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ME/CFS Severe → no benefit

Severe ME/CFS in a rolling PEM cycle, no improvement trying to start Mestinon

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill for
Not stated
Last post
Aug 2026
In their words
  • Condition: ME/CFSI am in a rolling PEM cycle and just want to numb myself out so I can rest In context ↗
  • At worst: SevereI am severe, my life is so small and painful. In context ↗
  • Now: No benefitIt’s just getting worse. In context ↗
Read from 3 of their posts and comments; links to the 3 this page draws on

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Summary

A Reddit user with ME/CFS described being caught in a rolling PEM cycle in July 2026, with a racing mind keeping them awake and aggressive rest no longer restful. They had been trying to start Mestinon but kept crashing. By early August 2026 they called themselves severe, said their life was small and painful and that they were getting worse, and asked which medication was safest to start.

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What they tried

Their words about each treatment
  • Mestinon · Not saidI’ve been trying to onboard Mestinon but I’m trying to not be in PEM or Fight or flight for a few days. In context ↗
  • Aggressive rest · WorseAggressive rest is making me worse because my mind is just racing and I’m so isolated. In context ↗
  • Strict pacing · Not saidI pace vigorously. Very strict pacing. ... I’m not making any progress and I’m desperate In context ↗

Their path

Very severeSevereModerateMildNear normalRecovered

How ill they were on the ME/CFS severity scale, estimated from what they describe at each point, in the order they describe; they don’t give enough times to place each step. Hover or tap a point. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they were
2026-07-26rolling PEM cycle; mind racing, aggressive rest not restfulI am in a rolling PEM cycle and just want to numb myself out so I can rest In context ↗Severe
2026-08-06worsening; seeking a safe medication to startI am severe, my life is so small and painful. I’m at the point where I need to try meds to give myself a chance ... It’s just getting worse. In context ↗Severe

Adverse events

  • Radical rest“Aggressive rest is making me worse because my mind is just racing and I’m so isolated.” In context ↗ Made symptoms worse

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI am in a rolling PEM cycle In context ↗
  • Sleep problemsMy mind won’t stop racing. It’s keeping me up. In context ↗
  • Anxiety & low moodI don’t think I can do this anymore. In context ↗
  • Heart symptoms & palpitationsAggressive rest isn’t restful because heart is pumping and mind is racing In context ↗

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