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ME/CFS Severe → no benefitNeeds ongoing treatment

Largely bedbound with ME/CFS and severe brain fog, no improvement with symptom meds

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill for
Not stated
Last post
Apr 2026
In their words
  • Condition: ME/CFSpersonally i interpret these symptoms as interaction between ME and other conditions (for me MCAS, dysautonomia, genetic conditions). In context ↗
  • At worst: Severewhat are some weird things you do while bed bound with orthostatic intolerance? In context ↗
  • Now: No benefitmy mobility has decreased sense and these symptoms caused me a lot of falls In context ↗
Read from 36 of their posts and comments; links to the 22 this page draws on

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Summary

A Reddit user ill with ME/CFS was largely bedbound, with severe brain fog, orthostatic intolerance, air hunger, gastroparesis and MCAS. They managed symptoms with hormone therapy for insomnia, fludrocortisone, metoclopramide, carbamazepine and nerve blocks, and said they would be much worse without fludrocortisone. Psychiatric drugs caused repeated serotonin syndrome, and medications for adrenaline surges led to an emergency visit for suppressed breathing.

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What they tried

Their words about each treatment
  • TCM · Not saidi've suffered less harm from alternative treatments like TCM, cannabis In context ↗
  • cannabis / CBD · Helpedi use cbd for everything In context ↗
  • GET · Worsethan from mainstream treatment courses like GET In context ↗
  • migraine meds · No changei've had some severe headpain not touched by migraine meds In context ↗
  • nerve blocks in the trigeminal and occipital nerve · Not saidi get regular nerve blocks in the trigeminal and occipital nerve In context ↗
  • carbamazapine · Helpedi've been on carbamazapine. that helped In context ↗
  • hormone therapy · Helpedwe ended up using hormone therapy for the insomnia bc all other sleep aids worsened the other symptoms In context ↗
  • sleep aids · Worseall other sleep aids worsened the other symptoms In context ↗
  • over the counter anti-histamines · Helpedmine prescribes them for me and they can help me sleep In context ↗
  • metoclopramide · Helpedi take metoclopramide and it helps me keep food down In context ↗
  • low histamine low fodmap · Not saidstill have to be very careful. stick to low histamine low fodmap In context ↗
  • psych meds · Much worsethey put me on psych meds to help with my apetite and sleep and it causes SS In context ↗
  • emergency benzos · Not saidim trying to taper down and using emergency benzos In context ↗
  • Fludro · Helped a lotBut I still would be much worse without it In context ↗
  • salt tabs · Not saidI keep containers containers of salt tabs in my bed along w sealed water bottles as a work around In context ↗
  • chlorhexidine gluconate 4% solution · HelpedI still get skin infections but it's getting better In context ↗
  • LDN · Not saidwhen i take my LDN i wait 2 hours before any medicine that impacts the same receptors In context ↗
  • stimulants · Worsebut i know for me it was easier without them. pacing was easier In context ↗
  • pacing · Not saidpacing was easier In context ↗
  • aquatic physical therapy · Worsea huge trigger for me was trying to do aquatic physical therapy In context ↗
  • medication for adrenaline surges · Much worsemy meds that were supposed to treat adrenaline surges also suppressed my breathing too much In context ↗
  • supplemental oxygen · Worsesomehow supplemental oxygen when i use inpatient affects me like a central nervous system depressant which meant i got bradycardia 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
last yearemergency visit after meds suppressed breathinglast year i ended up in emergency bc my meds that were supposed to treat adrenaline surges also suppressed my breathing too much In context ↗Severe
2026-03-02fewer flares and medication reactions after reducing meds and microdosingI have less flares and over reactions to meds. less paradoxical opposite reactions In context ↗Severe
2026-04-05still severely ill, staggering meds and tapering psychiatric drugsive had a lot of problems with poly pharmacy causes worse illness, rolling PEM In context ↗Severe

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaisenatural fibers helps w my dumps from PEM In context ↗
  • POTS & dysautonomiamy orthostatic intolerance is bad and i dont have a chair In context ↗
  • Mast cell (MCAS) & allergiesfor me MCAS, dysautonomia, genetic conditions In context ↗
  • Sleep problemswe ended up using hormone therapy for the insomnia In context ↗
  • Pain & fibromyalgiaDefinitely also feel the bone pain from the mattress pillow In context ↗
  • Headaches & migrainei've had some severe headpain not touched by migraine meds In context ↗
  • Light & noise sensitivityheavy sensory modulation to minimize light sound noise (overstimulation amplifies emotions) In context ↗
  • Breathlessnessi struggle w breathing anyway and when i sleep its worse In context ↗
  • Heart symptoms & palpitationsi cycle thru a lot of dumps and storms (tachy brachy & temp dysregulation) In context ↗
  • Temperature regulationi can't regulate my body temp w other materials bc the sweat from the dumps freezes me when it tapers off In context ↗

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