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ME/CFS No benefitIll for 6 years

Brain fog and ADHD with ME/CFS, no improvement after drugs tried

Condition
ME/CFS
At worst
Not stated
Ill for
6 years
Last post
Nov 2024
In their words
  • Now: No benefitMy life is really messed up because of the brain fog. In context ↗
  • Says they never had: Headaches & migraineI have almost never had a headache since I was born.
Read from 3 of their posts and comments; links to the 3 this page draws on

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Summary

A 23-year-old whose brain fog began suddenly at about age 17, with insomnia, acne and POTS-like symptoms, said their life was a mess. Methylphenidate and dopamine-increasing drugs made their ADHD worse; clonazepam, Cymbalta and nortriptyline greatly improved brain fog and ADHD, though Cymbalta stopped working after two months. LDN worked only a few days. They suspected MCAS or a cerebrospinal fluid leak and still sought a diagnosis.

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What they tried

Their words about each treatment
  • methylphenidate · WorseADHD → significantly worsens with methylphenidate In context ↗
  • Clonazepam · Helped a lotBrain fog → As with ADHD, it is greatly improved by Clonazepam, Cymbalta, and Nortriptyline. In context ↗
  • Cymbalta · Helped a lotCymbalta worked perfectly for the first month, but then it stopped working altogether. In context ↗
  • Nortriptyline · HelpedNortriptyline cannot be used because it extends the QT too much even at the minimum dose (drug hypersensitivity) In context ↗
  • B vitamins · WorseTaking B vitamins → Tinnitus and fatigue increase. Dry eyes also worsen In context ↗
  • Vitamin C · WorseVitamin C → Increased fatigue In context ↗
  • Zinc · WorseZinc → make me manic. In context ↗
  • LDN · HelpedLDN → Worked for the first few days, but the effect quickly disappeared In context ↗
  • H1 blockers · No changeHowever, H1 blockers and H2 blockers have had no effect at all. In context ↗

Their path

They say too little about how ill they were at each step to draw it on the severity scale, so the steps are listed as they describe them. Dates are when they posted.

WhenWhat happenedAfter
age 17brain fog began suddenlyBrain fog suddenly started when I was about 17 years old In context ↗
—brain fog and ADHD greatly improved on clonazepam, Cymbalta and nortriptylineit is greatly improved by Clonazepam, Cymbalta, and Nortriptyline In context ↗Clonazepam (Klonopin)
2024-11-13still seeking a diagnosis, brain fog continuesMy life is really messed up because of the brain fog. In context ↗

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Brain fogMy life is really messed up because of the brain fog. In context ↗
  • Sleep problemsinsomnia (waking up in the middle of the night) In context ↗
  • POTS & dysautonomiaPOTS-like symptoms In context ↗
  • TinnitusTaking B vitamins → Tinnitus and fatigue increase. In context ↗

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Asking aboutStarling 61948’s story

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