Long Covid treatment approaches: LDN, cortisone, LDA, pacing in ME/CFS.
🎧 This is what it's about We're talking about Christian's experience with a short course of cortisone (benefits vs. risks, timing, side effects), his self-experiment with LDN using very slow titration and noticeable cognitive effects, and the potential next step with LDA. We'll also discuss why pacing remains fundamental, what's realistic in everyday life, and that this is the end of the regular episodes – with a preview of bonus episodes (including one about children) and our new, standalone podcast, "The Half Liter." 🧩 Episode topics ► Cortisone as a "fire extinguisher": potential effects vs. risks (e.g., immunosuppression, side effects); a short 5-day trial without a clear overall benefit ► LDN: off-label use, targeting neuroinflammation/endorphins; very slow titration, adjusting the time of administration to sleep; Subjectively improved cognitive resilience ► LDA as the next step: possible combination/sequence will be medically assessed ► Pacing remains fundamental: stimulus dosage, know your limits, plan for withdrawal ► Community & Format: Q&A, assistive device episode, bonus "Long Covid in Children," new podcast "The Half Liter" 🧠 Practical advice (not instructions/no legal or therapeutic advice!) ► Always supervise therapies with a physician; discuss off-label use transparently ► Cortisone: strict indication, weigh short-term benefits against risks; no long-term use without a clear benefit ► LDN: very low starting dose (e.g., 0.25 mg) and titrate slowly; take earlier if you have vivid dreams; never combine with opioid analgesics ► LDA: only in consultation with a physician; Check for drug interactions/comorbidities ► Pacing in everyday life: Plan activities, respect your energy budget, schedule regular rest, and document your effects (e.g., concentration, sleep, crashes) ⏱️ Chapters 00:00 Last Episode 03:18 Highlight of the Week 06:59 Cortisone 15:54 Low-Dose Naltrexone (LDN) 29:08 Low-Dose Aripiprazole (LDA) 31:42 Pacing 36:53 Thank You & New Podcast 🔗 Resources Mentioned • Cortisone Therapy: https://covidhilfe.com/long-covid-the... • PoCoVit Study Charité (2025): https://www.clinicaltrials.gov/study/... • Low-Dose Naltrexone (LDN): https://covidhilfe.com/long-covid-the... • Low Dose Aripiprazole (LDA): https://covidhilfe.com/long-covid-the... • Pacing: https://covidhilfe.com/long-covid-the... • New Podcast: The Half Liter: / @derhalbeliter 🌐 More information: www.covidhilfe.com 📩 Contact: [email protected] 📲 Listen & subscribe: Spotify, Apple Podcasts & all major podcast apps. Share this episode with those affected or supporting others – every story helps. #LongCovid #Cortisone #LDN #LDA #Pacing #MEcfs #PostVac #Podcast #PoCoVit #TheHalfLiter