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Long COVID Severe → near normalNeeds ongoing treatment

Basically bedridden with long COVID chest pain, now nearly back to normal on amlodipine

Condition
Long COVID
At worst
Severe (mostly bedbound)
Ill before improving or writing
Not stated
Last post
Jan 2025
In their words
  • Condition: Long COVIDI have experience with PVS (aka Long Covid) In context ↗
  • At worst: SevereBefore I got on focused CMD treatment, I was basically bed ridden. In context ↗
  • Now: Near normaland would have a pretty normal life if I didn't have other medical issues on top of this ... If there's chest pain, I slow down. In context ↗
  • Began after: another virusI've had nasty post viral syndrome three times
Read from 6 of their posts and comments; links to the 4 this page draws on

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Summary

Zephyr 46814 had post-viral syndrome three times, first at age 12; one followed COVID in 2020. They also have POTS, MCAS, coronary microvascular disease and chronic regional pain syndrome. Constant chest pain and zero stamina left them basically bedridden. A higher dose of amlodipine pretty much got rid of the chest pain, and within a couple of weeks they were getting their strength back; they now forget they have CMD.

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What they tried

Their words about each treatment
  • Propranolol · HelpedI take 20mg 3x/day with a rescue dose built into my prescription. In context ↗
  • Xanax · HelpedIf my HR goes high and Propranolol isn't bringing it down, I take a Xanax. It calms the CNS so it helps. In context ↗
  • Clonidine · No changeClonidine is the drug many people with hyperPOTS end up on. I failed that one In context ↗
  • Ranexa/ranolazine · No changeRanexa/ranolazine wasn't helpful to me but Amlodipine is. In context ↗
  • Ramipril · Not saidI was put on Ramipril for a while for it but I have a mast cell disease so it was deemed too risky to continue In context ↗
  • Amlodipine · Helped a lotI take 7.5mg in the evening and that dose pretty much got rid of my chest pain. In context ↗
  • Normal saline IV · Helped a lotIf I don't, my POTS gets nasty ... It has been a tremendous help. It cuts down on my episodes and flares significantly. In context ↗
  • Pedialyte and salty food · Not saideven if I'm drinking nothing but Pedialyte and eating nothing but salty food In context ↗
  • Paxlovid · HelpedI qualified for Paxlovid during the second covid infection (I have more than just POTS) and did not get PVS, thankfully. In context ↗
  • Relaxation and grounding techniques · No changeI attempted to use relaxation and grounding techniques while I waited for the Xanax to work. In context ↗

Approaches: Calcium channel blockers · POTS medication · Antivirals

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
age 12first bout of post-viral syndromeMy first bout with PVS was when I was 12. In context ↗Not stated
2020COVID infection triggered post-viral syndromeOnly one of them was covid, which I had in 2020 and again in 2024. In context ↗Not stated
before focused CMD treatmentbasically bedridden with constant chest painBefore I got on focused CMD treatment, I was basically bed ridden. In context ↗Severe
a couple of weeks after higher-dose amlodipinestrength coming back on higher dose of amlodipineafter just a couple of weeks on a higher dose of Amlodipine, I was getting my strength back In context ↗MildAmlodipine (Norvasc)
2025-01-13mostly forgetting the microvascular disease, going out, concerts, walksI honestly forget that I have it most of the time. In context ↗Near normal

Symptoms mentioned

Their words about their symptoms
  • POTS & dysautonomiamedical PTSD, mast cell activation syndrome (MCAS), chronic regional pain syndrome, POTS In context ↗
  • Mast cell (MCAS) & allergiesmast cell activation syndrome (MCAS) In context ↗
  • Heart symptoms & palpitationsI lived with constant chest pain for a year In context ↗
  • Pain & fibromyalgiachronic regional pain syndrome In context ↗

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