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ME/CFS Somewhat better

ME/CFS week-long crashes after diagnosis, a bit better after lower Vyvanse and pacing app

Condition
ME/CFS
At worst
Not stated
Ill before improving or writing
Not stated
Last post
Sep 2024
In their words
  • Condition: ME/CFSI have ADHD and regularly take Vyvanse, when I was diagnosed with CFS. In context ↗
  • Now: Somewhat betteras I was able to improve my energy a bit In context ↗
Read from 10 of their posts and comments; links to the 6 this page draws on

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Summary

A person with ME/CFS and ADHD said the illness was at its worst in the first two years after diagnosis, when their usual Vyvanse stopped working as before. Raising the Vyvanse dose made them crash harder, with week-long flare-ups, so the dose was lowered and they used the Visible app to learn pacing. Their energy had improved a bit by early 2024, though a month-long Reha gave only homeopathic remedies.

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What they tried

Their words about each treatment
  • pacing · Not saidhave started getting guidance more on pacing. Which is really feeling almost impossible In context ↗
  • Visible · Helpedthe app called Visible is super helpful in tracing and taking daily checking In context ↗
  • escitalopram · Helpedmy escitalopram they tried to increase once but it made me fall into a horrible dark hole In context ↗
  • Vyvanse · Worsemy vyvanse didn’t have much of an effect as previously ... my doctor tried to increase the Vyvanse ... but it just made me crash harder In context ↗
  • homeopathic options · No changethey had me take all of the homeopathic options except for actually medicines..very German, very inefficient 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 happened
onsetdiagnosed with CFS (they describe it as autoimmune-based); already on Vyvanse for ADHDI have ADHD and regularly take Vyvanse, when I was diagnosed with CFS. In context ↗
first 2 years after diagnosisillness at its worst; Vyvanse no longer worked as beforeWhen the illness was at its worse (first 2 years after diagnosis) my vyvanse didn’t have much of an effect as previously In context ↗
—energy improved a bitas I was able to improve my energy a bit In context ↗
—crashed harder after doctor raised the Vyvanse dose; week-long flare-upsmy doctor tried to increase the Vyvanse to see if it would help a bit more but it just made me crash harder In context ↗
2024-02-11Vyvanse dose lowered so it would not override pacing; energy a bit betterI ended up having them lower the dose because it was allowing me to overuse a fake amount of energy In context ↗

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseallowing me to overuse a fake amount of energy ... ultimately led to a crash In context ↗
  • Anxiety & low moodI woke up one day and the invisible overwhelming weight I had been carrying just felt..a bit more manageable In context ↗

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