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Long COVID Moderate → relapsedIll 10 months before improving or writing

Long COVID at 10% of normal, improved then relapsed house-ridden; credits time

Condition
Long COVID
At worst
Moderate (mostly housebound)
Ill before improving or writing
10 months
Last post
Dec 2023
In their words
  • Condition: Long COVIDGot infected in January and started dealing with LC symptoms in February. In context ↗
  • At worst: ModerateAt the 1-2 month mark I was just like you, heart rate jumping to 160 getting dressed, could barely walk without feeling like I was going to pass out In context ↗
  • Now: RelapsedThe POTS and orthostatic hypotension makes life borderline unliveable In context ↗
  • Began after: COVIDThen in late December/early January I caught COVID with a relatively mild illness
Read from 29 of their posts and comments; links to the 22 this page draws on

Request to remove this story

Summary

Dew 58653, 28, developed long COVID after a mild January 2023 infection. At 1–2 months his heart rate hit 160 on dressing and he could barely walk without near-fainting; at 1 month he felt at 10% of normal. He improved to 65% by month 5 and could walk 30 minutes by month 7, crediting time; gluten-free diet resolved diarrhea and Wellbutrin improved motivation. He then relapsed: at 10 months POTS/orthostatic hypotension left him house-ridden, unable to stand more than about 3 minutes without risking fainting, with fleeting suicidal thoughts. Phlebotomies gave only 1–2 days of relief.

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What they tried

Their words about each treatment
  • propranolol · HelpedBeta blockers have been a godsend for me, propranolol in particular. In context ↗
  • GI cocktail · No changegave me a GI cocktail. But it didn’t really seem to help a ton. In context ↗
  • H1 blockers / Benadryl · No changeI’ve tried ibuprofen, antihistamines, and Ativan. Nothing has really worked. In context ↗
  • famotidine · No changeBeen popping H1 and H2 blockers every night In context ↗
  • tramadol · Helped a lotNot only has it reduced my pain but it’s also helped tremendously with my body chills and fatigue In context ↗
  • PPI · No changeDocs seem to think it’s GERD however anti-GERD medication has not helped In context ↗
  • fludrocortisone · No changeOn fludrocortisone but it doesn’t help a ton. In context ↗
  • phlebotomy (blood donation) · HelpedI feel insanely better the day I get a phlebotomy and the day or two after. In context ↗
  • Ativan / benzos · HelpedBenzos also help my symptoms In context ↗
  • gluten-free diet · HelpedI recently went gluten-free and my stomach pain and chronic diarrhea resolved almost immediately afterwards. In context ↗
  • Fluvoxamine, Lexapro, Trintellix, Wellbutrin · HelpedThey havent helped with LC symptoms but they do help big time with anxiety which helped out a lot. In context ↗
  • Zyn pouches (nicotine) · WorseI've been an on/off user of Zyn pouches during my LC experience and they've made my LC worse. In context ↗
  • Pfizer COVID vaccine · No changeI got the new Pfizer vaccine which didn’t give me any side effects but didn’t really change much of my LC . In context ↗
  • therapy / therapist · Not saidMy therapist acts like it’s mostly my anxiety In context ↗
  • time · HelpedHowever slowly but surely, things got better. In context ↗

Approaches: Beta-blockers

Their path

What they say at each step doesn’t fit the worst point or outcome above on the severity scale, so the steps are listed as they describe them. Dates are when they posted.

WhenWhat happenedAfter
February 2023long COVID symptoms began after COVIDGot infected in January and started dealing with LC symptoms in February. In context ↗
March 2023 (1–2 months in)lowest point: about 10% of normal, wrote willAt the 1-2 month mark I was just like you, heart rate jumping to 160 getting dressed, could barely walk without feeling like I was going to pass out In context ↗
2023-05-06setback after a few better days and datesI was doing pretty good these past few days, even went on a few dates. Then I woke up this morning feeling like garbage. In context ↗
2023-06-24about 65% recovered by month 5I’m on month 5 now and I’m about 65% recovered In context ↗Time and spontaneous remission
2023-07-19big flare after a period of improvementThought I was getting better but having another big flare up this week and feeling demoralized In context ↗
2023-08-06orthostatic hypotension became the main debilitating symptom6 months in to LC and some symptoms have improved but orthostatic hypotension continues to debilitate me. In context ↗
2023-10-02able to walk 30 minutes with heart rate 110–120Recently I’ve been able to walk for 30 minutes maintaining a heart rate of 110-120. In context ↗Time and spontaneous remission
2023-10-21gluten-free diet resolved chronic diarrhea and reduced stomach pain/palpitationsI recently went gluten-free and my stomach pain and chronic diarrhea resolved almost immediately afterwards. In context ↗Gluten-free diet
2023-11-17Wellbutrin improved motivation and activityI recently started Wellbutrin though and wow, what a game-changer. In context ↗
2023-12-04POTS/orthostatic hypotension relapse, house-riddenThe POTS and orthostatic hypotension makes life borderline unliveable. I’m 10 months in. In context ↗

Adverse events

  • Fluvoxamine (Luvox), Escitalopram (Lexapro)“Eventually stopped them due to sexual side effects (some ED and anorgasmia.) These cleared up after stopping them.” In context ↗ Side effects
  • Vortioxetine (Trintellix)“It definitely makes anorgasmia and ED worse however its hard to tell how much of the ED is from the Trintellix” In context ↗ Side effects
  • Nicotine patches“they’ve made my LC worse ... my LC heart palpitations/POTS/exercise intolerance is much worse when Im using nicotine (like my standing/walking heart rate is 20-30 bpm faster when im using nicotine)” In context ↗ Made symptoms worse
  • Nicotine patches“anytime I get a little bit of stress my brain immediately goes into craving mode and I get a huge urge to drive and get a couple cans of Zyn pouches.” In context ↗ Withdrawal problems

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI recently got out and did more walking and exertion last weekend than I have in months, I’ve been crashing hard this week in response In context ↗
  • Brain fogBody chills, feverish feeling, abdominal pain, brain fog. In context ↗
  • POTS & dysautonomiaThe POTS and orthostatic hypotension makes life borderline unliveable. In context ↗
  • Pain & fibromyalgiabody pains and aches In context ↗
  • Headaches & migrainecrushing head pressure In context ↗
  • Gut problemsA gluten-free diet resolved my years-long chronic diarrhea almost instantaneously. In context ↗
  • Heart symptoms & palpitationsHeart rate goes from 60bpm to 120-130 bpm with standing. In context ↗
  • Neuropathy & tinglingmy feet started tingling In context ↗
  • Anxiety & low moodSome days I get fleeting thoughts of suicide. In context ↗
  • Flu-like symptomsBody chills, feverish feeling In context ↗

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