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ME/CFS Very severe → no benefit

Housebound with ME/CFS, still very severe with no benefit

Condition
ME/CFS
At worst
Very severe (bedbound, unable to do basic care)
Ill for
Not stated
Last post
Sep 2025
In their words
  • Condition: ME/CFSnow that I have ME/CFS, I'm scared of crashing every time due to the intense emotions In context ↗
  • At worst: Very severeim extremely severe atm. In context ↗
  • Now: No benefitim extremely severe atm. In context ↗
Read from 25 of their posts and comments; links to the 18 this page draws on

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Summary

A Reddit user with ME/CFS, POTS and PTSD who was housebound 90% of the time a few weeks before September 2024 and later described themselves as extremely severe, needing help washing in bed. Prednisolone with an antiviral, low-dose naltrexone, occasional Ativan and better pacing stopped the decline: still very severe, but able to eat two meals unaided and walk about 100 steps a day. Gabapentin helps a bit.

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What they tried

Their words about each treatment
  • guided meditations · HelpedI have tried listening to guided meditations though and they really help me calm down. In context ↗
  • Betablocker · Not saidi halved the dosage, no improvement. In context ↗
  • Welltory · Not saidI have an app called Welltory, every time I take a measurement in school it tells me that my physiological stress is really high and I need to rest. In context ↗
  • trauma therapy · WorseMost of the time, I need to rest for a couple of days afterward and can't attend school, because the session was so damanding. In context ↗
  • EMDR · HelpedFor me, EMDR did work for my cPTSD In context ↗
  • LDN · Helpedldn helped because I got a little less severe with it, but in very bad crashes I still sometimes get these states again In context ↗
  • diet low in histamine · Helpedalso a diet low in histamine helped!! I do not have mcas tho but it still helped! In context ↗
  • Ativan / sedating meds · HelpedI can avoid crashes if I take Ativan instantly after any feelings of panic In context ↗
  • mestinon · HelpedI think I finally got out of my recent pots flare up by increasing mestinon In context ↗
  • prednisolone · Helped a lotyes i took prednisolone twice for two weeks and i loved it, nothing helps as well as prednisolone for me!! In context ↗
  • an antiviral medication · Helpedprednisolone in combination with an antiviral medication (i had ebv reactivations) In context ↗
  • better pacing · Helpedthe five things that stopped me from deteriorating were prednisolone in combination with an antiviral medication (i had ebv reactivations), ativan for occasional use, LDN and better pacing. In context ↗
  • methylphenidate · Much worseoverexerting because of the fake energy methylphenidate gave me was the reason why I got permanently worse In context ↗
  • compression socks · Not saidcompression socks + I can still walk ~100 steps a day, my doc says that’s enough to avoid thrombosis In context ↗
  • Gabapentin · Helpedmine is very severe. Gabapentin helps a bit In context ↗
  • infusions for mitochondria · No changedidn’t help me at all, can make some people worse 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. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
2024-09-12Housebound 90% of the time, walks caused crashesa few weeks ago I was housebound 90% of the time. going for a walk would send me in a crash and I was experiencing PEM after almost every activity In context ↗Severe
2024-11-18Two-week crash with light intoleranceNow after i crashed i can’t tolerate light anymore, can be on my phone/watch tv only a very limited amount of time In context ↗Severe
2025-06-19Stopped deteriorating on prednisolone, antiviral, Ativan, LDN and pacingthe five things that stopped me from deteriorating were prednisolone in combination with an antiviral medication (i had ebv reactivations), ativan for occasional use, LDN and better pacing In context ↗Very severeLow-dose naltrexone
2025-06-25Able to eat two meals unaided, out of POTS flaretoday I was able to eat two meals by myself ... also I think I finally got out of my recent pots flare up by increasing mestinon In context ↗SevereMestinon / pyridostigmine
2025-07-13Extremely severe, bedbound, washed in bedim extremely severe atm. there is some point where i think its genuinely not possible anymore to find some meaning In context ↗Very severe
2025-09-15Still very severe; gabapentin helps a bitmine is very severe. Gabapentin helps a bit In context ↗Very severe

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI was experiencing PEM after almost every activity In context ↗
  • POTS & dysautonomiaMy POTS (I have the hyperadrenergic type) In context ↗
  • Light & noise sensitivitycan’t tolerate light anymore In context ↗
  • Heart symptoms & palpitationsI‘m getting severe chest pain again, my heart rate gets very high very easily In context ↗
  • Gut problemsmy nausea got worse In context ↗
  • Flu-like symptomsI feel like I’m getting the flu every morning and night In context ↗
  • Anxiety & low moodI kept breathing and didn’t act on suicidal thoughts In context ↗

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