Bedbound with severe ME/CFS and MCAS after long COVID, now somewhat better with pacing
- Condition
- Long COVID
- At worst
- Severe (mostly bedbound)
- Ill before improving or writing
- 1 year
- Last post
- Oct 2026
In their words
- Condition: Long COVID
I have had LC since September 2025, w dysautonomia, ME/CFS and probably MCAS.
In context ↗ - At worst: Severe
I’ve declined into severe, bed bound over the course of 4 weeks.
In context ↗ - Now: Somewhat better
I have gone from being severe and mostly bedbound (1500 steps), to being housebound/couchbound.
In context ↗ - Began after: COVID
Got mild unconfirmed Covid July 12th this year.
Read from 129 of their posts and comments; links to the 54 this page draws on
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Summary
A 62-year-old physician with 30 years of mild ME/CFS crashed into severe, bedbound ME/CFS, dysautonomia and MCAS after a mild unconfirmed Covid infection in July 2025 and a gym session. She improved to moderate and housebound over the next year, averaging 3,000–3,500 steps, but had flares and crashes. She managed with pacing, Mestinon, H2 blockers and a low-histamine diet; LDN, ketotifen and most other drugs made her worse.
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What they tried
What they credit
Also tried
Their words about each treatment
- Gabapentin · Helped
I have increased to 800 mg a day in divided doses . It helps me with the burning from the small fibre neuropathy.
In context ↗ - Magnesium citrate (CALM) · Helped
I used to take the calm supplement for the magnesium, and a nice side effect was that my stools were soft.
In context ↗ - Klonopin (clonazepam) · Helped
I take 0.125 mg of Klonopin at night to sleep.
In context ↗ - Omeprazole · Not said
I’m on Omeprazole 20 mg for GERD.
In context ↗ - Probiotics · Worse
Most probiotics give me bloating, flatulence, and diarrhea.
In context ↗ - Claritin (loratadine) · Worse
I get very jittery with even a children’s Claritin.
In context ↗ - Quercetin · Worse
3 days of Quercetin and i developed anxiety.
In context ↗ - Vitamin D · Not said
So far only doing Gabapentin 900 mg/day, Melatonin 4 mg, Omeprazole 20 mg, Vid C,D, Magnesium and Electrolytes.
In context ↗ - Electrolytes and 2 litres of water · Helped
I also get orthotic tension if I don’t drink my electrolytes and 2L water
In context ↗ - Melatonin · Not said
I use 4 mg to sleep at night .
In context ↗ - Pacing with pace points · Helped
bought a visible strap and a Garmin watch, and started pacing
In context ↗ - Visible band, Garmin watch and Oura ring · Not said
I have a Visible, a Garmin watch, and an Oura.
In context ↗ - Yoga Nidra, 4-6 breathing and pranayama · Helped
Yoga Nidra brought my heart rate down yesterday.
In context ↗ - Flonase (fluticasone nasal spray) · Helped
It was quite manageable with a single daily squirt of Flonase. ... the Flonase has stopped working since two days ago.
In context ↗ - NasalCrom (nasal cromolyn) · Helped a lot
NasalCrom a Mast cell stabiliser helped a lot
In context ↗ - Low-histamine diet · Helped
a low histamine diet that has helped tremendously
In context ↗ - Xanax (alprazolam) · Helped
I took a 0.25 mg of Xanax two nights ago and got a good nights sleep .
In context ↗ - Dymista (azelastine/fluticasone) · Worse
Dymista and Neti pot worsened it.
In context ↗ - LDN (naltrexone) · Worse
I’ve tried 0.05 mg LDN for 3 days but quit due to side effects.
In context ↗ - Bromelain · Worse
I think I have slow COMT genes and can’t handle Bromelain (esp after covid)
In context ↗ - Lexapro (escitalopram) · Worse
I tried a really low dose of Lexapro which gave me nausea and histamine release (skin prickling) on the first day itself
In context ↗ - CBD (Wyld) · Worse
CBD (wyld brand) makes me feel high for two hours and then I feel groggy and sick for hours
In context ↗ - Buspar (buspirone) · Worse
Also got side effects w 2.5 mg Lexapro and 1.25 mg Buspar.
In context ↗ - Celebrex (celecoxib) · Worse
I took the Celebrex for 4 days for a foot injury but had to d/c due to gastritis.
In context ↗ - Ketotifen · Worse
The only change is taking 0.05 mg Ketotifen in the morning for three days now.
In context ↗ - Gradually increasing steps and slow treadmill walks · Not said
I increased my steps to 2500-3000 a day
In context ↗ - Cromolyn sodium (oral) · Not said
I take H1/H2 plus Cromolyn Sodium.
In context ↗ - Mestinon (pyridostigmine) · Helped
I second (and third) the Mestinon, though I can only tolerate a small dose - 18 mg.
In context ↗ - Zepbound (tirzepatide) · Worse
I took my first shot of 0.05 mg of Zepbound, and for the first four days, felt a significant improvement
In context ↗ - Famotidine (Pepcid) · Not said
Pepcid makes me dysphoric
In context ↗ - Creatine · Not said
4 days of 2.5-5 mg of Creatine made me feel like I was hypercaffeinated
In context ↗ - Desloratadine (Clarinex, Aerius) · Not said
Just taking 5 mg of desloratidine and experiencing nasal dryness / stuffiness and slightly altered nasal sensation.
In context ↗
Approaches: Benzodiazepines · Diet · Mind-body practices · Other drugs and medicines
Their path
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
| When | What happened | Where they were | After |
|---|---|---|---|
| July 12, 2025 | mild month-long unconfirmed Covid illness, largely ignoredI had a mild month long viral illness that I mostly ignored.In context ↗ | Mild | |
| August 23, 2025 | crashed after a gym resistance session, ended up in the ER, housebound and couchbound4 days later I ended up in the ER in a crash w severe weakness and muscle aches, burning SNF, gERD, and nasal congestion.In context ↗ | Severe | |
| October 17, 2025 | declined to bedbound, severe weakness, 13 lb weight lossRight now my worst symptoms are severe muscle weakness that has me bedboundIn context ↗ | Severe | |
| January 9, 2026 | no longer bedbound, able to walk 1500-2000 steps a dayI’ve gone from bedbound to being able to walk 1500-2000 steps.In context ↗ | Moderate | |
| January 10, 2026 | MCAS flare after a week of reading thrillers, 4-6 hours sleep and spicy snackshere I am with a week of MCAS symptoms- skin pain, coat hanger pain, panic attacks and a sore throatIn context ↗ | Moderate | |
| March 4, 2026 | dip, recliner bound after staying up late and snackingCurrently recliner bound, in a dipIn context ↗ | Severe | |
| May 29, 2026 | improved from mostly bedbound to moderate, houseboundI have improved from previously severe mostly bedbound, to currently moderate, housebound but still spending a lot of my day in the recliner.In context ↗ | Moderate | Mestinon / pyridostigmine |
| September 11, 2026 | housebound, stuck at about 3,000 steps, short treadmill walksI seem to be stuck at 3000 steps ... prepare simple meals for myself, and even do slow 15 minute walks on the treadmill.In context ↗ | Moderate |
Adverse events
- Probiotics and fermented foods“Most probiotics give me bloating, flatulence, and diarrhea.” In context ↗ Gut side effects
- Loratadine (Claritin)“I get very jittery with even a children’s Claritin.” In context ↗ Side effects
- Loratadine (Claritin)“I think antihistamines are anticholinergic, therefore causing constipation, moreover that usually is a side-effect i experience.” In context ↗ Gut side effects
- Loratadine (Claritin)“Antihistamines make me dysphoric.” In context ↗ Mood or psychiatric effects
- Famotidine (Pepcid)“Pepcid makes me dysphoric” In context ↗ Mood or psychiatric effects
- Creatine“4 days of 2.5-5 mg of Creatine made me feel like I was hypercaffeinated” In context ↗ Side effects
- Baicalein and quercetin“3 days of Quercetin and i developed anxiety.” In context ↗ Side effects
- Fluticasone nasal spray (Flonase, Avamys)“I’ve been taking a Flonase sensimist nasal spray but the congestion is getting a worse and triggering insomnia and panic attacks.” In context ↗ Made symptoms worse
- “Dymista and Neti pot worsened it.” In context ↗ Made symptoms worse
- Nasal saline rinses and sprays (neti pot)“Dymista and Neti pot worsened it.” In context ↗ Made symptoms worse
- “CBD (wyld brand) makes me feel high for two hours and then I feel groggy and sick for hours” In context ↗ Side effects
- “Loved it till I bought a potent one that gave me severe gastritis.” In context ↗ Gut side effects
- Alprazolam (Xanax)“I have insomnia the night I don’t take it and a miserable nonfunctional day after that.” In context ↗ Withdrawal problems
- Low-dose naltrexone“I tried LDN at 0.05 mg and had three days of brain fog, mild headache and body aches and I stopped.” In context ↗ Side effects
- Low-dose naltrexone“Tried 0.05 mg /day of LDN w unpleasant side effects a week ago. ( muscle aches and increased weakness , worsened nasal congestion )” In context ↗ Made symptoms worse
- Low-dose naltrexone“I started at 0.1 mg and had side-effects of brain fog, and headache which were new symptoms for me.” In context ↗ Side effects
- Low-dose naltrexone“I’m having side effects at 1 and 0.1 micrograms ( using serial dilution) and wondering how low I should go.” In context ↗ Side effects
- Escitalopram (Lexapro)“I decided to start low-dose Lexapro (2.5 mg) and the first dose I am already feeling resurgence of SFN (prickling burning) which was being well controlled by Gabapentin.” In context ↗ Made symptoms worse
- Escitalopram (Lexapro)“I tried a really low dose of Lexapro which gave me nausea and histamine release (skin prickling) on the first day itself” In context ↗ Side effects
- Buspirone (Buspar), Escitalopram (Lexapro)“Also got side effects w 2.5 mg Lexapro and 1.25 mg Buspar.” In context ↗ Side effects
- Ketotifen (Zaditen)“Can someone explain to me what these NIGHT time spikes upto 135 are? ... The only change is taking 0.05 mg Ketotifen in the morning for three days now.” In context ↗ Heart rhythm problems
- Cromolyn (Gastrocrom, Nalcrom), Ketotifen (Zaditen)“Third night I had restless sleep (w possible adrenaline dumps) and had coat hanger pain or PEM the next (fourth) day.” In context ↗ Made symptoms worse
- Ketotifen (Zaditen)“I also have mild brain zaps and sedation for a few hours right after Ketotifen.” In context ↗ Side effects
- Cromolyn (Gastrocrom, Nalcrom), Ketotifen (Zaditen)“Within 4 hours I had a bad headache, and head and nasal pressure.” In context ↗ Side effects
- Cromolyn (Gastrocrom, Nalcrom), Ketotifen (Zaditen)“I tried with a drop for a week and it messed up my sleep and my HRV fell…” In context ↗ Insomnia from treatment
- Cromolyn (Gastrocrom, Nalcrom), Ketotifen (Zaditen)“I tried taking 1 drop of 0.05 mg/ml so literally 0.002 mg every third day, compounded liquid, and it gave me nasal congestion, head pressure and insomnia. I tried for 2 weeks.” In context ↗ Side effects
- Ketotifen (Zaditen)“I have tried onboarding Ketotifen twice and both times it caused mast cell flares” In context ↗ Autoimmune or inflammatory flare
- Celecoxib (Celebrex)“I took the Celebrex for 4 days for a foot injury but had to d/c due to gastritis.” In context ↗ Gut side effects
- Bromelain“I think I have slow COMT genes and can’t handle Bromelain (esp after covid)” In context ↗ Side effects
- Tirzepatide (Mounjaro, Zepbound)“I just tried microdosing Zep 0.05 mg and got a mast cell flare with allodynia .” In context ↗ Autoimmune or inflammatory flare
- Mestinon / pyridostigmine“a low dose of Mestinon (18 mg, a higher dose ruins my sleep)” In context ↗ Insomnia from treatment
- Desloratadine (Clarinex, Aerius)“Just taking 5 mg of desloratidine and experiencing nasal dryness / stuffiness and slightly altered nasal sensation.” In context ↗ Side effects
- Symptom-tracking apps and wearables (Visible)“It gives me anxiety watching my HR in the red and watching my points disappear… I feel I’m going to cause myself to crash” In context ↗ Mood or psychiatric effects
Symptoms mentioned
Their words about their symptoms
- Post-exertional malaise
My Long Covid involves PEM, fatigue, skin prickles,mild congestion, loss of appetite and anxiety.
In context ↗ - POTS & dysautonomia
Over the last year, I have developed ME/CFS, Dysautonomia and MCAS.
In context ↗ - Mast cell (MCAS) & allergies
It took me 8 months to realize my long Covid was really a neuro-MCAS.
In context ↗ - Sleep problems
My most debilitating symptoms right now are extreme anxiety and insomnia.
In context ↗ - Pain & fibromyalgia
my major symptoms being peri scapular pain and insomnia
In context ↗ - Gut problems
In addition I have rapid weight loss, poor appetite, weakness, GERD, IBS
In context ↗ - Breathlessness
The nasal stuffiness feeds air hunger and panic when I try to eat or sleep.
In context ↗ - Muscle weakness
severe muscle weakness that has me bedbound
In context ↗ - Neuropathy & tingling
Small fibre neuropathy on arms and face
In context ↗ - Anxiety & low mood
debilitating anxiety (that I was managing w 900 mg Gabapentin)
In context ↗ - Flu-like symptoms
panic attacks and a sore throat
In context ↗
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