Long COVID dizziness and sleep loss, a little better on mirtazapine then worse
- Condition
- Long COVID
- At worst
- Mild (working or studying, with limits)
- Ill before improving or writing
- 3 months
- Last post
- Jun 2025
In their words
- Condition: Long COVID
Im not diagnosed but have LC symptoms since 2 months now.
In context ↗ - At worst: Mild
I have to function, I have a job that I can't lose.
In context ↗ - Now: Relapsed
I had really made progress last week. I was feeling better. I thought I could heal, but then I overdid it. ... the anxiety and depression have returned since the beginning
In context ↗ - Began after: stress or burnout
2 days after a severe panic attack where I truly thought I was dying
Read from 11 of their posts and comments; links to the 6 this page draws on
Summary
This user woke exhausted two days after a severe panic attack in spring 2025 and over about six weeks developed dizziness, sleep disturbance, light and noise sensitivity, tinnitus and worsening anxiety and depression. Mirtazapine helped them sleep and feel a little better; sertraline was started but had not yet worked. After a bike ride and sex they felt worse again, and by June 2025 they were still undiagnosed and could not walk long.
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What they tried
What they credit
Also tried
Their words about each treatment
- Mirtazapine · Helped
Since I started taking Mirtazapine 7.5mg, I've been able to sleep well and feel a little better.
In context ↗ - Sertraline · Not said
Im on sertraline a few weeks now but it doesnt work yet.
In context ↗ - therapy · Not said
I've been in therapy many times.
In context ↗ - mindfulness and meditation · Not said
I try, but every morning I wake up and the first thing I think about are the symptoms.
In context ↗ - Wim Hof · Helped
also tried wim hof. It works for the Moment but anxiety comes back
In context ↗ - walking slowly · Helped
if i continue walking slowly my muscles gets like warmed up and it feels better
In context ↗
Approaches: Other antidepressants
Their path
How ill they were on the ME/CFS severity scale, estimated from what they describe at each point, with time counted from when the illness began. Hover or tap a point. Dates are when they posted. What the levels mean.
Show as a table
| When | What happened | Where they were |
|---|---|---|
| March 2025 ("About 6 weeks ago") | woke up completely exhausted two days after a severe panic attackAbout 6 weeks ago, 2 days after a severe panic attack where I truly thought I was dying, I woke up in the morning feeling completely exhausted.In context ↗ | Mild |
| by 2025-05-04 | sleeping well and feeling a little better on mirtazapineSince I started taking Mirtazapine 7.5mg, I've been able to sleep well and feel a little better.In context ↗ | Mild |
| 2025-05-27 ("last week") | felt better and thought they could healI had really made progress last week. I was feeling better.In context ↗ | Mild |
| 2025-05-27 | crashed after sex and a bike ride; anxiety and depression returnedI had sex, went biking for a bit, and the next day I felt worse again, and the anxiety and depression have returned since the beginning.In context ↗ | Mild |
| 2025-06-13 | symptoms fluctuate; still cannot walk longI have the same sometimes its better sometime its worse. I realized if i continue walking slowly my muscles gets like warmed up and it feels better. Still cant walk long.In context ↗ | Mild |
Adverse events
- Sertraline (Zoloft)“I had sideeffects in the beginning with this SSRI but they vanished after a few days ... I started at 25mg and i had side effects but i stayed strong and keep taking it. After 1 week side effects were gone.” Side effects
Symptoms mentioned
Their words about their symptoms
- Post-exertional malaise
I had sex, went biking for a bit, and the next day I felt worse again
In context ↗ - Sleep problems
sleep disturbances
In context ↗ - Light & noise sensitivity
sensitivity to light, smells, and noises
In context ↗ - Anxiety & low mood
the anxiety and now the depression I've developed as a result of these symptoms
In context ↗ - Muscle weakness
Still cant walk long.
In context ↗
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