove 92843's ME/CFS began after a virus that also made their chronic migraine intractable. They rest in bed in the dark most of the day and keep ice packs by the bed in case they are bedbound. Preventative migraine drugs failed; the Cefaly device and timolol eye drops ease pain, promethazine helps nausea, and fludrocortisone helped more than midodrine with being upright. Treating mild sleep apnoea did not change symptoms.

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What they tried

Their words about each treatment
  • preventative migraine medications · No changei have not had any luck with preventative meds (have trialed all of the new ones, and the majority of the older ones) In context ↗
  • promethazine · Helpedi take promethazine acutely a few times a week when the migraine symptoms are at their most severe, it helps me with nausea and can sometimes help me rest despite the pain. In context ↗
  • cefaly device · Helpedmy most used and effective treatment is the "cefaly" neuromodulated device. it doesn't prevent attacks (for me, can for others) but helps manage pain. In context ↗
  • timolol eye drops · Helpedi also use timolol eye drops for migraine pain it is the most effective medication i've tried for me personally, having failed all others, and with no side effects. In context ↗
  • nettle tea · Helpedi drink nettle tea every day, i think it helps mildly with histamine response In context ↗
  • device for sleep apnea · No changei did a sleep test, found i had mild sleep apnea, and started using a device to treat it. they retested me with the device and found my scores were up to normal level, but my symptoms hadn't changed In context ↗
  • fludrocortisone · Helpedfludrocortisone helped me more than midodrine with being upright In context ↗
  • fl-41 glasses · Not saidi wear fl-41 glasses any time i am out of a dark room or looking at a screen In context ↗

Their path

Very severeSevereModerateMildNear normalRecovered

How ill they were on the ME/CFS severity scale, estimated from what they describe at each point, in the order they describe; they don’t give enough times to place each step. Hover or tap a point. 1 step says too little to place on the scale and is only in the table. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
—virus triggered ME/CFS and turned chronic migraine intractableafter the same virus that kickstarted my me In context ↗Not stated
—resting in bed in the dark most of the day, at times bedboundi rest in bed in the dark for most of the day In context ↗Severe
2026-10-07Cefaly device and timolol eye drops ease migraine painmy most used and effective treatment is the "cefaly" neuromodulated device In context ↗Severe
2026-10-15still severely ill; fludrocortisone helps more than midodrine with being uprightfludrocortisone helped me more than midodrine with being upright In context ↗SevereFludrocortisone / Florinef

Adverse events

  • “i have been able to tell insurance that side effects were intolerable for some meds, and they counted those discontinued trials towards the prereqs for the cgrps/botox/etc!” In context ↗ Side effects

Symptoms mentioned

Their words about their symptoms
  • Headaches & migrainei went from chronic migraine (multiple times a week but distinct attacks) to intractable migraine after the same virus that kickstarted my me In context ↗
  • Gut problemsit helps me with nausea In context ↗
  • POTS & dysautonomiai currently have a garmin and track my sleep and heart rate (i get OI) In context ↗
  • Sleep problemsoften am not able to fall asleep until 3 or so In context ↗
  • Light & noise sensitivityi do best if i can slowly expose myself to light, sound, and sitting in the morning over the course of 1-2 hours In context ↗
  • Post-exertional malaisethe migraine symptoms fluctuate with my crashes/after expenditure In context ↗

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