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Long COVID Severe → no benefitIll for 13 monthsNeeds ongoing treatment

Long COVID with hyperPOTS, MCAS and fight-or-flight, no benefit

Condition
Long COVID
At worst
Severe (mostly bedbound)
Ill for
13 months
Last post
Dec 2022
In their words
  • Condition: Long COVIDLong hauling for over a year been hell with Hyperpots and MCAS In context ↗
  • At worst: Severehave literally zero quality of life and be bedbound basically In context ↗
  • Now: No benefitit’s getting worse with spasms and angina In context ↗
  • Began after: COVIDcan’t relax for the life of me since July covid In context ↗
Read from 16 of their posts and comments; links to the 11 this page draws on

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Summary

Hawk 85699 fell ill with long COVID in July 2021 and spent months with hyperPOTS, MCAS and constant fight-or-flight, calling their quality of life zero. Xanax as needed was the only early relief; guanfacine 1 mg morning and night made them functional again in August 2022. A flu in October 2022 briefly restored their pre-COVID self, then symptoms returned, and by December they still had chest spasms and angina that were getting worse.

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What they tried

Their words about each treatment
  • Xanax · Helpedbenzo is the only thing that makes me feel normal again In context ↗
  • Pepcid · WorsePepcid gave me terrible pvc/arrhythmias heart palpitations it was scary. Took for 10 days before realizing that was causing it. In context ↗
  • meditation · No changeI’ve tried literally everything else- meditation, acupuncture, chiropractor, infusions, supplements, etc and benzo is the only thing that makes me feel normal again In context ↗
  • acupuncture · No changemeditation, acupuncture, chiropractor, infusions, supplements, etc and benzo is the only thing that makes me feel normal again In context ↗
  • beta blocker · HelpedBeta blocker helps with the angina and pots. In context ↗
  • Guanfacine · Helped a lotYes Guanfacine has been a game changer for me too. Take 1mg at night and 1mg in the morning and finally am functional and not in fight or flight 24/7 anymore In context ↗
  • fast walk for 20 mins · WorseI just exercised (fast walk for 20 mins) for first time in over 6 months and day after I had constant PVCs. In context ↗
  • Diltiazem · HelpedDiltiazem has helped but doc said we can add on Ranexa if need be. In context ↗

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
2021-07long COVID after covid infectioncan’t relax for the life of me since July covid In context ↗
2022-03COVID reinfection set them backI’m going on 7 months but got reinfected a month ago so it kinda set me back In context ↗
2022-04-06diagnosed with MCAS and hyperPOTS; Xanax as needed helpedthe only thing that has helped through the months is Xanax prn In context ↗Alprazolam (Xanax)
2022-08-08guanfacine made them functional, calmerYes Guanfacine has been a game changer for me too. Take 1mg at night and 1mg in the morning and finally am functional In context ↗Guanfacine
2022-10-13flu briefly brought back pre-COVID selfnow I oddly feel kinda pre Covid self surprisingly In context ↗
2022-10-14flu benefit wore off, LC symptoms returnedI’m already getting some LC symptoms back now so clearly just temporarily In context ↗
2022-12-28endothelial dysfunction worsening with spasms and anginaas it’s getting worse with spasms and angina In context ↗

Adverse events

  • Famotidine (Pepcid)“Yes Pepcid gave me terrible pvc/arrhythmias heart palpitations it was scary. Took for 10 days before realizing that was causing it.” In context ↗ Heart rhythm problems
  • Alprazolam (Xanax)“I know the withdrawals and everything and hate it I’ve done it before” In context ↗ Withdrawal problems

Symptoms mentioned

Their words about their symptoms
  • POTS & dysautonomiaI finally after 7 months post covid got diagnosed with mcas and also hyperpots too by a doctor In context ↗
  • Mast cell (MCAS) & allergiesgot diagnosed with mcas and also hyperpots too by a doctor In context ↗
  • Heart symptoms & palpitationsday after I had constant PVCs In context ↗
  • Anxiety & low moodI’m constantly in fight or flight and stressed/tense and can’t relax for the life of me In context ↗
  • Post-exertional malaiseI just exercised (fast walk for 20 mins) for first time in over 6 months and day after I had constant PVCs In context ↗

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