Art Vandelay
Senior Member
- Messages
- 470
- Location
- Australia
How long have you been on the MP? And how much longer do you see yourself needing to be on it? What's the benefit from the MP been for you? What's your current health status?
I've been on it 8-9 years with a few breaks. Unfortunately my original doctor had me on too low a dose of Olmesartan for the first 5-6 years with the result that I think it has really slowed my progress. I've only started to make better progress on a higher dose more recently.
The benefit is better brain fog, insomnia, inflammation, gut symptoms and pain. I even have hours here and there where I feel almost normal. However, I still get quite bad PEM if I overdo it and all the other usual CFS symptoms will flare up. The PEM seems closely related to my gut symptoms quite strongly, so I'm wondering that a parasite infection (d.fragilis) or maybe leaky gut is complicating my recovery.
I've spoken to a few local patients who have done very well on the MP. One with CFS considers themselves completely recovered after ten years and another with CFS/Lyme is nearly recovered after 9-10 years. I figure I've got a while to go yet.
Losartan and especially candesartan cross the blood-brain barrier better than olmesartan, so assuming ME/CFS involves a brain infection with enterovirus, you might get better results with ARBs which cross the BBB. Olmesartan only poorly crosses the BBB.
Olmesartan wasn't available in Australia when I started the MP so my doc used candesartan initially. My doctor said most of his patients couldn't tell the difference between it and Olmesartan but I feel that the latter has more of an anti-inflammatory effect.