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ME/CFS Very severe → relapsedIll 3 years before improving or writingNeeds ongoing treatment

Bedridden with ME/CFS, short benzodiazepine relief then worse again

Condition
ME/CFS
At worst
Very severe (bedbound, unable to do basic care)
Ill before improving or writing
3 years
Last post
Oct 2026

Summary

A French father of two had COVID in January 2022, recovered, then crashed in April 2023 after alcohol, cocaine, tramadol and a run, with panic/tetany and exercise intolerance. He worsened after dysautonomia/POTS and a further COVID in September 2024, becoming bedridden in late February 2025. He was severe/very severe at roughly 200–500 steps a day. Benzodiazepines gave short relief; fluoxetine, mirtazapine and a beta blocker were poorly tolerated, and LDN was only being considered.

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What they tried

Their words about each treatment
  • tramadol · Helpedtwo years ago I got back on my feet with tramadol and a little sport In context ↗
  • sport (cycling, weight training, jogging) · Much worseI forced myself for two years to want to get back in shape by doing sport In context ↗
  • antidepressants · Worsemy doctor gave me antidepressants which made me even more exhausted In context ↗
  • CBT and psychotherapy · WorseIt made things worse because at the time I thought I had panic disorder. In context ↗
  • brain retraining · WorseI did CBT, brain retraining, confronting deep fears and I ended up severe In context ↗
  • melatonin · HelpedI was happy, I had 5 good nights, just with melatonin In context ↗
  • bromazepam (Lexomil) · Helped a lotit erases all the pem effects with the smallest dose (1/4) for 24 hours In context ↗
  • magnesium · No changeI take 6 super expensive food supplements, for nothing. In context ↗
  • doxycycline · HelpedThe doxycycline also helps me a bit, I think, more energetic, I sleep better. In context ↗
  • fluoxetine (Prozac) · WorseI tried fluoxetine yesterday at a mini dose (10 mg) and I had a terrible night with nightmares and insomnia In context ↗
  • zopiclone · HelpedBenzo and zoplicone I sleep well and I feel better In context ↗
  • pacing · No changePacing is not working because im depressed. In context ↗
  • mirtazapine · WorseMirtazapine (7.5) increases my bpm the next morning In context ↗
  • bisoprolol · Worsethe last time I had a crash with bisporolol In context ↗
  • hydroxyzine · HelpedI take hydroxyzine at night now, 20 mg instead of zoplicone and it works 100 times better In context ↗
  • NAC · WorseI think it gave me a huge PEM last week In context ↗
  • Lexapro (escitalopram) · WorseI wanted to take 3 mg of lexapro yesterday morning and it gave me an almost sleepless night even with a sleeping pill In context ↗
  • nebivolol · Helped a lotNebivolol in small doses and I was able to walk again and have a standing bpm between 85 and 100 In context ↗
  • L carnitine · No changeafter failing with L carnitine, Nac In context ↗
  • compression boots · WorseI bought compression boots a few months ago and they hurt me In context ↗
  • LDA (Abilify) · Helped a lotAt the time, it literally brought me out of a very severe state of ME/CFS In context ↗
  • famotidine · No changeBut it doesn't help much, I still can't walk for more than two minutes In context ↗
  • sodium cromoglycate · Not saidH1 and H2 (famotidine 40 mg and levocetirizine 5 mg) with sodium cromocyglate In context ↗
  • LDN · WorseLdn is a nightmare for me... im only at 0,6 mg after 3 months In context ↗
  • daridorexant (Quviviq) · HelpedDaridorexant is a non-hypnotic sleeping pill and works for me I'm lucky for once In context ↗
  • diazepam · WorseSo I started switching to diazepam, and I’ve been on 2 mg at night for two days now In context ↗
  • ketamine · Not saidthe doctor gave me an IV infusion of ketamine to make me drowsy In context ↗
  • stellate ganglion block · Much worseI had a failed SGB (stellate ganglion block) 10 days ago and I’m now back to very severe In context ↗
  • DXM (dextromethorphan) · Much worseI was so excited and decided to try a quarter of a 30 mg tablet In context ↗
  • fludrocortisone · WorseI tried fludocortisone twice, two weeks apart. First time at 0.050 for 4 days and I had an attack of tachycardia on the 4th day In context ↗
  • thiamine · Not saidCoenzyme Q10 400 mg, Thiamine In context ↗
  • aspirin · Not saidAspirin and sodium cromocyglate before meal at midday In context ↗
  • Mestinon · WorseMestinon him m, at 10 mg gave me a tachycardia at 140 10 minutes later In context ↗
  • midodrine · WorseI couldn't tolerate midrodine (my pulse jumped to 120 bpm 10 minutes after a quarter of a tablet) In context ↗
  • salt, electrolytes and compression stockings · Not saidI take salt, electrolytes, LDN (1 mg), and compression stockings In context ↗
  • IVIG then SCIG · Worseje me sens mal à j+3, voire très mal In context ↗

Approaches: Benzodiazepines · Beta-blockers · Other drugs and medicines

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 wereAfter
January 2022Onset after alcohol and tramadol; COVID 12 days laterI probably became ill in January 2022 after mixing alcohol and tramadol In context ↗Mild
September 2022Remission; back to sport, work and social lifeBrief total remission from September (I had covid) to April 2023. In context ↗Near normal
April 2023Panic attack and tetany after a run; mild ME/CFS beginsThen in April 2023, after a night out with friends, I played sports the next day and had a panic attack followed by tetany with convulsions. In context ↗Mild
July 2024POTS/dysautonomia appeared after antidepressantsin July 2024, after a useless course of antidepressants (I went through a year of CBT for nothing), I contracted POTS In context ↗Moderate
September 2024COVID worsened him to moderateThen, in September 2024, I got COVID, and I became really moderate this time. In context ↗Moderate
March 2025Bedridden in the dark after series of crashesBarely 150 to 200 steps a day, digestion almost impossible, stuck in the dark, the slightest noise drove me crazy. In context ↗Very severe
April 2025Able to walk more on a mini dose beta-blockerThen April May 500 to 800 thanks to mini dose nebivolol. In context ↗Severe
July 2025Summer plateau on low-dose aripiprazoleI was able to average 1,500 steps for two months, one shower per week, better screen and light tolerance. In context ↗SevereLow-dose Abilify / aripiprazole
August 2025Effect of LDA faded, back to 800-1000 stepsthen suddenly at the end of August everything stopped In context ↗Severe
October 2025Failed stellate ganglion blockI had a failed SGB (stellate ganglion block) 10 days ago and I'm now back to very severe. In context ↗Very severe
October 2026Still bedridden; LDA taper crash, IVIG and SCIG gave no benefitI felt as though I had suddenly fallen back into very severe ME/CFS. In context ↗Very severe

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaisefor the past 9 months I've been terribly tired the day after I exercise In context ↗
  • Brain fogI have been suffering from brain fog for three years In context ↗
  • POTS & dysautonomiaI develop dysautonomia: my heart races at the slightest effort, I'm almost in pots In context ↗
  • Sleep problemswaking up between 3:30 a.m. and 5 a.m. In context ↗
  • Headaches & migrainemigraines and daily tinnitus In context ↗
  • Gut problemsdigestion almost impossible In context ↗
  • Light & noise sensitivityI'm developing an intolerance to noise In context ↗
  • Muscle weaknessI felt my quadriceps legs weak In context ↗
  • Neuropathy & tinglingI had tingling all over my body In context ↗
  • Anxiety & low moodI have dark thoughts, I think about... suicide In context ↗
  • TinnitusI have terrible tinnitus all day long In context ↗
  • Temperature regulationfeeling of permanent cold In context ↗
  • Breathlessnesswhen I get up it's awful: tachycardia at 120, shortness of breath In context ↗
  • Pain & fibromyalgiawalking a little gives me horrible pain in my legs a few hours later In context ↗

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