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Long COVID Moderate → no benefitIll for 13 monthsNeeds ongoing treatment

Long COVID with severe morning fatigue, dysautonomia and brain fog; ibudilast no benefit

Condition
Long COVID
At worst
Moderate (mostly housebound)
Ill for
13 months
Last post
Sep 2024
In their words
  • Condition: Long COVIDthere was a point in my LC journey In context ↗
  • At worst: ModerateI just need to lie down and close my eyes. In context ↗
  • Now: No benefitEven now, a 70mg dose feels like a 50mg dose or something In context ↗
  • Began after: COVIDabout 7 months before I got Covid
  • Says they never had: Post-exertional malaiseI don’t have chronic fatigue and PEM in the same way I’ve read other people here describing it
Read from 8 of their posts and comments; links to the 7 this page draws on

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Summary

Developed long COVID in August 2023 with severe morning fatigue, dysautonomia, MCAS with repeated anaphylaxis and brain fog. Vyvanse, already taken for ADHD, kept them functional, though they sometimes needed double doses. They joined an ibudilast trial but suspected placebo, and by September 2024 brain fog persisted and their usual dose felt weaker.

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What they tried

Their words about each treatment
  • Vyvanse · Helped a lotIf I hadn’t had this prescription, I would have been absolutely not functional since August when it all started. ... Without any vyvanse, I’d be doomed.
  • Prazosin · HelpedI took that for massive PTSD nightmares over a period of a few years. Was a huge help. In context ↗
  • Salt / electrolyte capsules · Helpedtake my electrolyte capsules! It makes a huge difference for me too In context ↗
  • Quercetin · WorseI had my first episode of anaphylaxis after I took Quercetin. In context ↗
  • antihistamines · Not saidsometimes have to have my partner bring me a coffee, my antihistamines, and my vyvanse in bed In context ↗
  • ibudilast · Not saidI was ibudilast arm and I assume also placebo. ... can’t tell In context ↗

Their path

Very severeSevereModerateMildNear normalRecoveredonset6 mo12 mo

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
WhenWhat happenedWhere they were
2023-08Long COVID onset after Covid infectionI would have been absolutely not functional since August when it all started In context ↗Moderate
2024-02-19still severely fatigued each morning, needing to lie down dailyI feel like I’ve been hit by a truck in the mornings, I need 2891 alarms to wake up In context ↗Moderate
2024-09-15stimulant dose feels weaker, brain fog persistsEven now, a 70mg dose feels like a 50mg dose or something, like my ADHD is less severe than unmedicated In context ↗Mild

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Brain fogIt’s just the severity of the brain fog. In context ↗
  • POTS & dysautonomiaA lot of my main symptoms seem to stem from increased dysautonomia In context ↗
  • Mast cell (MCAS) & allergiesI’ve had anaphylaxis so many times, have an Epi-Pen just in case, and get daily reactions from cold, heat, and any food I eat In context ↗
  • Sleep problemsI need 2891 alarms to wake up In context ↗
  • Gut problemshad no change in my GI symptoms In context ↗

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