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Long COVID Moderate → somewhat betterIll 3 years before improving or writingNeeds ongoing treatment

Long COVID with dysautonomia and severe brain fog, somewhat better after stopping an SNRI

Condition
Long COVID
At worst
Moderate (mostly housebound)
Ill before improving or writing
3 years
Last post
Dec 2024
In their words
  • Condition: Long COVIDit blew up my long COVID symptoms (especially cardiovascular/dysautonomic, fatigue, and PEM) In context ↗
  • At worst: ModerateI was already several months off of work and most activities by then In context ↗
  • Now: Somewhat betterStill not back, but it's happening soon, though rehabilitating to doing heavy housework is harder. In context ↗
  • Began after: COVIDmy long COVID symptoms (especially cardiovascular/dysautonomic, fatigue, and PEM) In context ↗
Read from 10 of their posts and comments; links to the 7 this page draws on

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Summary

A Reddit user described long COVID from late 2021, with dysautonomia, fatigue, PEM and severe brain fog; they kept working for about 18 months of decline before stopping. A year on an SNRI blew up their cardiovascular symptoms, fatigue and PEM and left them very disabled. Coming off it helped some symptoms, brain fog began lifting around 27 months in, and by late 2024 they still had disabling dysautonomia but expected to return to work soon.

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What they tried

Also tried

valtrex· HelpedSNRI· Much worserest· Not saidimproving diet· Not saidsupplements· Not said
Their words about each treatment
  • SNRI · Much worseI took an SNRI for a year and it blew up my long COVID symptoms (especially cardiovascular/dysautonomic, fatigue, and PEM) and had me very, very disabled. In context ↗
  • valtrex · HelpedIt works as long as I don't miss a dose. In context ↗
  • rest · Not saidThe more I rest, the more deconditioned I get, which means I have to rest even more. In context ↗
  • improving diet · Not saidI had spent so long improving diet, making lifestyle changes, trying supplements, etc. that I can't tell you if one thing did it In context ↗

Their path

Very severeSevereModerateMildNear normalRecoveredonset12 mo2 y3 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
~December 2021long COVID onset with dysautonomia, fatigue and PEM; kept workingmy long COVID symptoms (especially cardiovascular/dysautonomic, fatigue, and PEM) In context ↗Mild
2022–2023a year on an SNRI blew up cardiovascular symptoms, fatigue and PEMit blew up my long COVID symptoms (especially cardiovascular/dysautonomic, fatigue, and PEM) and had me very, very disabled In context ↗Severe
about 1.5 years instopped working after 1.5 years of decline; at worst could not process a video or follow a conversationI didn't lose the ability to work until after about 1.5 years of decline. In context ↗Moderate
November 2023came off the SNRI, some symptoms improvedI did successfully come off it a week and a half ago, seeing improvement in some symptoms, but not in others. In context ↗Moderate
27 months in (~March 2024)brain fog started improving, other symptoms did notMy brain fog started improving after 27 months. In context ↗Moderate
December 2024still not back at work but expects to return soon; still disabled by dysautonomiaStill not back, but it's happening soon, though rehabilitating to doing heavy housework is harder. In context ↗Moderate

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Brain fogMemory/word recall issues. Reading was a big struggle. Couldn't handle conversations with more than one person. In context ↗
  • Post-exertional malaiseit blew up my long COVID symptoms (especially cardiovascular/dysautonomic, fatigue, and PEM) In context ↗
  • POTS & dysautonomiaI am still very disabled by dysautonomia In context ↗

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