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ME/CFS Moderate → relapsedIll 3 years before improving or writing

ME/CFS needing 14 hours of sleep a day, improved then declined again

Condition
ME/CFS
At worst
Moderate (mostly housebound)
Ill before improving or writing
3 years
Last post
Oct 2026
In their words
  • Condition: ME/CFSeven before getting ME/CFS In context ↗
  • At worst: Moderateneeding about 14h of sleep on an average day. I used to fall asleep everywhere trying to go about my life In context ↗
  • Now: RelapsedI was very slowly showing improvement over three years (all still within moderate, but just about noticeable) and in the past couple months have been slowly declining again In context ↗
Read from 12 of their posts and comments; links to the 8 this page draws on

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Summary

Puffin 18253 fell ill around 2022 with ME/CFS, needing about 14 hours of sleep a day and falling asleep while trying to live normally. They slowly improved over three years but stayed within a moderate level, then declined again in late 2025. Neighbour noise in their UK flat caused repeated crashes and panic attacks; zolpidem or Phenergan was taken as needed. They remained too ill to work, managing one short outing a week at most.

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What they tried

Also tried

Keeping sensory stimulation to a minimum· Helped a lotPhenergan (antihistamine)· HelpedOne hot meal a day and fruit snacks· HelpedTrazodone· No changeMagnesium· WorseMirtazapine· WorseZolpidem· Not said
Their words about each treatment
  • Phenergan (antihistamine) · HelpedHonestly I often cheat and take half an antihistamine, the kind that makes you sleepy. Mine is Phenergan (GP prescribed). It’s nice because it helps my runny nose too In context ↗
  • Pacing / daily energy quota · HelpedI think I must’ve been optimising my daily energy quota ... I had far fewer crashes than before. In context ↗
  • One hot meal a day and fruit snacks · Helpednow I try to have one hot meal a day (home cooked if possible, ready meal/takeout if not) and snack when I have to, ideally on fruit. That’s just what worked for me In context ↗
  • Keeping sensory stimulation to a minimum · Helped a lotFor me, keeping sensory stimulation to a minimum has helped immensely. In context ↗
  • Zolpidem · Not saidCurrently I take sleep medication when necessary (zolpidem or phenergan), but I’m beginning to rely on it and I’m still crashing. In context ↗
  • Magnesium · WorseI’ve tried magnesium but it gives me insomnia. In context ↗
  • Trazodone · No changeTrazodone did nothing In context ↗
  • Mirtazapine · Worsemirtazapine made me terrifyingly ravenous In context ↗

Approaches: Pacing

Their path

Very severeSevereModerateMildNear normalRecoveredonset12 mo2 y3 y4 y

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 were
onsetfell ill with ME/CFS, sleeping about 14 hours a dayI was similar when I first got sick, needing about 14h of sleep on an average day. In context ↗Moderate
2025-10-27sleep need slowly fell from 14 to 10-12 hours over three yearsAfter about a year it slowly decreased, and now (3+ years later) it’s around 10-12h, when not in a crash. In context ↗Moderate
2026-01-22slow decline over a couple of months after using up daily energyI was very slowly showing improvement over three years (all still within moderate, but just about noticeable) and in the past couple months have been slowly declining again. In context ↗Moderate
2026-09-29repeated crashes from neighbour noise, too ill to workI’d say I’m mild-moderate, but as you can imagine, this problem is causing me to crash repeatedly. In context ↗Moderate

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Sleep problemsneeding about 14h of sleep on an average day In context ↗
  • Light & noise sensitivitykeeping sensory stimulation to a minimum has helped immensely In context ↗
  • Anxiety & low moodsome days I have multiple panic attacks a day over a little noise In context ↗
  • Brain fogcognitive stuff is hard on me In context ↗
  • Gut problemsI tried relying more on ready meals at some point and it frequently gave me diarrhoea. In context ↗
  • Muscle weaknessOnly snacks (mainly carbs) just made me feel awful and dead-limbed. In context ↗

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