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Long COVID Moderate → much betterIll 6 months before improving or writingNeeds ongoing treatment

Long COVID with heart racing and fatigue, much better after beta blockers and gabapentin

Condition
Long COVID
At worst
Moderate (mostly housebound)
Ill before improving or writing
6 months
Last post
Sep 2025
In their words
  • Condition: Long COVIDa previous covid infection before getting covid and ultimately long covid at Christmas (2021) In context ↗
  • At worst: ModerateThe symptoms have been debilitating and random. In context ↗
  • Now: Much betterThat didn't cure everything, but it's 1000x better than before. In context ↗
  • Began after: COVIDgetting covid and ultimately long covid at Christmas (2021) In context ↗
Read from 54 of their posts and comments; links to the 27 this page draws on

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Summary

After a COVID infection at Christmas 2021, they developed long COVID with heart racing, chest pains, vertigo, fatigue, eye problems and random body pains. Beta blockers eased the heart symptoms and chest pain, and gabapentin from a neurologist ended most recurring pain; hydroxyzine was also prescribed. Gallbladder removal, nasal surgery and sleep apnoea followed. Still on beta blockers with fatigue, insomnia and pains, they call it 1000x better.

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What they tried

Their words about each treatment
  • Beta blockers · Helped a lotBeta blockers for chest pain and racing heart. In context ↗
  • medical cannabis (weed) · HelpedWeed for all sorts of body pain, dizziness, insomnia, and restlessness. In context ↗
  • amitriptyline · WorseMy sleep doctor put me on that medication (pre-long covid) and it made me sleep 12+ hours per day. In context ↗
  • Physical therapy · HelpedPhysical therapy (definitely avoiding aerobic exercises as this exacerbates many of my symptoms) also helps with the body pains. In context ↗
  • realizing my physical limitations · HelpedAnd most importantly realizing my physical limitations. If I overdo it, it's misery. In context ↗
  • Promethazine · HelpedPromethazine. Minimizes symptoms and helps me to sleep. In context ↗
  • Gabapentin · Helped a lotThe gabapentin really was the game changer for me. Ended most of the scary recurring pain symptoms. In context ↗
  • hydroxyzine · Helpedprescribed medications that are really helping (gabapentin and hydroxyzine) In context ↗
  • vitamin d · Not saidprimary care doctor recommended vitamin d daily before all of the awful happened. It's been normal ever since. In context ↗
  • steroids (budesonide, Flonase) · HelpedI was using steroids (budesonide some of the time, Flonase when not on budesonide) In context ↗
  • azelastine nasal spray · HelpedI was using steroids (budesonide some of the time, Flonase when not on budesonide) and azelastine nasal spray daily for the last year. In context ↗
  • turbinate reduction surgery · HelpedFinally caved for turbinate reduction surgery. In context ↗
  • buspirone · Not saidGabapentin and buspirone. In context ↗
  • CPAP · WorseCPAP was a fail for me. In context ↗
  • Bipap · HelpedBipap works better for my breathing since it's not constant pressure In context ↗
  • saline sprays and nasogel sprays · Helpedit is manageable with saline sprays and nasogel sprays In context ↗
  • amoxicillin · WorseI've had even common things like amoxicillin make me horribly ill. In context ↗
  • Metoprolol (Lopressor, Toprol) · Not saidit zapped my will to live. Made it hard to care about things, super weak, and really impatient. In context ↗
  • Carvedilol (Coreg) · Not saidI have tried the extended release carvedillol and cannot tolerate it. Makes me so jittery and I get panic attacks. In context ↗
  • COVID vaccination as treatment · Not saidWeird symptoms that freaked me out (vertigo, shortness of breath, skin feeling like it was burning, and other fun side effects) In context ↗

Approaches: H1 antihistamines · Beta-blockers · Other drugs and medicines · Pacing · Surgery & structural

Their path

Very severeSevereModerateMildNear normalRecoveredonset6 mo12 mo

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
December 2021long COVID after a COVID infection at Christmasgetting covid and ultimately long covid at Christmas (2021) In context ↗Moderate
June 2022beta blockers eased heart racing and chest pain; almost back to normalsix months of misery followed by fatigue in month 7. But I'm almost back to normal now. In context ↗Near normalBeta-blockers (unspecified)
September 2022turn for the worse with heart racing back, three ER visitsI started taking a turn for the worse and ended up in the ER 3 times in September. In context ↗Moderate
November 2022neurologist prescribed gabapentin and hydroxyzine; pain symptoms easedThe gabapentin really was the game changer for me. Ended most of the scary recurring pain symptoms. In context ↗Mild
May 2023narrower symptom list but still on beta blockers with fatigue, insomnia and painsThe list is narrower than it has been. 12 month mark I started to improve. But I still have to be on beta blockers for high blood pressure and racing heart. Also have fatigue, insomnia, and crazy random pains. In context ↗Mild

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseIf I overdo it, it's misery. In context ↗
  • Brain fogI'm now on month 7 and have extreme issues focusing and fatigue issues still In context ↗
  • POTS & dysautonomiamy long covid symptoms have been mostly heart racing, chest pains, eye problems, vertigo, fatigue, and random body pains for me. In context ↗
  • Sleep problemsI wouldn't sleep at all if not for medical cannabis. In context ↗
  • Pain & fibromyalgiaeverything hurts. Hands, neck, back, butt. In context ↗
  • Headaches & migrainerandom body pains (chest, neck, head, legs, hands) In context ↗
  • Vision problemsEyes are always dry and red. And have floaters. In context ↗
  • BreathlessnessAlso helped with shortness of breath once my heart rate calmed down. In context ↗
  • Heart symptoms & palpitationsmy long covid symptoms have been mostly heart racing, chest pains In context ↗

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