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ME/CFS Moderate → somewhat betterNeeds ongoing treatment

ME/CFS with heavy daytime sleep and long naps, somewhat better with Belsomra and melatonin

Condition
ME/CFS
At worst
Moderate (mostly housebound)
Ill before improving or writing
Not stated
Last post
Jan 2025
In their words
  • Condition: ME/CFSI don't feel anywhere close to what I used to before this disorder started In context ↗
  • At worst: ModerateI still sleep way too much during the day ... I still need long naps
  • Now: Somewhat betterI don't feel anywhere close to what I used to before this disorder started, but I have found a big difference in 10 hours of sleep and 10 hours of quality/sound sleep. In context ↗
Read from 10 of their posts and comments; links to the 9 this page draws on

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Summary

Someone with ME/CFS and fibromyalgia, whose onset date is not given, described sleeping far too much in the day and needing long naps. A prescription sleep aid (Belsomra), with melatonin and atenolol for a raised heart rate, brought noticeable improvement, while modafinil helped only a little. They still felt nowhere near their old self and did much better on holidays nearer the equator.

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What they tried

Also tried

Belsomra· HelpedCBD· HelpedAtenolol· Helpedmodafinil· Helpedmelatonin· No changeGabapentin· No changebaclofen· No changeNortryptyline· No changeMagnesium· No changeprescription sleep aids· Not saidsleep hygiene (separate room, earbuds, dark room, eye mask)· Not saidZonasimide· Not said
Their words about each treatment
  • prescription sleep aids · Not saidI ended up trying prescription sleep aids and even then it took a while to find one that works for me. In context ↗
  • melatonin · No changeI also take a small amount of melatonin ... many of which are supposed to help sleep but never did on their own
  • Belsomra · HelpedBelsomra has been the most helpful sleep medication In context ↗
  • CBD · HelpedI also found CBD useless for a long time until I happened upon a brand that worked. In context ↗
  • sleep hygiene (separate room, earbuds, dark room, eye mask) · Not saidincluding sleeping in a different room with earbuds, dark room and eye mask, all kinds of sleep aids In context ↗
  • Atenolol · HelpedMy GP put me on a low dose Atenolol for it. It helps so much. In context ↗
  • modafinil · HelpedI am taking modafinil now, but it is only helping a bit. In context ↗
  • Gabapentin · No changemany of which are supposed to help sleep but never did on their own In context ↗
  • Zonasimide · Not saidI forgot to add Zonasimide in that list. I am trying to wean off that one at the moment. In context ↗
  • pacing · Helpedit would be a VERY different answer than if it was summer, I had been properly pacing In context ↗
  • vacations in Aruba and Puerto Rico · HelpedWhen I vacationed in Aruba for a week, I felt pretty good ... Vacation to Puerto Rico for two weeks, and I felt really good. In context ↗

Approaches: 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. 1 step says too little to place on the scale and is only in the table. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
onsetME/CFS onset, never dated; heart rate was normal before the illnessI don't feel anywhere close to what I used to before this disorder started In context ↗Not stated
—sleeping badly, long trial and error with sleep aidsI ended up trying prescription sleep aids and even then it took a while to find one that works for me. In context ↗Moderate
2022-08-30skipped the sleep aid for one night; next day back to barely functioningIt was a mistake. I fell asleep and thought I slept through the night but the next day was AWFUL. I was back to barely functioning. In context ↗Severe
2022-12-31found a prescription sleep aid that worked; felt noticeably better but still short of old selfI have felt noticeably better since finding a sleep aid that works well for me. In context ↗Moderate
2023-04-07modafinil made them a little less tired but not enough; still needed long napsI am taking modafinil now, but it is only helping a bit. In context ↗ModerateModafinil / armodafinil
2025-01-22much better on holidays nearer the equator; only one nap in two weeks in Puerto Rico, activities they did not expect to manageVacation to Puerto Rico for two weeks, and I felt really good. I literally only took one nap In context ↗MildAltitude and climate change of location

Symptoms mentioned

Their words about their symptoms
  • Sleep problemsI still sleep way too much during the day, but it has improved when my nights improved some. In context ↗
  • Heart symptoms & palpitationsThe Atenolol is for increased heart rate that I did not have before the illness. In context ↗
  • Pain & fibromyalgiaI also try to stay on top of pain. In context ↗
  • Brain fogif I forget the other evening meds because of brain fog or adhd In context ↗

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