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Long COVID Moderate → much betterIll 18 months before improving or writingNeeds ongoing treatment

Housebound with long COVID, now much better on Abilify and LDN

Condition
Long COVID
At worst
Moderate (mostly housebound)
Ill before improving or writing
18 months
Last post
Aug 2026
In their words
  • Condition: Long COVIDhad this since July 2022 In context ↗
  • At worst: ModerateI was housebound in the beginning of my journey with LC about 4 years ago now In context ↗
  • Now: Much betterI started more severe but over the 5 years have gotten more mild. I can do mild exercise, work, live relatively normally to outsiders but long covid is always in the back of my mind. In context ↗
  • Began after: COVIDmild the first time and much worse the second time I was infected, Moderna vax and booster, had this since July 2022.
Read from 49 of their posts and comments; links to the 33 this page draws on

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Summary

She fell ill with long COVID in July 2022 and was housebound at first. Low-dose naltrexone eased her fatigue and brain fog within about ten days, and a COVID reinfection in February 2023 briefly cleared her symptoms before they returned a month or two later. From late 2023 a regimen of Abilify, LDN and Ritalin, later Adderall, let her work and live near normally, though she still crashed for days to weeks after overdoing it.

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What they tried

Their words about each treatment
  • LDN · Helped a lotThird time, now, great! It’s helped fatigue tremendously ... I experience a noticeable difference when I forget to take it! In context ↗
  • Flovent · Not saidI started LDN and Flovent close to each other so they may be interconnected, but I felt improvement within a week and a half. In context ↗
  • nattokinase / nattoserra · No changeI tried nattoserra and finished a bottle but didn’t feel anything different tbh. In context ↗
  • magnesium · WorseI’ve had sensitivities to nattokinase and/or magnesium - I had really bad stomach aches and indigestion while taking them and it went away when I stopped taking the supplements. In context ↗
  • melatonin · HelpedMelatonin seems to help me sleep deeper but I’m always sleepy. In context ↗
  • Wellbutrin · WorseI actually tried Wellbutrin and it didn’t help ... literally was tweaking out - body twitches, jaw clenched shut. In context ↗
  • guanfacine extended release · Not saidI’ve only been taking the extended release 1 mg for 2 weeks but I haven’t had side effects! No idea if it’s doing anything tho. In context ↗
  • zinc · Not saidI’m trying to treat this by taking zinc but that’s a long game. In context ↗
  • Botox · WorseI had thought I could get my usual touch up of Botox after not getting it for a year, and I was bedbound for a couple days after. In context ↗
  • valacyclovir · WorseThe valacyclovir also does a really number on my body, and doesn’t help LC symptoms at all. In context ↗
  • lysine · Not saidI’m taking a daily dose of valacyclovir and lysine and I’m still getting them. In context ↗
  • therapy · Not saidusing this time to work on anxiety management through therapy In context ↗
  • iron · No changeI had stomach issues when taking iron so I’m still working on raising this. In context ↗
  • Abilify · HelpedAbilify helped me generally feel more awake and alert. I used to feel like I was in a cloud. In context ↗
  • Ritalin · HelpedRitalin for hypersomnia and fatigue In context ↗
  • vitamin d · No changeI continue to take vitamin d since I’m really low on that In context ↗
  • b1 · No changeI tried all the supplements and they didn’t really do anything. This includes b1, d, nattoserra, lactoferrin, iron, probiotics, etc. In context ↗
  • lactoferrin · No changeThis includes b1, d, nattoserra, lactoferrin, iron, probiotics, etc. In context ↗
  • multivitamin · Not saidI continue to take vitamin d since I’m really low on that, and a multivitamin. In context ↗
  • pacing · Helpedwas able to do it all with conscious pacing and a short daily nap In context ↗
  • birth control · HelpedI’ve since been skipping my periods since I take birth control ... I haven’t had that bad of a crash since In context ↗
  • armodafinil · WorseStarted on Ritalin, and armodafinil but had bad side effects. In context ↗
  • spironolactone · HelpedI take a small dose of 1.25mg and 50mg of spironolactone and it’s helped with hair loss a lot. In context ↗
  • oral minoxidil · HelpedOral Minoxidil and spironolactone have helped my hair greatly though. In context ↗
  • adderall · HelpedIt’s the only way I can function kind of normally and work. In context ↗
  • slow lap swims · Not saidI’ve recently started doing slow lap swims and making sure to cap the time and not push too hard, seems to be ok. In context ↗
  • jumping rope and running · WorseI tried jumping rope and running and crashed so hard. In context ↗
  • paxlovid · Not saidI took two courses of paxlovid, metformin, NAC and rested rested rested. In context ↗
  • metoprolol · Not saidMy heart rate started spiking again so I also took metoprolol as needed. In context ↗
  • time · HelpedOtherwise honestly time and pacing. In context ↗
  • COVID vaccination as treatment · Not saidModerna would wreck me so bad (102 deg fever) that I was scared tbh In context ↗

Approaches: Other drugs and medicines · Pacing · Sex hormones · Stimulants

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. 2 steps say too little to place on the scale and are only in the table. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
July 2022long COVID began; houseboundI was housebound in the beginning of my journey with LC about 4 years ago now In context ↗Moderate
September 2022LDN eased fatigue and brain fogI’ve been taking it for about 2 months and it really helps my fatigue and brain fog In context ↗ModerateLow-dose naltrexone
February 2023COVID reinfection; long COVID symptoms disappearedI think my long COVID symptoms are gone? In context ↗Near normal
April 2023long COVID symptoms came back after a month or twoSame thing happened to me, but it sadly came back after a month or two. In context ↗Moderate
September 2023improved dramatically while on medical leave at homeWhen I took medical leave but still stayed home, I improved dramatically. In context ↗Mild
November 2023regimen of Abilify, LDN and Ritalin; long walking/socialising holiday with pacing and a daily napIs this a cure? No, but it helps me function like a normal person. In context ↗Mild
May 2025crashed after running and jumping ropeI tried jumping rope and running and crashed so hard. In context ↗Not stated
December 2025another COVID infection; took paxlovid, metformin and NAC, heart rate spikingYeah I’m taking paxlovid now, and still feel like a truck hit me. In context ↗Not stated
July 2026mild now, working and living relatively normally but dependent on medication and crashing if she overdoes itnow I’m mild I suppose. I can generally appear normal to others but need medication to survive. In context ↗Mild

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI still crash badly if I overdo it and it takes me days to weeks to recover. In context ↗
  • Brain fogI notice a stark difference in energy and cognitive function In context ↗
  • Sleep problemsI never feel well rested In context ↗
  • Anxiety & low moodNow it feels like I’m on the verge of a panic attack constantly, while also being unbelievably exhausted. In context ↗
  • Heart symptoms & palpitationsMy heart rate started spiking again so I also took metoprolol as needed. In context ↗
  • Hair lossI also was losing hair after Covid, I would have handfuls come out in the shower. In context ↗

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