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Linda Elsegood: I'd like to introduce Ali from England and she has ME.
Ali: Hello.
Linda Elsegood: Could you tell us when you first started getting your symptoms?
Ali: I'm in my early twenties. I had a lot of tonsillitis and a lot of colds and flu, and I had them removed, and I was well for a year. Um, and then I moved to London, and I started to get really tired for no apparent reason.
Um, and I just picked up everything going. Then I had glandular fever and lots of jabs to go on holiday. Lots of vaccinations. Um, anti-malaria tablets and, um, antibiotics for, um, an abscess on my tooth. And that was it. I came back from holiday and every one said to me, "It doesn't seem like you're very well. And, um, I didn't feel well at all, but, um, I went through the motions, kept going to work.
And then finally, one morning, I woke up and I couldn't walk. My legs were too painful for me to move. So, I crawled downstairs and phoned in work and that was it really. And I kept trying to go back in, and they would just send me home 'cause I looked so dreadful and that was round about 1999 and in 2000 I got the diagnosis
Linda Elsegood: And what were you offered from your own GP?
Um, well, my own GP was saying I was depressed and I was saying if I am depressed it's because I've gained loads of weight, I'm tired, and I'm in pain. Um, but, you know, but while I was down, I didn't think the problem was depression. Um, but the consultant at the ME centre, um, just offered me antidepressants.
And, um, that was about it really; nothing else. He wanted me to go in and spend several thousand pounds on rehabilitation, and I'd looked into it, and seen there wasn't really a treatment protocol at all. It was just a case of pacing, which means having regular breaks and graded exercise, which is doing a little bit more each day.
And I thought, well, I can do that for myself so I don't need to pay to do it. So they were the only options.
Linda Elsegood: So when did you find LDN?
Ali: I had, um, I went to the hospital in 2001 and they thought I had Cushing's. And, um, I didn't; I had polycystic ovaries so that made me change my diet, and I cut out, um, lots of refined foods, um, so I lost a lot of weight and got quite better. I did a lot of Pilates and Yoga, and I was quite well for a few years.
I went back to work um, and then I lost my job again, I was made redundant then followed with a massive, um cold, um, that lasted a year and a half. And down I went again. So, um, I went 'cause I hadn't done any research for a couple of years because I kind of had the ME under control, though it wasn't true at all um I knew that, um, you never know. They were probably making headway with some treatment or something so I went, frantically searching on the internet to find that there wasn't anything still. Um, but I did come across LDN and. I printed off lots of information and went into my doctor. And luckily for me, he has a special interest in ME so he was very open to me trying LDN.So that's what I did.
Linda Elsegood: And what did you find LDN did for you?
Ali: Um, when I first took it, this is, um, December 2009. Um, it's coming up to Christmas and I was really desperate to try it because, you know, I really thought it'd be great if I have some energy over Christmas, and be normal. Um, but when I first started out, it was quite difficult um, and I was one of the people that couldn't sleep very well. So I changed to daytime dosing. And then after a month or so I went back to night time dosing and I've been absolutely fine. Um, it's been wonderful for my fatigue. Um, my usual routine would be to get up about half-past eight, nine o'clock and by two o'clock in the afternoon, after lunch, I would need to rest, um, and probably sleep. I'd sleep for maybe two hours because that's my routine.
But, um, slowly and surely and I hadn't even realized I wasn't sleeping anymore. Um, I didn't need to. So it's, it's the horrible fatigue that you get with ME. And it seems to, I mean if I overdo it I still pay for things, and I'm tired, that horrible fatigue element you get with ME seems to have vanished. Really, I am still tired, but the actual fatigue element has all but gone really and I am still tired but not fatigued, which is one of the nastiest symptoms for me because you can't really do anything.
You can't go out for the day or work because you have to sleep.
Linda Elsegood: So what about pain levels? Have they improved?
Ali: Yes, I used to get, um, I used to call it my, I've overdone it pain, um, if I did too much. Then I'd get pain, shooting pains in the top of my hips. And then that was my signal that I need to go and rest. But suddenly before I started taking the LDN and I used to get it quite a lot.
I mean, I used to get it on waking in the morning, so I would wake up stiff and in pain and almost immediately I took the LDN that all stopped as well. So the pain in my hips really, I hardly get it at all only if I do too much. So that's made a big difference. I was going to say, my immune system has really picked up because I used to, um, always have a cold. If I was near anyone who had a cold or a virus or anything, I'd pick it up. I had mumps the year before last even though I've had it as a child, you know, I really would just get anything and everything, but I don't anymore and I'm studying, and I sit next to people in the class who are coughing and you know I don't get it so it's really really helped my immunity.
Linda Elsegood: Did you have any initial side effects when you first started?
Ali: Um, the only side effect that I suffered was, um, not being able to get to sleep. Um, even with, um, sleeping tablets I still suffered, and I had done a bit of research, and I know it says to take LDN at night because that's when the endorphin effect happens.
But I'd also read that it's okay to do daytime dosing. And I did the daytime dosing for a while, and it still worked and I still, you know, wasn't sleeping during the day, and the pain was still better so I thought it still must be working. And then after a few months I thought, I'll try and switch, so I switched back, and I got a really good night's sleep.
I don't know and that's the other thing. I don't wake up through the night anymore. I used to wake up three or four times through the night. You get broken sleep with ME. Um, but I don't do that anymore. I sleep from when I shut my eyes until I'm open they're open again in the morning and I have to get up. Fantastic!
Linda Elsegood: A lot of people with ME seem to be very sensitive to drugs.
Did you have to have a very slow introduction?
Ali: I didn't. I didn't start really small, and because I'm getting - I know a lot of people have to get 50 milligram tablets and put them into water and then take you to know inject - no, not inject, use a syringe to take the LDN. I was actually getting mine prepared specially from the pharmacist. I was taking 3.5, 3mg and
um, and looking back, I did have, sort of my symptoms did come to the sort of top first. I did feel quite dreadful for the first few weeks but that soon subsided. I stuck with it. So thinking about it I probably could have started on a smaller dose, but I do have friends that are on a sort of 0.1 of a milligram, and they've been great on it.
So, I think with ME, you are extra sensitive. So if I would say to anyone if they are trying, to probably start really small um like I didn't. Um, but I'm on 5.5 sorry 4.5 mg now.
Linda Elsegood: So what would you say to other people with ME on top of that who are rather scared of taking LDN?
Ali: Um, I would say really give it a go.
You really don't know until you've tried it and it has just been wonderful. It's really nice not to have to sleep, you know, lose half a day through sleeping. Um, it's really nice not to have to go down with a cold every few weeks, especially in the cold season. Hmm. Um, and it's nice to have a little bit of energy, just, it's just been such a fantastic drug.
It's such a cheap drug. Um, and I think if you can take enough information to your GP, um, you know, try to persuade him to try, let you try it, um, as well.
Linda Elsegood: Oh, well, thank you very much.
Ali: Please stick with it. It can be a bit bumpy at first, but really stick with it, and you'll see the results.