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Long COVID Mild → near normalIll 9 months before improving or writing

Long COVID with POTS and gut symptoms, close to normal after metoprolol and trazodone

Condition
Long COVID
At worst
Mild (working or studying, with limits)
Ill before improving or writing
9 months
Last post
Jan 2023
In their words
  • Condition: Long COVIDI'm four months in, had Covid at the end of November In context ↗
  • At worst: MildI work part time in a hospital ... I'm definitely not as bad off as some people here. In context ↗
  • Now: Near normalI'm on the mend, at least at 95% back to where I was since my first infection in November of 2020 In context ↗
  • Began after: COVIDhad Covid at the end of November In context ↗
  • Says they never had: Post-exertional malaiseI'm one of the lucky ones that doesn't experience PEM
Read from 92 of their posts and comments; links to the 39 this page draws on

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Summary

Marsh 22180 caught COVID in November 2020; at around five months they were working part-time in a hospital with insomnia, POTS, tachycardia, IBS and throat symptoms. Metoprolol and low-dose trazodone, plus time, took them to about 90-95% of normal by eight months. An Omicron reinfection in January 2022 flared POTS and gut symptoms for roughly five months. By January 2023 they flared mainly before their period.

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What they tried

Their words about each treatment
  • beta blocker (metoprolol) · Helped a lothonestly getting on a beta blocker helped me the most in regards to my hrv In context ↗
  • trazodone · Helped a lotLow dose trazodone was the best solution for my sleep issues honestly. In context ↗
  • melatonin gummies · HelpedThe sleep is improving somewhat if only because I'm using 3mg melatonin, l-theanine and magnesium. In context ↗
  • Vitassium · WorseI was taking Vitassium alongside my beta blocker and recently I decided to stop taking it. I noticed my heart rate and sleep actually improved a lot once I did. In context ↗
  • Nuun tablets · Not saidI've been using Nuun tablets 3x a day, I really like them and they're very convenient. In context ↗
  • Headspace app · HelpedI've actually been using the Headspace app a whole lot, especially the sleepcasts. Highly recommend. In context ↗
  • Montelukast · Not saidI was already taking Montelukast when I got sick so... In context ↗
  • bee propolis · No changeI was taking bee propolis before I got Covid, so I haven't seen much difference with it. In context ↗
  • Xyzal · HelpedI'm taking Xyzal and that's working p well, but I took a daily antihistamine before covid anyway In context ↗
  • kefir, saurkraut and Culturelle probiotic · HelpedThanks to probiotics and probiotic foods like kefir and saurkraut, etc, but it still took at least 6-7 months to see any improvement. In context ↗
  • iron tablets · HelpedStarted taking iron tablets and haven't gotten a cold since. In context ↗
  • metformin · HelpedWhat helped best for me was getting on metformin and spironolactone. In context ↗
  • vitamin d · Not saidI dunno how much vitamins helped (baby aspirin/vitamin d and c, zinc/quercetin with bromelain/fish oil supplements with coq10/b12 etc) but I like to think they played a part. In context ↗
  • ibuprofen · Not saidas well as electrolytes, baby aspirin, fish oil, and ibuprofen as needed In context ↗
  • low carb, low sugar diet · Helpedlow carb, low sugar diet worked for me for energy levels. In context ↗
  • naratriptan · Not saidCame off of fioricet and take a naratriptan for my migraines. In context ↗
  • Afrin · WorseI'm pretty sure that was because I was using Afrin. In context ↗
  • Pfizer vaccine · No changeI got all three Pfizer shots while long hauling and it didn't make me worse In context ↗
  • flu shot · No changeGot my flu shot on Monday, got really tired and sore by nightfall with increased HR/drop in HRV. In context ↗
  • elliptical exercise · WorseThe last time I had a bad bout of insomnia was after pushing myself a little too hard on the elliptical In context ↗
  • rest / avoiding exercise · Not saidI've been hesitant to start any exercise In context ↗

Approaches: Beta-blockers · Hormones & thyroid · Other antidepressants · Supplements

Their path

Very severeSevereModerateMildNear normalRecoveredonset6 mo12 mo18 mo2 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 wereAfter
November 2020COVID-19 infectionhad Covid at the end of November In context ↗Mild
March 2021last really bad flare-upMonth 4 was honestly my last really bad flare up In context ↗Mild
March 2021sleeping on her own without melatoninI've been able to sleep on my own without using melatonin for the past couple weeks at any time. In context ↗Mild
April 2021insomnia relapse, back on melatonin and doubled beta blockerI had a relapse a couple weeks ago so I'm back on the melatonin gummies In context ↗Mild
May 2021doing much better on metoprolol and trazodoneI'm doing much better thanks to metoprolol and trazodone, not to mention time. In context ↗MildTrazodone (Desyrel)
June 2021adrenaline surges and lost sleep after a bad coldI started getting the adrenaline surges again and I barely got any sleep. In context ↗Mild
August 2021essentially back to normal apart from chest sensations and headachesI'm personally almost 8 months in and am essentially 90-95% back to normal In context ↗Near normalTrazodone (Desyrel)
January 2022Omicron reinfection flare of POTS and IBSit seems my POTs is back to being rather noticeable, as well as return of IBS issues In context ↗Mild
July 2022back to about 95% of her old selfI'm on the mend, at least at 95% back to where I was In context ↗Near normalTrazodone (Desyrel)
January 2023flares only before her period or when sickReally the only time I flare these days though, unless I get sick. In context ↗Near normal

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Sleep problemsmy sleep gets worse In context ↗
  • POTS & dysautonomiaIts very manageable, but definitely still there. In context ↗
  • Heart symptoms & palpitationsmy only real remaining symptom is tachycardia/not quite POTS which is well managed with a beta blocker In context ↗
  • Gut problemsI was diagnosed with post viral IBS after they tested for everything. In context ↗
  • Headaches & migraineweird chest sensations and migraine/pressure headaches here and there In context ↗
  • BreathlessnessI still can feel SOB due to palpitations In context ↗
  • Anxiety & low moodYeah after getting on a beta blocker and trazodone for sleep this eventually went away In context ↗
  • Hair lossI've been having hair loss since I recovered. In context ↗
  • Loss of smell or tasteI got mine back within the first two weeks of acute infection In context ↗
  • Pain & fibromyalgiaHad intense neck pain for a few weeks that has subsided In context ↗
  • Mast cell (MCAS) & allergiesI have a dust mite/pollen allergy tho In context ↗

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