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ME/CFS Moderate → no benefit

ME/CFS fatigue and brain fog, still no better after Adderall, modafinil and Lexapro change

Condition
ME/CFS
At worst
Moderate (mostly housebound)
Ill for
Not stated
Last post
Feb 2025
In their words
  • Condition: ME/CFSThe fatigue just keeps getting worse. In context ↗
  • At worst: ModerateI can barely get up the stairs and I only feel comfortable laying flat now In context ↗
  • Now: No benefitStill fatigued, but the depression has dissipated. In context ↗
  • Began after: nothing they could nameThe fatigue just keeps getting worse. In context ↗
Read from 6 of their posts and comments; links to the 5 this page draws on

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Summary

Cardinal 16581, a US Reddit user, described worsening fatigue with brain fog, constant tingling, dizziness, low blood pressure and headaches, spending most of their life sleeping and barely able to climb stairs. Adderall and modafinil did not help. Lowering their long-term Lexapro dose for two months brought depression without easing fatigue; going back to the full dose lifted the depression but the fatigue remained.

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What they tried

Their words about each treatment
  • lexapro · HelpedI started taking the full dose again yesterday and I feel better. Still fatigued, but the depression has dissipated. In context ↗
  • adderall · No changethe meds aren’t working In context ↗
  • modafinil · No changemodafinil (currently trying a test run, just increased to 200mg) isn’t working In context ↗
  • temazapam · HelpedI also take temazapam at night because it’s the only thing that makes me stay asleep at night (it works about half the time) In context ↗
  • birth control pills · Not saidI was on birth control pills for the longest time and in my early thirties I was having menopausal symptoms. 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
—fatigue gradually worseningThe fatigue just keeps getting worse. In context ↗Not stated
December 2024depression after lowering Lexapro dosealthough now that I have reduced it I think it's making me depressed In context ↗Moderate
2025-02-03back to full Lexapro dose, depression gone but still fatiguedI started taking the full dose again yesterday and I feel better. Still fatigued, but the depression has dissipated. In context ↗ModerateEscitalopram (Lexapro)

Symptoms mentioned

Their words about their symptoms
  • Brain fogNow it’s all brain fog, unfocused, forgetfulness. In context ↗
  • Sleep problemsI spend most of my life sleeping or trying to sleep. In context ↗
  • POTS & dysautonomiamy blood pressure is usually low. 80/54 In context ↗
  • Neuropathy & tinglingI have tingling in my body constantly In context ↗
  • Headaches & migrainealways had headaches In context ↗
  • Anxiety & low moodalthough now that I have reduced it I think it’s making me depressed In context ↗

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