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ME/CFS Severe → somewhat betterIll 3 years before improving or writing

Largely bedridden with ME/CFS, now somewhat better with ivabradine and low-dose Abilify

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill before improving or writing
3 years
Last post
Oct 2026
In their words
  • Condition: ME/CFSFortunately I found a new neurologist- who diagnosed me with me/cfs and treats me accordingly. In context ↗
  • At worst: Severei am severe. can only leave my bed for going to the toilet. In context ↗
  • Now: Somewhat betterI also slowly but steadily crawling myself out of being bedridden - I can sit for up to 15 minutes!! In context ↗
  • Began after: COVIDGot Covid in January 2024 for the first time - never got well again. In context ↗
Read from 27 of their posts and comments; links to the 17 this page draws on

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Summary

Horizon 36926 developed ME/CFS after a mild COVID infection in January 2024, with fatigue that never went away and POTS. Told by a neurologist to push through, they fell from moderate to largely bedridden by early 2025 after a panic attack. Increased ivabradine controlled their POTS; low-dose Abilify, started very slowly, gave side effects and slight gains. By late 2026 they could sit up 15 minutes and shower again.

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What they tried

What they credit

Their words about each treatment
  • Ivabradine · Helpedshe increased my Ivabradine and for the first time my POTS is under control. It is so great and makes everything easier. In context ↗
  • Pacing · No changeI have a hard time pacing, so I don’t see any improvement of my fatigue or baseline In context ↗
  • LDA · Helpedit gave me soooo much energy, my sensitivities got a lot less and my brainfog was also a lot less In context ↗
  • Quviviq · HelpedIt worked good for me but I had a huge drug interaction with LDA. Had to stop Quviviq. In context ↗
  • xanax · Helpednormally it calms me - 0,5mg is usually enough In context ↗
  • Hydroxyzine · No changealso Hydroxyzine 25mg. it did nearly nothing. In context ↗
  • Diphenhydramine · Helpedmedication that usually helps, does nearly nothing In context ↗
  • melatonin · Not saidi take diphenhydramine 100mg and melatonin In context ↗
  • Trazodone · HelpedTrazodone doesnt help me to fall asleep but 50mg before bedtime help to keep me asleep In context ↗
  • sertraline · Not saidi already take sertraline In context ↗
  • beta blockers · WorseI didn‘t do well on beta blockers because I have a very low bp. In context ↗
  • meditation · No changemeditation also doesn’t work right now In context ↗
  • aggressive rest · Not saidI was able to aggressive rest for 40min straight! In context ↗
  • therapy · Not saidI had to stop therapy because I can’t talk more than 10 minutes In context ↗
  • notebook to track my symptoms · HelpedA week ago I bought a notebook to track my symptoms better. It helps me to ask myself how I‘m feeling In context ↗
  • abm blackout mask · HelpedSwitching to only hearing something with abm blackout mask has helped a bit. In context ↗
  • fever-reducing painkillers · Not saidMx heart rate goes crazy if I have a fever and so it is really important for me to take fever-reducing painkillers. In context ↗

Approaches: Other drugs and medicines

Their path

Very severeSevereModerateMildNear normalRecovered12 mo18 mo2 y2.5 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. The chart starts 9 months after onset: the story doesn’t say how ill they were before that. 2 steps say too little to place on the scale and are only in the table. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
January 2024mild COVID infection, never recoveredGot Covid in January 2024 for the first time - never got well again. In context ↗Not stated
first months after infection, 2024partial improvement during the first monthsit got better the first months In context ↗Not stated
2024deteriorated after repeatedly overexerting on the neurologist's adviceI deteriorated over those months and when I got the diagnosis from my new doctor - it was kind of too late to learn pacing In context ↗Moderate
December 2024higher ivabradine brought POTS under control, fatigue unchangedshe increased my Ivabradine and for the first time my POTS is under control. It is so great and makes everything easier. In context ↗Moderate
January 2025fell from moderate to severe after a bad panic attackI was moderate with day of severeness until beginning of January and after getting a bad panic attack I can’t watch tv anymore In context ↗Severe
March 2025severe and slowly worseningI‘m severe and that I keep getting slightly worse In context ↗Severe
April 2025first slight improvement after very low-dose Abilifyi reached the steady state (15 days) of my new dosis 0,04mg on Wednesday and experience(d) slight side effects (a lot of hunger) and felt a little better for the first time In context ↗SevereLow-dose Abilify / aripiprazole
September to October 2026slowly crawling out of being bedridden; showered for the first time since January 2025I also slowly but steadily crawling myself out of being bedridden - I can sit for up to 15 minutes!! In context ↗Severe

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseGot a little PEM from it but this is a huge accomplishment for me. In context ↗
  • POTS & dysautonomiaHave pots, (unfortunately) only found a neurologist who said that my fatigue was just a result of pots In context ↗
  • Brain fogmy sensitivities got a lot less and my brainfog was also a lot less In context ↗
  • Sleep problemssince then i cannot fall asleep for 5 hours even though i take diphenhydramine 100mg and melatonin In context ↗
  • Anxiety & low moodI get panic attacks so often, after not having them in years. In context ↗
  • Light & noise sensitivitymy sensitivities got a lot less In context ↗
  • Heart symptoms & palpitationsnow I can go to the toilet or get a snack without feeling like I‘m dying because my heart is jumping out of my chest In context ↗
  • Pain & fibromyalgiaI have a somatoforme pain disorder and in order to function (school, work etc) I had to go through the pain. In context ↗

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