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nimodipine works the best for me for POTS.
I've tried midodrine, butchers's broom, propranolol with caffeine combo, they all work a tiny bit but no where near as well as the nimodipine, for me anyway.
Note you need to take really small doses with ME even smaller if severe. I only take 1/8 of 30mg tablet maintenance does which isn't enough to help with pots but then I take about 1/4 tablet for days when I need to be 'active' or upright most of day, and this is enough to do the trick all day, and increase energy levels and less PEM.
But I save this larger dose for those days I need to be functioning better ie doctor appt or something. I don't know what would happen if I took a larger dose everyday, it would make me over do it, so I haven't done tried that yet....
If you take too much nimodipine you get a headache, so you increase it until you reach that then reduce a little. Most people need more than I take, most severely affected need less.
For more info on how to take nimodipine google:
Nimodipine Use in ME/CFS a Comrehensive Guide by by Susan parker 25%ME group
and you can download the pdf.
Note most ME doctors prescribe too high a dose regime, Dr Mason Brown's guidelines (in the above pdf)were the only ones I could follow
Good luck if you try it.
I've tried midodrine, butchers's broom, propranolol with caffeine combo, they all work a tiny bit but no where near as well as the nimodipine, for me anyway.
Note you need to take really small doses with ME even smaller if severe. I only take 1/8 of 30mg tablet maintenance does which isn't enough to help with pots but then I take about 1/4 tablet for days when I need to be 'active' or upright most of day, and this is enough to do the trick all day, and increase energy levels and less PEM.
But I save this larger dose for those days I need to be functioning better ie doctor appt or something. I don't know what would happen if I took a larger dose everyday, it would make me over do it, so I haven't done tried that yet....
If you take too much nimodipine you get a headache, so you increase it until you reach that then reduce a little. Most people need more than I take, most severely affected need less.
For more info on how to take nimodipine google:
Nimodipine Use in ME/CFS a Comrehensive Guide by by Susan parker 25%ME group
and you can download the pdf.
Note most ME doctors prescribe too high a dose regime, Dr Mason Brown's guidelines (in the above pdf)were the only ones I could follow
Good luck if you try it.