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ME/CFS Moderate → somewhat betterNeeds ongoing treatment

ME/CFS with a racing heart and days in bed, somewhat better on ivabradine

Condition
ME/CFS
At worst
Moderate (mostly housebound)
Ill before improving or writing
Not stated
Last post
Oct 2026
In their words
  • Condition: ME/CFSI was diagnosed in December 2021 with either POTs or IST or possibly both, plus ME. In context ↗
  • At worst: ModerateSometimes my partner would come home and I'll I'd managed to do was make it downstairs and sit on the sofa In context ↗
  • Now: Somewhat betterBut yeah definitely an improvement in my quality of life! In context ↗
Read from 10 of their posts and comments; links to the 8 this page draws on

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Summary

The user, in the UK, posted in 2020 and was diagnosed in December 2021 with POTS or IST as well as ME. Ivabradine lowered a resting heart rate that had stayed above 100 and they felt less tired. They still woke at 4-5am, had days in bed or on the sofa, and later took duloxetine, which helped at first until only side effects remained.

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What they tried

Their words about each treatment
  • D3 / vitamin D · HelpedMine were quite low and supplementing helped a lot. I took D3, K2, magnesium and boron. I stopped for a while and noticed I felt worse again. In context ↗
  • K2 · HelpedI took D3, K2, magnesium and boron. I stopped for a while and noticed I felt worse again. In context ↗
  • ivabradine · HelpedI have been put on ivabradine 2.5mg 4 times a day. I have already noticed I'm not as tired In context ↗
  • therapy for cptsd · Not saidWhen I was having therapy for cptsd my therapist helped me to realise gaming was my down time and a form of self care In context ↗
  • amitriptyline · HelpedI used to be on amitriptyline which did help me sleep better, I'd still wake up but would go back to sleep but I had to keep increasing my dose until I was at the highest and then come off it In context ↗
  • mindfulness / breathing exercises · Not saidI try mindfulness, focusing on my breathing sometimes counting sometimes just telling myself in and out but I'm hopeless at it. In context ↗
  • Visible · Not saidPersonally I mostly ignore the morning stability now In context ↗
  • duloxetine · HelpedIt helped me to start with but I kept having to go on a higher dosage until all that was left was side effects. In context ↗

Approaches: POTS medication · Supplements

Their path

They say too little about how ill they were at each step to draw it on the severity scale, so the steps are listed as they describe them. Dates are when they posted.

WhenWhat happenedWhere they wereAfter
—ME/CFS, later diagnosed alongside POTS or ISTI was diagnosed in December 2021 with either POTs or IST or possibly both, plus ME. In context ↗Not stated
February 2022ivabradine started, less tiredI have already noticed I'm not as tired although I'm trying not to push myself too much too soon. In context ↗Not statedIvabradine
June 2023some days stuck in bed, other days only made it to the sofaSometimes my partner would come home and I'll I'd managed to do was make it downstairs and sit on the sofa In context ↗Severe
October 2026duloxetine helped at first, then only side effects as dose roseIt helped me to start with but I kept having to go on a higher dosage until all that was left was side effects. In context ↗Not stated

Adverse events

  • Duloxetine (Cymbalta)“It helped me to start with but I kept having to go on a higher dosage until all that was left was side effects” In context ↗ Side effects
  • Duloxetine (Cymbalta)“Yeah the withdrawal can happen so quickly it's scary. If I slept too long and was say even 2 hours late it messed me up.” In context ↗ Withdrawal problems

Symptoms mentioned

Their words about their symptoms
  • Sleep problemsI'm waking at between 4am and 5am and then unable to get back to sleep In context ↗
  • POTS & dysautonomiadiagnosed in December 2021 with either POTs or IST or possibly both, plus ME In context ↗
  • Heart symptoms & palpitationsmy resting hr never went below 100bpm unless I was laid totally flat In context ↗
  • Brain fogsome days I can concentrate better than others In context ↗
  • Anxiety & low moodSo I understand the anxiety around it. In context ↗

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