Long COVID constant nerve pain and brain fog while working, now recovered after gabapentin
- Condition
- Long COVID
- At worst
- Mild (working or studying, with limits)
- Ill before improving or writing
- 16 months
- Last post
- Nov 2025
In their words
- Condition: Long COVID
I got this a few months after covid in Feb 2023
In context ↗ - At worst: Mild
I couldn't even look or talk to my boss without going into an episode
In context ↗ - Now: Recovered
this was the LAST thing i had to do to rid myself of LC
In context ↗ - Began after: COVID
I got this a few months after covid in Feb 2023, and the pain has not been going away and sometimes getting worse.
Read from 35 of their posts and comments; links to the 20 this page draws on
Summary
Long COVID began after a February 2023 infection, with burning, itching nerve pain in their hands and feet, palpitations and brain fog; they kept working through constant pain. Gabapentin, a functional medicine work-up with nebulised medicine and vitamins, and finally cutting out morning coffee each helped. Summer heat set them back in June 2024, but by July they were pain free and exercising again; in 2025 they could drink coffee without trouble.
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What they tried
Also tried
Their words about each treatment
- acupuncture · Not said
During this time I was doing acupuncture which the acupuncturist took as an opportunity to confirm her work was working (maybe, maybe not).
In context ↗ - Gabapentin · Helped
First they gave me 100mg to take 1-2 times a day ... so now i'm taking 600mg 3 times a day and it's pretty much gone.
In context ↗ - lisinopril · Helped
The gabba and lisinopril to slow my heart rate (sepperate issue with my ADD medicine) seem to chill me out and it really helped.
In context ↗ - hydroxyzine · Helped
if u see a doc, ask for hydroxyzine. after you build a small tolerance you can take it in the day time
In context ↗ - TRT (testosterone) · No change
been taking it since LC just over a year now. I can't tell a difference to be honest.
In context ↗ - walks and exercise · Helped
That went away after I got back into exercise
In context ↗ - vitamins and supplements from the functional medicine doctor · Helped
i also went to see a Functional Medicine doctor and started helping my body heal faster with supplements
In context ↗ - non-THC CBD · Helped
I started taking non-thc CBD twice daily and that keeps me pretty relaxed so I dont writhe in pain in an office.
In context ↗ - Concerta (methylphenidate) · Helped a lot
getting back on ADHD meds, specifically Concerta helped cut through the brain fog ... it worked great, cuts right through that brain fog
In context ↗ - Nattokinase · Not said
Nattokinase is good for that, which im already taking.
In context ↗ - nebulizer medication · Helped a lot
Using the nebulizer my doc prescribed and the gross sulfer smelling medicine, I started seeing major improvements.
In context ↗ - Nitric acid suppliments · Not said
I just started taking Nitric acid suppliments to help my blood vessels expand and contract more properly.
In context ↗ - cutting out coffee in the morning · Helped a lot
I eventually just started skipping coffee, and then something amazing happened. ... but nothing has given me such immediate relief as just simply cutting out coffee.
In context ↗ - diet change · No change
diet didn't help me with my pain issues
In context ↗
Their path
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. The chart starts 6 months after onset: the story doesn’t say how ill they were before that. 1 step says too little to place on the scale and is only in the table. Dates are when they posted. What the levels mean.
Show as a table
| When | What happened | Where they were |
|---|---|---|
| February 2023 | COVID infection, long COVID symptoms about a month laterI got sick in Feb and didn't notice symptoms til a month or so afterIn context ↗ | Not stated |
| mid-2023 | burning and itching nerve pain at its worst, set off by heat, stress and anxiety while still workingthe pain was driving me literally insane ... I couldn't even look or talk to my boss without going into an episode | Mild |
| October 2023 | low-dose gabapentin stopped the pain overnightHe sent me the low dose mentioned in the article, and this morning I am pain-free.In context ↗ | Mild |
| November 2023 | higher gabapentin dose after small fibre neuropathy found, symptoms 98% stoppednow i'm taking 600mg 3 times a day and it's pretty much goneIn context ↗ | Mild |
| February 2024 | functional medicine doctor, testing and supplements, 90% of sensations gone2 weeks in and I can already take hot baths again, showers dont bother me, and im 90% not feeling any sensationsIn context ↗ | Mild |
| May 2024 | nebulised medicine for lung inflammation gave major improvements, about 80% backUsing the nebulizer my doc prescribed and the gross sulfer smelling medicine, I started seeing major improvements.In context ↗ | Mild |
| June 2024 | summer heat brought the nerve pain back, back to the startI was 90% back to life and lately i'm back to the start, summer heat causes my issues to be very painful nerve wiseIn context ↗ | Mild |
| July 2024 | cut out morning coffee, all symptoms gone, sweating and exercise backall my symptoms are gone ... I'm back!In context ↗ | Near normal |
| November 2025 | still well, drinking coffee again with no cortisol troubleafter that I was good and im back to drinking coffee without any cortisol issuesIn context ↗ | Recovered |
Adverse events
- Gabapentin (Neurontin)“My options are to increase dose, but it makes me feel funny and still doesn't stop the nerve pain.” In context ↗ Side effects
- Hydroxyzine (Atarax, Vistaril)“it took me a little bit of time to half the pills into some water in the morning, but i was not about to make myself any more drowsy lol” In context ↗ Side effects
- Methylphenidate (Ritalin, Concerta)“The gabba and lisinopril to slow my heart rate (sepperate issue with my ADD medicine) seem to chill me out and it really helped.” In context ↗ Heart rhythm problems
Symptoms mentioned
Their words about their symptoms
- Neuropathy & tingling
itching and burning in my hands and feet
In context ↗ - Heart symptoms & palpitations
high stress and heart palpitations still lingered and continued to trigger the neuro/vascular pain throughout my body
In context ↗ - Brain fog
cuts right through that brain fog
In context ↗ - Anxiety & low mood
anxiety was the last devil to deal with before ridding myself of LC
In context ↗ - Muscle weakness
get morning weakness in my muscles lately
In context ↗ - Temperature regulation
my sweat stopped working and I have erythromelalgia type flares
In context ↗