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ME/CFS Moderate → no benefitIll for 4 years

ME/CFS for four years with body aches and brain fog; little from naltrexone, still ill

Condition
ME/CFS
At worst
Moderate (mostly housebound)
Ill for
4 years
Last post
Jul 2026
In their words
  • Condition: ME/CFSI've been dealing with CFS/ME for over 4 years In context ↗
  • At worst: ModerateBecause of certain meds I'm able to get about 3-4 hours a day to enjoy my hobbies. In context ↗
  • Now: No benefitThe mental and physical issues are both really intense at the moment. In context ↗
  • Began after: nothing they could nameAfter that year I started experiencing symptoms of CFS/ME
Read from 42 of their posts and comments; links to the 30 this page draws on

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Summary

A 29-year-old Australian with ME/CFS for four years described constant discomfort, sleep problems, body aches and brain fog. ADHD stimulants (Vyvanse and dexamfetamine) helped them function and with suicidal thoughts, and certain medications let them enjoy hobbies for 3-4 hours a day; nicotine patches, low-dose Abilify and cannabis helped. Naltrexone, SSRIs, antipsychotics and gabapentin gave little, and they stayed ill, limited to sedentary hobbies.

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What they tried

Their words about each treatment
  • Melatonin · HelpedMelatonin worked really well for me before I had CFS. Now it helps at times but other times it doesn't do much. In context ↗
  • Doxylamine · HelpedCertain medications like Dimenhydrinate (converts to Diphenhydramine) and Doxylamine really help me sleep In context ↗
  • Ambien · HelpedI've had Ambien in the past and it's helped a lot. In context ↗
  • Zopiclone · HelpedI've tried Ambien and Zopiclone which worked well but it's extremely difficult to get them prescribed In context ↗
  • SSRIs/SNRIs, tricyclics, MAOI, Zoloft · No changeI'm on 150mg of Zoloft but I don't feel like it's doing a lot so I may start tapering off it soon. In context ↗
  • Antipsychotics (Olanzapine, Seroquel) · WorseI've been prescribed antipsychotics like Olanzapine and Seroquel for sleep which helped but messed with my other meds the next day In context ↗
  • Gabapentin / Lyrica · No changeI've tried many antidepressants, antipsychotics, Gabapentin/lyrics etc. with not a lot of relief In context ↗
  • Low dose naltrexone · No changeI do take low dose naltrexone but it's not helping much with reducing my alcohol use. I've tried the 50mg dose with not a lot of success as well. In context ↗
  • NAC · HelpedI take NAC to help prevent liver issues from alcohol and it helps with my CFS/ME symptoms. In context ↗
  • CBD full spectrum oil with THC · HelpedCBD full spectrum oil with small amounts of THC was really helpful for certain issues like anxiety and nausea. In context ↗
  • CBN · HelpedI also tried CBN, CBG and CBC together which were great as well In context ↗
  • PEA · HelpedPEA is another helpful medication. In context ↗
  • Kratom · HelpedKratom is great but I just want to warn you that it is addictive In context ↗
  • Ketamine · HelpedKetamine helps me but it's unfortunately not available as a mental health treatment in the country I live in In context ↗
  • Vyvanse · Helped a lotI use Vyvanse and Dexamphetamine Instant release throughout the day and it's the only thing that helps me function In context ↗
  • Ritalin · WorseI've also tried Ritalin and Concerta in the past but they made me way too jittery and anxious. In context ↗
  • Nicotine patches · HelpedI've found out that Nicotine patches help me with CFS/ME, I don't take them every day. In context ↗
  • Wellbutrin · Not saidI've been prescribed the antidepressant Wellbutrin for my mental issues and to give me more energy In context ↗
  • DXM · HelpedI find low doses of DXM beneficial and will continue to use DXM. In context ↗
  • Propranolol / beta blocker · HelpedI'm on a beta blocker which helps me a bit with the heart rate. In context ↗
  • Low dose Abilify · HelpedLow dose abilify helps but is much more mild than my ADHD meds or Nicotine. In context ↗
  • Rexulti · HelpedI'm prescribed Rexulti at the moment which is very similar to Abilify. I take 0.5mg In context ↗
  • ERP for OCD · WorseI then got CFS/ME and tried to do ERP for my OCD and it just made CFS worse. In context ↗
  • Therapy · No changeI've tried medications and therapy with not a lot of success. In context ↗
  • Meditation and somatic exercises · Not saidI can still meditate and do somatic exercises but I don't feel like doing them as much In context ↗
  • Jogging and long walks in nature · HelpedJogging and long walks in nature were really helpful for my mental health. In context ↗
  • CoQ10 · Not saidI also take certain supplements such as Coq10, creatine, l-theanine and Magnesium. In context ↗
  • Creatine · HelpedCreatine is good as well In context ↗
  • Magnesium · No changeSupplements like Magnesium, Apigenin, CBD, certain herbal supplements etc. also don't seem to help me much for sleep. In context ↗
  • Inositol · HelpedInositol gave me some relief years before I had CFS/ME. In context ↗
  • NAG · HelpedI've got NAG and Turmeric which I find both help me but I don't take them often In context ↗
  • Weed / cannabis · HelpedWeed used to work wonderfully for me but now I just have to be careful with it In context ↗
  • Benzodiazepines · HelpedI take benzos once or twice a week when I'm really struggling with my anxiety and OCD. In context ↗
  • Methadone · Not saidI take a small amount of methadone daily In context ↗
  • Psychedelics / LSD microdosing · HelpedMicrodosing psychedelics, taking very low doses of Ketamine or DXM ... These all help me In context ↗
  • Alcohol · HelpedI feel really good and like I'm not ill if I drink aound 4-6 beers. But once it's worn off CFS is worse for the next day or so In context ↗
  • Pacing · Not saidI've tried so many meds, supplements, eating healthy, pacing, seeing doctors and specialists etc. In context ↗
  • Eating healthy · Not saidtried many different medications, types of therapy, exercise and eating well etc. with not much success In context ↗
  • D-ribose · HelpedD-ribose and ALCAR definitely help a bit for me. In context ↗
  • Astaxanthin · HelpedI've found it helpful in several ways. Definitely worth trying In context ↗

Their path

Very severeSevereModerateMildNear normalRecoveredonset12 mo2 y3 y4 y

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
2021developed CFS/ME symptoms about a year after rehabAfter that year I started experiencing symptoms of CFS/ME, Depersonalisation/Derealisation and very intense anhedonia. In context ↗Moderate
2025-10-07ADHD stimulants give a few hours of hobbies a dayMy ADHD meds last around 5-6 hours daily and are honestly a blessing, they improve the quality of my life so much In context ↗Moderate
2025-10-12CFS worse the day after drinking beeronce it's worn off CFS is worse for the next day or so and I'm at risk of triggering ME In context ↗Moderate
2026-07-13still ill; D-ribose, ALCAR and creatine help a bitD-ribose and ALCAR definitely help a bit for me. Creatine is good as well In context ↗Moderate

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseIt can be frustrating trying to avoid crashes while taking stimulant meds. In context ↗
  • Brain fogweird aches and pains around my body, brain fog and Depersonalisation/derealisation In context ↗
  • POTS & dysautonomiaCFS/ME and POTS make my anxiety worse and my anxiety makes CFS/ME worse In context ↗
  • Pain & fibromyalgiaweird aches and pains around my body In context ↗
  • Headaches & migraineweird pressure in my head area like someone is grabbing my brain In context ↗
  • Light & noise sensitivityI have high functioning autism and have always dealt with sensory issues but CFS makes my sensory issues ten times worse In context ↗
  • Heart symptoms & palpitationsI'm on a beta blocker which helps me a bit with the heart rate In context ↗
  • Anxiety & low moodI deal with suicidal thoughts daily because of my mental issues and CFS In context ↗
  • Temperature regulationfreezing cold one second then boiling hot for no reason In context ↗

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