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Long COVID Outcome unclear

Long COVID hypervigilance disrupting sleep; doxepin and a Garmin watch helped

Condition
Long COVID
At worst
Not stated
Ill for
Not stated
Last post
Feb 2024
In their words
  • Condition: Long COVIDI had some issues with autonomic hypervigilance impacting my sleep after Covid. In context ↗
  • Began after: COVIDI had some issues with autonomic hypervigilance impacting my sleep after Covid. In context ↗
Read from 4 of their posts and comments; links to the 3 this page draws on

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Summary

A Reddit user with long COVID describes autonomic hypervigilance after Covid that interfered with sleep. A doctor prescribed doxepin, which they said made a real difference in being able to relax and get into a parasympathetic state. They also used a Garmin watch whose heart-rate alerts and Body Battery tracking helped them pace. A topical lidocaine injection that entered a blood vessel once caused a terrifying, panic-like reaction.

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What they tried

Their words about each treatment
  • doxepin · HelpedMy doc prescribed doxepin, which is a nonSSRI antidepressant ... It has really made a difference for my ability to actually relax and get into a parasympathetic state. In context ↗
  • garmain / vivomove sport · HelpedI use a garmain. It alerts if my heart rate is over 100 without detecting corresponding movement, I found it quite useful for pacing. 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
onsetlong COVID with autonomic hypervigilance affecting sleepI had some issues with autonomic hypervigilance impacting my sleep after Covid. In context ↗
2024-02-17doxepin improved ability to relax and reach a parasympathetic stateMy doc prescribed doxepin ... It has really made a difference for my ability to actually relax and get into a parasympathetic state. In context ↗Doxepin (Sinequan, Silenor)
2024-02-23using a Garmin watch's heart-rate alerts and Body Battery for pacingIt alerts if my heart rate is over 100 without detecting corresponding movement, I found it quite useful for pacing. In context ↗Symptom-tracking apps and wearables (Visible)

Adverse events

  • “This happened to me once, with topical lidocaine injection that accidentally went into a blood vessel. It’s a terrifying experience!” In context ↗ Side effects

Symptoms mentioned

Their words about their symptoms
  • POTS & dysautonomiaI had some issues with autonomic hypervigilance impacting my sleep after Covid. In context ↗
  • Heart symptoms & palpitationsIt alerts if my heart rate is over 100 without detecting corresponding movement In context ↗

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