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ME/CFS Very severe → no benefitIll for 17 monthsNeeds ongoing treatment

Bedbound and severe with ME/CFS, no improvement from mini pill and pregabalin

Condition
ME/CFS
At worst
Very severe (bedbound, unable to do basic care)
Ill for
17 months
Last post
Feb 2024
In their words
  • Condition: ME/CFSI developed ME CFS half a year ago after probably having mild LC for about 8 months prior In context ↗
  • At worst: Very severei’m bedbound and around 5% on the bell scale In context ↗
  • Now: No benefitit did stop the severe deterioration but I have also not improved to a previous baseline yet In context ↗
  • Began after: COVIDafter a Covid infection before that that I recognise only in hinsight
Read from 77 of their posts and comments; links to the 32 this page draws on

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Summary

She developed mild long COVID after a Covid infection, then ME/CFS about eight months later; monthly period crashes left her bedbound, 5% on the Bell scale by December 2023. A continuous mini pill (Slynd) stopped the rapid deterioration, but by February 2024 she was still bedridden and severe and had needed help to eat. Pregabalin left her drugged and sleepy, and mirtazapine, taken earlier for insomnia, had caused sleep paralysis and suicidal thoughts.

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What they tried

Their words about each treatment
  • first antidepressant · WorseI had a really bad reaction to the first antidepressant I tried In context ↗
  • mirtazapine · Much worsenot only did it not help with sleep one bit but gave me sleep paralysis and made me incredibly suicidal so i stopped after a few weeks In context ↗
  • Ativan (lorazepam) · HelpedI only take it tops once a week for sleep and the next day is always much more bearable symptom wise In context ↗
  • Valerian root drops · HelpedValerian root drops used to help me but don’t anymore In context ↗
  • targeted psychotherapy · HelpedI then had targeted psychotherapy over a few months, which resolved my symptom In context ↗
  • pacing and rest · No changeI’ve been trying to pace but that’s obviously not working In context ↗
  • aggressive rest · No changemy period made me crash more each month despite aggressive rest In context ↗
  • online therapy · No changeI have access to online therapy and benzos for emergencies but I haven’t had much relief from either despite my therapist’s best efforts In context ↗
  • vitamin D · No changetaking Vit D, B12, Magnesium, CoQ10, Selenium, Omega 3, NADH+, nucleotides and all those for months but without any tangible effect In context ↗
  • B12 · No changeb12 has done nothing for me so far unfortunately In context ↗
  • oral magnesium · No changethe oral magnesium not so much, even though I’m taking 150mg of a bio-available one In context ↗
  • magnesium oil · HelpedMagnesium oil helps me personally with muscle issues In context ↗
  • selenium · No changeI’m taking B12 and selenium because I was slightly deficient on my last blood tests In context ↗
  • CoQ10 · No changeAnd Q10 which was recommended to me for CFS but have not seen any improvement since starting it In context ↗
  • amino acid complex · No changei did for about 3 months as it was something my doctor recommended for LC patients but it didn’t seem to make a huge difference if any at all In context ↗
  • low histamine diet · No changei have been on an anti histamine diet for months and it has made no difference for me unfortunately In context ↗
  • antihistamines · No changeantihistamines and low histamine diet but that means I don’thave MCAS so yay! In context ↗
  • melatonin · WorseMelatonin for sleep made my face vibrate In context ↗
  • mini pill (Slynd) · Helpedit has definitely helped the drastic baseline drops since starting it two months ago In context ↗
  • pregabalin (Lyrica) · WorseSo far slightly less pain but not sure if that is worth the weird drugged up feeling I experience because of it In context ↗
  • concentrated matcha · Helpedconcentrated matcha does help my daily muscle pain somewhat In context ↗
  • low-dose aspirin · Not saidTaking low-dose aspirin for blood clots In context ↗
  • light stretching · Not saidattempting light stretching In context ↗
  • electric massage pillow · HelpedThat’s really helpful for circulation In context ↗
  • Visible app · Not saidI use the Visible app to track symptoms and help with pacing In context ↗
  • Garmin Venu SQ 2 · Not saidoverall I do like it and find it useful In context ↗
  • ibuprofen · Not saidfor the moment I use ibuprofen and metamizole In context ↗

Their path

Very severeSevereModerateMildNear normalRecoveredonset6 mo12 mo

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
2022Covid infection followed by mild long COVID8-10 months of mild ones after a Covid infection before that that I recognise only in hinsight In context ↗Mild
June 2023acute onset of muscle pain, weakness and PEM after dizziness at workabout a month ago I got really dizzy coming home from work and then felt this weird sensation in my legs In context ↗Mild
July 2023went on sick leave; crashed into bed for a day after a 2-hour walkmy muscles were so achey and I had so little energy that I spent the day in bed In context ↗Moderate
September 2023declined to nearly bedbound, in bed 95% of the dayI’m in bed 95% of the day currently and it doesn’t seem to have an effect In context ↗Severe
November 2023monthly period crashes worsened her baselinemy period made me crash more each month In context ↗Severe
December 2023bedbound, around 5% on the Bell scale, needed feeding and carrying, considering assisted suicidei’m bedbound and around 5% on the bell scale In context ↗Very severe
December 2023mini pill avoided the monthly period crashthis month the huge crash seems to have been avoided so far In context ↗SevereProgestin-only birth control (mini pill, implant or shot)
February 2024still bedridden and severe, no return to a previous baselineI’m severe / v severe, bedridden and some days nothing helps if I’m in a bad crash In context ↗Severe

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaisemy symptoms would get worse whenever I did any sort of physical activity In context ↗
  • Brain fogtrouble concentrating, decline in memory In context ↗
  • POTS & dysautonomiaoccasional dizziness In context ↗
  • Sleep problemsI do get about 4 hours of sleep roughly a night, which isn’t restful and isn’t enough In context ↗
  • Pain & fibromyalgiaconstant muscle soreness, a dull pulsating pain and joint pain whenever I move In context ↗
  • Headaches & migraineI have been experiencing headaches In context ↗
  • Gut problemsIt does give me other GI issues though like constipation and nausea on and off In context ↗
  • Light & noise sensitivitycognitive and sensory issues (i can tolerate the curtains being open during the day as it’s very gloomy here all winter but haven’t been able to watch a show in nearly two months) In context ↗
  • Breathlessnesssleep issues, air hunger, internal vibrations, muscle pain and twitching In context ↗
  • Muscle weaknessmy muscle weakness is so extreme that i take breaks even writing a simple message and cannot feed myself In context ↗
  • Neuropathy & tinglingoccasional tingling in fingers and toes In context ↗
  • Anxiety & low moodI’ve been struggling with intense anxiety and almost constant panic about what each day might bring In context ↗

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