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ME/CFS Severe → somewhat betterNeeds ongoing treatment

Mostly bedbound and housebound with ME/CFS, now somewhat better on low-dose Abilify

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill before improving or writing
Not stated
Last post
Oct 2026
In their words
  • Condition: ME/CFSwhen i finally got my me/cfs diagnosis In context ↗
  • At worst: SevereIt got me from completely housebound and mostly bedbound to mostly housebound and barely bedbound. In context ↗
  • Now: Somewhat betterIt got me from completely housebound and mostly bedbound to mostly housebound and barely bedbound. In context ↗
Read from 23 of their posts and comments; links to the 17 this page draws on

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Summary

They described a long ME/CFS illness with severe crashes, including one around the turn of 2024 after an infection, with flu vaccination and physical exhaustion as possible factors, and another that had lasted over four months by autumn 2024. Low-dose Abilify, started at 0.25 mg in mid-2025 and raised to 1.25 mg, slowly lifted them from completely housebound and mostly bedbound to mostly housebound and barely bedbound. Pregabalin and a progestin for suspected endometriosis were suspected of worsening them.

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What they tried

Their words about each treatment
  • benzodiazepine · Not saidi already took benzos before like a few years ago against my pain, which lead to me having to go to the hospital due to a meningitis In context ↗
  • sauna · Helpedbefore it totally helped my symptoms! i always feel like a newborn baby afterwards In context ↗
  • pregabalin · Not saidi have no prove that it actually caused the crash or if it was the other triggers or a combination, and my doctor adviced me to just keep taking them In context ↗
  • promethazin · Helpedpromethazin works for me just fine. started taking it as prn medication, now on a daily basis In context ↗
  • sauerkrautsaft shot · Helpedafter passing out the sauerkrautsaft shot always brings me back tho In context ↗
  • alcohol free beer · Not saidi m literally drinking alcohol free beer rn! In context ↗
  • cold shower · Not saidthey re exhausting, but not as exhausting as the agony of hot flushes and sleepless nights In context ↗
  • desloratadin · Helpedwhen i use them my symptoms do get better immediately In context ↗
  • allergy nose spray · Helpedallergy nose spray from my gp and when i use them my symptoms do get better immediately In context ↗
  • uti vaccine · No changei postponed it for a few weeks when i felt slightly more stable and i could gladly handle it quite well In context ↗
  • Low Dose Abilify · Helped a lotIt got me from completely housebound and mostly bedbound to mostly housebound and barely bedbound. In context ↗
  • Dienogest/ Zafrilla · WorseI’ve been taking it for a month now and just linked my recent excessive tiredness and fatigue with the onset of this new medication In context ↗
  • pacing · Not saidNow I only have to pay attention to not let my pacing slack off, I tend to get carried away with euphoria at the first sight of success. In context ↗
  • tianeptin · Not saidmy cocktail contains: tianeptin, lamotrigin, quiviviq, pregabalin, panthoprazol, desloretadin In context ↗

Approaches: Other drugs and medicines

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
—ME/CFS onset; trigger not describedi developed allergy symptoms 2 years ago after getting me/cfs In context ↗Not stated
2024-01-10severe crash after an infection/cold, flu vaccination and physical exhaustionshortly afterwards i had a severe crash caused by an infection/ cold In context ↗Severe
2024-02-22went to sauna after an episode and got sick againi went to the sauna 2 days ago and now i’m sick again In context ↗Moderate
2024-10-21crash within a crash lasting over four months, baseline droppedmy current one lasts for already 4+ months too and it deffo feels so different like my baseline dropped significantly In context ↗Severe
2026-02-25gradual baseline rise after six months of low-dose AbilifyIt got me from completely housebound and mostly bedbound to mostly housebound and barely bedbound. In context ↗ModerateLow-dose Abilify / aripiprazole
2026-10-06excessive tiredness after starting Zafrilla/dienogest for suspected endometriosisit now got to an extent where I want to sleep constantly and in every waking moment I’m so terribly tired In context ↗Severe

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseIt doesn’t take away the PEM, but it got much less worse. In context ↗
  • Sleep problemsi just got it prescribed against my severe insomnia In context ↗
  • Neuropathy & tinglingrecently got prescribed pregabalin against my neuropathic pain In context ↗
  • Gut problemsseveral gastrointestinal complaints (which i had too) In context ↗
  • Mast cell (MCAS) & allergiesi developed allergy symptoms 2 years ago after getting me/cfs In context ↗
  • Temperature regulationi also have severe hot flushes on a daily In context ↗

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