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ME/CFS Severe → no benefit

ME/CFS still bedbound in late 2024 after steroids and ivabradine

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill for
Not stated
Last post
Sep 2025
In their words
  • Condition: ME/CFSStill have PEMs but recover more quickly. In context ↗
Read from 13 of their posts and comments; links to the 8 this page draws on

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Summary

A Reddit user with ME/CFS who had become moderate by mid-2022, having built their own campervan beforehand and able to travel in it, but was still bedbound in December 2024. Steroids helped at first but faded and left them with diabetes type 3 needing insulin; pregabalin slightly eased muscle contractions and pain, and ivabradine was a game changer for heart rate, cutting resting rate from 95 to 65.

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What they tried

Their words about each treatment
  • Atorvastatin · HelpedIncreased a couple of weeks ago my dose of Atorvastatin and Candesartan ... The average HR lowered quite significantly In context ↗
  • ASS · Not saidTake also ASS since I had an STEMI (kind of heart attack) before I was even 40 In context ↗
  • Pregabalin · HelpedSince I take Pregabalin 150mg 1-1-1-1 I’m fine at least with that topic ... Reduces pain and improves energy level a bit. In context ↗
  • Ortoton · HelpedPregabalin and Ortoton for fybro pains somewhat but not very effective In context ↗
  • insulin · Not saidah and insulin for my Diabetes type 3 ... finally for a long term insulin and a diet
  • corticoids / Cortisone · HelpedWas on corticoids for weeks. Helped in the beginning quite well ... But it became more and more useless over the time. In context ↗
  • Ivabradin · Helped a lotGot my HR down by 15 points and it doesn’t raise so quickly anymore. Some kind of game changer for me. In context ↗
  • antihistamin pills / Fexofenadin Winthrop · Helped a lotwent away with regular antihistamin pills ... Fexofenadin Winthrop 120mg, 1-0-1-0 works fine for me. No relevant symptoms in this regard anymore.
  • a diet · Not saidfinally for a long term insulin and a diet. Unfortunately it was just one more thing but didn’t solved any other (still bedbound). In context ↗
  • Sirdalud · HelpedSirdalud 4-0-0-12mg In context ↗

Their path

Very severeSevereModerateMildNear normalRecovered

How ill they were on the ME/CFS severity scale, estimated from what they describe at each point, in the order they describe; they don’t give enough times to place each step. Hover or tap a point. 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
2022-06-28became moderate; travelling in their campervan relieved symptomstraveling with my sprintervan is actually relieving me more than anything else In context ↗Moderate
2022-12-31average heart rate fell after raising atorvastatin and candesartan doses; PEM recovered more quicklyStill have PEMs but recover more quickly. In context ↗ModerateCandesartan (Atacand)
2023-12-15corticoids helped at first, then stopped workingHelped in the beginning quite well, was stronger, a lot less pain In context ↗Not statedCorticosteroid pulses
2024-02-17ivabradine brought heart rate down and cut activity spikesGot my HR down by 15 points and it doesn’t raise so quickly anymore. In context ↗Not statedIvabradine
2024-12-16blood sugar swings of 40 to 400 found with a sensor; insulin and diet did not change being bedboundUnfortunately it was just one more thing but didn’t solved any other (still bedbound). In context ↗Severe

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseStill have PEMs but recover more quickly. In context ↗
  • Brain fogespecially in the beginning it increases the brain fog In context ↗
  • Heart symptoms & palpitationsStill have 120-140BPM at physical activities, but not more than that and it comes down quickly. In context ↗
  • Pain & fibromyalgiaPregabalin and Ortoton for fybro pains somewhat but not very effective In context ↗
  • Sleep problemsIt reduced also the restless legs syndrome. In context ↗

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