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ME/CFS Severe → no benefitIll for 3 years

Bedridden with ME/CFS after a crash, now no improvement and crashes past 600 steps

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill for
3 years
Last post
Mar 2025
In their words
  • Condition: ME/CFSI thought I had ME/CFS and I think I did In context ↗
  • At worst: SevereI am in a severe condition, where I sit in bed 95% of the day. In context ↗
  • Now: No benefitnow im lying on my bed all day long, If i do more than 600 steps, i crash... 45 days. In context ↗
  • Began after: stress or burnoutit was a psychological illness (panic disorder) and a history of tramadol dependence (small doses for several years) that led me to this illness
Read from 15 of their posts and comments; links to the 11 this page draws on

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Summary

A French man of 40 dated years of nagging fatigue to about 2022, after panic disorder, tramadol use and heavy sport. He kept cycling and weight-training until early 2025, when post-exertional crashes left him unable to work normally. A week of rest helped briefly, but a February crash left him bedridden; two days of 10 mg fluoxetine made him worse, and he crashes after more than 600 steps a day.

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What they tried

Their words about each treatment
  • Sport (cycling, weight training, walking) · WorseThis allowed me to calm my dysautonomia but it accentuated my already present chronic and post-exertion fatigue In context ↗
  • tramadol · Worsetramadol for energy with exhausting withdrawal In context ↗
  • salt and a support sock · HelpedI manage my little dysautonomia with salt and a support sock In context ↗
  • rest / stopping intensive exercise · HelpedI haven't done any intensive exercise for a week and I feel better In context ↗
  • fluoxetine (prozac) · WorseI wanted to try fluoxetine in a mini dose, but I crashed even more last Thursday In context ↗
  • benzo (anxiolytics) · Helpedhad to take half a benzo to get back to sleep with difficulty 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 wereAfter
2022nagging fatigue began while still playing sportsI've had nagging fatigue for years, although I haven't stopped playing sports In context ↗Mild
2023remission, in Olympic shapeTwo years ago I was even in Olympic shape, despite the fact that I had this tired for a year. In context ↗Near normal
early 2023big panic attack after sleepless night, cocaine, sport and alcoholI was in remission then I did anything (sleepless night, cocaine, sport the next day, alcohol) and bam big panic attack which led to this chronic fatigue. In context ↗Mild
September 2024caught COVID and kept doing sport; gradual declinemoderate/mild past june then i caught covid in september an i keep doing sport In context ↗Mild
early February 2025post-exertional crashes after sport; could not work normallythe day after or two days after sport, I have had the flu, terrible fatigue, depression, terrible cold and I cannot work normally In context ↗Moderate
12 February 2025stopped intensive exercise and felt better, working almost full daysI haven't done any intensive exercise for a week and I feel better ... I can work (I'm a book editor and I have a very, very cognitively demanding job) at almost 100% all day. In context ↗MildPacing and the energy envelope
5 March 2025crashed to bedridden, in bed 95% of the dayI am in a severe condition, where I sit in bed 95% of the day. In context ↗Severe
10 March 2025crashed further after a mini dose of fluoxetineI wanted to try fluoxetine in a mini dose, but I crashed even more last Thursday ... I only get up to go to the toilet since this morning, I'm completely destroyed. In context ↗Severe
18 March 2025still lying in bed all day, crashing after more than 600 stepsNow im lying on my bed all day long, If i do more than 600 steps, i crash In context ↗Severe

Adverse events

  • Fluoxetine (Prozac)“I woke up at 2:30 a.m. (put to bed at 11:30 a.m.) and had to take half a benzo to get back to sleep with difficulty.” In context ↗ Insomnia from treatment
  • Fluoxetine (Prozac)“I started fluoxetine, two days of taking 10 mg (half dose) and I can't stand it, it excites my sympathetic nervous system too much” In context ↗ Side effects
  • Fluoxetine (Prozac)“I wanted to try fluoxetine in a mini dose, but I crashed even more last Thursday...” In context ↗ Made symptoms worse

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI have had the flu, terrible fatigue, depression, terrible cold and I cannot work normally. In context ↗
  • POTS & dysautonomiaI also have dysautonomia, but it calms down when I'm not crashing In context ↗
  • Sleep problemsa waking up at 3:30 a.m., waking up tired In context ↗
  • Brain fogit took away the brain fog and gave me energy In context ↗
  • Headaches & migraineslight standing pain, migraines and tinnitus In context ↗
  • Pain & fibromyalgia5 minutes of walking hurts my legs and calves In context ↗
  • Muscle weaknessmy legs have been heavy and weird for a month In context ↗
  • Anxiety & low moodI talk to my wife about euthanasia, I'm ashamed to make her panic... In context ↗
  • Flu-like symptomsyesterday I was dead, I had the flu, today I'm already better In context ↗

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