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Long COVID Severe → somewhat better

Long COVID, once bed-bound, somewhat better with lamotrigine and mirtazapine

Condition
Long COVID
At worst
Severe (mostly bedbound)
Ill before improving or writing
Not stated
Last post
Oct 2024
In their words
  • Condition: Long COVIDAs an update ...off Doxycycline and didn't seem to affect my LC as far as I can tell. In context ↗
  • At worst: SevereI'm no longer bed bound but I have to lay down frequently In context ↗
  • Now: Somewhat betterI'm no longer bed bound but I have to lay down frequently In context ↗
  • Began after: COVIDExact same journey as you. In context ↗
Read from 7 of their posts and comments; links to the 7 this page draws on

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Summary

This Reddit user has long COVID; their third infection came nearly two years after the second, and by October 2024 they were no longer bed-bound but still had to lie down frequently. Lamotrigine cut attacks from several a week to one every few months and mirtazapine restored their sleep, while one medication left them feeling drunk for two weeks.

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Asking aboutTulip 26486’s story

What they tried

Also tried

mirtazapine· Helpedtherapy and journalling· Helpedzomig nasal inhaler· Helpedondansetron soluble oral strips· HelpedDoxycycline· No changegabapentin· Worseorthopaedic pillow· Not saidnatural treatments· Not said
Their words about each treatment
  • Doxycycline · No changeoff Doxycycline and didn't seem to affect my LC as far as I can tell. In context ↗
  • Lamotrogine · Helped a lotLamotrogine was the game changer for me. ... From sometimes multiple a week to one every few months. In context ↗
  • orthopaedic pillow · Not saidGot an orthopaedic pillow with neck support too. In context ↗
  • gabapentin · WorseI felt drunk almost consistently for 2 weeks when starting on it. Couldn't drive or do much. In context ↗
  • mirtazapine · Helpedmirtazapine saved my sleep. About 40 mins after taking my 45mg I was out like a light. In context ↗
  • therapy and journalling · HelpedStill valued weekly video sessions with my therapist and journalling to challenge unhelpful thoughts. In context ↗
  • natural treatments · Not saidI tried all sorts of natural treatments In context ↗
  • pacing · Helpedpacing (still important!) In context ↗
  • zomig nasal inhaler · HelpedIf they do hit, zomig nasal inhaler and ondansetron soluble oral strips means they often disappear before they fully start. In context ↗
  • ondansetron soluble oral strips · Helpedzomig nasal inhaler and ondansetron soluble oral strips means they often disappear before they fully start. In context ↗

Approaches: Other drugs and medicines · Pacing

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
onsetlong COVID after first COVID infection, mild at firstExact same journey as you. In context ↗Mild
—bed-bound after third COVID infection3rd infection was nearly 2 years after 2nd. In context ↗Severe
2024-10-13no longer bed-bound but has to lie down frequentlyI'm no longer bed bound but I have to lay down frequently In context ↗Moderate

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseTip for phone use when experiencing PEM In context ↗
  • Headaches & migraineFrom sometimes multiple a week to one every few months. In context ↗
  • Sleep problemsmirtazapine saved my sleep. About 40 mins after taking my 45mg I was out like a light. In context ↗
  • Light & noise sensitivitySometimes I just need darkness unknown stimulation In context ↗

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