Long COVID with POTS, MCAS and heart and joint pain, much better after SCIG
- Condition
- Long COVID
- At worst
- Moderate (mostly housebound)
- Ill before improving or writing
- 5.5 years
- Last post
- Jul 2026
In their words
- Condition: Long COVID
I’ve had LC for almost 3 years now. All kinds of health issues.
In context ↗ - At worst: Moderate
Without the immunoglobulin I would not have a good quality of life and my daily functioning would be much worse.
In context ↗ - Now: Much better
But for sure much much better overall.
In context ↗ - Began after: COVID
I have been hit in almost every body system since getting Covid in December 2020.
Read from 61 of their posts and comments; links to the 38 this page draws on
- Dec 2023
- Jul 2026
- Jun 2024
- Feb 2024
- Aug 2024
- Jan 2024
- Dec 2023
- Feb 2024
- Apr 2024
- Jan 2024
- Jul 2024
- Jul 2024
- Jan 2025
- Feb 2024
- Apr 2024
- Apr 2024
- Dec 2023
- Apr 2024
- Dec 2023
- Apr 2024
- Dec 2023
- Dec 2023
- Dec 2023
- Dec 2023
- Apr 2024
- Apr 2024
- Aug 2024
- Aug 2024
- Apr 2024
- Jan 2025
- Apr 2024
- May 2024
- Jul 2024
- Oct 2024
- Nov 2024
- Nov 2024
- Feb 2025
- Jul 2024
Summary
Tide 89059 caught Covid in December 2020 and has had long COVID for over five years, with POTS, MCAS, seronegative rheumatoid arthritis, asthma and pericarditis. Colchicine, aspirin, beta blockers and later Humira eased heart and joint pain; SCIG finally helped POTS and MCAS significantly, leaving them much better overall. Two years of nightly Ativan ended in a withdrawal that was hell for three months.
Ask Miruvor AI
What they tried
What they credit
Also tried
Their words about each treatment
- Colchicine · Helped
My pericarditis improved with colchicine, beta blockers and high dose aspirin.
In context ↗ - High dose aspirin · Helped
I ended up staying on colchicine, high dose aspirin, and propranolol, for about two years because when I stopped the pain would return.
In context ↗ - Propranolol (beta blocker) · Helped
For a good two years it was better managed on beta blockers.
In context ↗ - Ativan · Helped
I was on Ativan .5 for 2 years and had to come off because I reached tolerance
In context ↗ - Weed · Helped
weed was the only thing to help with that
In context ↗ - Antidepressants · No change
I haven’t had any luck with antidepressants
In context ↗ - Dairy, gluten and sugar free diet · Helped
I saw a huge difference going dairy and gluten free.
In context ↗ - Pepcid · Helped
I have gerd but that’s well controlled by diet and Pepcid.
In context ↗ - Acupuncture · Helped
I’ve seen really good improvement with the right practitioner.
In context ↗ - DMARDs / MTX · Worse
I tried DMARDS, they didn’t help or made my pain worse.
In context ↗ - JAK inhibitor (Olumiant, Rinvoq) · No change
Have tried jak inhibitor, olumiant, for RA, no help with muscle weakness.
In context ↗ - Rapamycin · No change
I have also tried rapamycin off label and did not benefit.
In context ↗ - Humira · Helped
Humira was the only thing that made that go away.
In context ↗ - Xolair · Worse
it made my MCAS drastically worse
In context ↗ - Dupixent · Worse
I tried dupixent, did not interact well with my humira weirdly.
In context ↗ - Ivabradine · Helped
Beta blockers helped this. As has the ivabradine.
In context ↗ - Lumbrokinase · Worse
I have pots and Lumbrokinase makes my heart race.
In context ↗ - HistaminX probiotic · Worse
I also had issues with histaminex.
In context ↗ - Kombucha and kefir · Helped
Personally I’ve had luck with kombucha, despite it being fermented.
In context ↗ - Albuterol · Much worse
It started off just as general SOB, aggravated by propranolol, but then exploded when I tried albuterol.
In context ↗ - Steroid inhalers · Worse
I cannot tolerate steroid inhalers.
In context ↗ - Birth control · Worse
a med combo of birth control and albuterol fucked my nervous system
In context ↗ - SCIG · Helped a lot
Scig helped my pots significantly and actually my MCAS as well!
In context ↗ - CPET · Much worse
I have done it and it decreased my baseline and made my pots significantly worse
In context ↗
Approaches: Alternative therapies · Anticoagulants · Beta-blockers · Biologics & antibodies · Other drugs and medicines
Their path
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
| When | What happened | Where they were | After |
|---|---|---|---|
| December 2020 | Covid infection; symptoms began immediatelyI specifically remember severe body aches and heart/lung pain. I was not hospitalized.In context ↗ | Moderate | |
| early 2021 | Colchicine, aspirin and propranolol for pericarditisThey helped but not enough.In context ↗ | Moderate | |
| 2021 | Gallbladder removedMy symptoms immediately and drastically improved once the organ was removed.In context ↗ | Moderate | |
| mid-2023 | CPET test lowered baseline and worsened POTSI have done it and it decreased my baseline and made my pots significantly worseIn context ↗ | Moderate | |
| October 2023 | Came off Ativan after two years; withdrawalAt my worst I was pretty close to suicide.In context ↗ | Moderate | |
| early 2024 | Started Humira for seronegative RAHumira helps with the pain but it’s not a magic bullet for me.In context ↗ | Moderate | |
| July 2024 | Started XolairFirst shot of xolair took my muscle pain to nothing for 6 days.In context ↗ | Mild | Omalizumab / Xolair |
| late 2024 | Xolair worsened MCAS and food toleranceit made my MCAS drastically worse. I lost safe foods each time I took a new dose for 6 months.In context ↗ | Moderate | Omalizumab / Xolair |
| 2025 | Started SCIGScig helped my pots significantly and actually my MCAS as well!In context ↗ | Mild | IVIG / subcutaneous Ig |
| July 2026 | Much better on immunoglobulin, still daily POTS symptomsWithout the immunoglobulin I would not have a good quality of life and my daily functioning would be much worse.In context ↗ | Mild |
Adverse events
- Propranolol (Inderal)“Also just another thing to note, I have personally had weird interactions between propranolol and Ativan, so that could be something to look into. Both drugs have caused internal vibrations for me. Took me awhile to figure out propranolol was an issue.” In context ↗ Side effects
- Albuterol / salbutamol (Ventolin), Hormonal birth control (unspecified)“I didn’t have any issues with Ativan until a med combo of birth control and albuterol fucked my nervous system.” In context ↗ Made symptoms worse
- Lorazepam (Ativan)“Recently came off, wd was hell.” In context ↗ Withdrawal problems
- Lorazepam (Ativan)“At my worst I was pretty close to suicide.” In context ↗ Suicidal thoughts or attempt
- Propranolol (Inderal)“I felt like propranolol induced more PEM for me in general but that med did mesh well for me. I was constantly fatigued and in a fucking fog.” In context ↗ Made symptoms worse
- Lorazepam (Ativan)“I was on Ativan .5 for 2 years and had to come off because I reached tolerance, started experiencing interval withdrawals, and paradoxical effects.” In context ↗ Side effects
- “I tried DMARDS, they didn’t help or made my pain worse.” In context ↗ Made symptoms worse
- “MTX gave me awful side effects” In context ↗ Side effects
- Adalimumab (Humira)“and so far I seem to be having an abnormal reaction to humira.” In context ↗ Side effects
- Acupuncture“I have told my acupuncturist that some points have made me more anxious and she made note to take different approach.” In context ↗ Mood or psychiatric effects
- Adalimumab (Humira)“The first time I injected I thought it wasn’t going to work bc I got heart palps and chest pain and a temporary worsening of symptoms for two days.” In context ↗ Made symptoms worse
- Probiotics and fermented foods“For whatever reason it made my gerd worse, caused way more indigestion, and gave my abdominal pain. Stopped it after 3 weeks.” In context ↗ Gut side effects
- Albuterol / salbutamol (Ventolin)“It started off just as general SOB, aggravated by propranolol, but then exploded when I tried albuterol.” In context ↗ Made symptoms worse
- Steroid inhalers (inhaled corticosteroids)“This is the exact route I am taking because I cannot tolerate steroid inhalers.” In context ↗ Side effects
- Lumbrokinase“I have pots and Lumbrokinase makes my heart race.” In context ↗ Side effects
- “I have done it and it decreased my baseline and made my pots significantly worse, that was almost a year ago.” In context ↗ Made symptoms worse
- Propranolol (Inderal)“When I came off them it was rough for my physical pots symptoms but also had a massive increase in anxiety.” In context ↗ Withdrawal problems
- Propranolol (Inderal)“Nope. Just couldn’t tolerate beta blockers after two years on them” In context ↗ Side effects
- Omalizumab / Xolair“I’ve also tried Xolair and while it helped my pots bc it reduced histamine and vasodilation, it made my MCAS drastically worse. I lost safe foods each time I took a new dose for 6 months.” In context ↗ Made symptoms worse
- Adalimumab (Humira), Dupilumab (Dupixent)“I tried dupixent, did not interact well with my humira weirdly.” In context ↗ Side effects
Symptoms mentioned
Their words about their symptoms
- POTS & dysautonomia
I’m officially diagnosed with pots now and still have heart racing and all the normal pots issues
In context ↗ - Mast cell (MCAS) & allergies
I am dx RA, pots, MCAS.
In context ↗ - Heart symptoms & palpitations
No more palpitations since starting humira. Just racing.
In context ↗ - Pain & fibromyalgia
I’ve had constant muscle aches
In context ↗ - Headaches & migraine
Yes it gave me RA, POTS, mcas, migraines.
In context ↗ - Breathlessness
I also had horrible SOB, chest pain, mild oxygen desaturation (92-94).
In context ↗ - Brain fog
I was constantly fatigued and in a fucking fog.
In context ↗ - Gut problems
I have gerd but that’s well controlled by diet and Pepcid.
In context ↗ - Temperature regulation
I continued to have joint pain, muscle pain, low grade fever, fatigue, etc.
In context ↗ - Loss of smell or taste
Lost taste and smell but no issues regaining them.
In context ↗ - Muscle weakness
did not help my muscle weakness but xolair did
In context ↗ - Post-exertional malaise
I felt like propranolol induced more PEM for me in general
In context ↗ - Anxiety & low mood
At my worst I was pretty close to suicide.
In context ↗ - Sleep problems
took Ativan .5mg every night for two years for sleep issues
In context ↗
Ask Miruvor AI
Similar stories
-
Housebound long COVID, improved then relapsed after calcium channel blockers and Ranexa
Long COVID began in January 2021, two weeks after his second Pfizer shot; by early 2022 he was housebound with chest pain, brain fog, migraines, fatigue and anxiety, and a booster made him worse. Over four years he improved gradually, crediting time, a clean…
-
Couch-bound for months with long COVID, now much better after pacing and IVIG
A fitness instructor in her forties, she fell ill with COVID in March 2020 and was couch-bound for months with POTS, MCAS, small fibre neuropathy and ME/CFS. She credited pacing, IVIG, POTS medication and BPC-157 for a slow climb to about 85% of her former…
-
Not enough detail to draw a path
Long COVID with PEM and brain fog, barely working, now nearly back to normal with pacing
Meadow 66733, a male Australian myotherapist, developed long COVID in June 2022 aged 47 and was worse at 12 months than at 6, barely working 30% with PEM, brain fog, breathlessness and muscle loss. He credits time, pacing, nicotine patch courses,…
-
Pretty severe long COVID with POTS and MCAS, nearly back to normal after graded exercise
Badger 96251 developed long COVID in 2022 with POTS, MCAS and dysautonomia, described as pretty severe, and took about a year to feel better. A second infection in 2024 was fine after Paxlovid. A June 2026 reinfection was as bad as the first, but they were…