I have had POTS for about 2 1/2 years. I saw a doctor at Mayo in February who said he expected me to be off my meds by August. It's now September, and I do not think I could function without them. It probably also doesn't help that the summer heat was hard on me this year. I think one of the main reasons it is taking longer is that there are other factors going on that need time to be addressed and supported, such as Epstein Barr virus, and now I am eagerly awaiting my appointment for next week with the endocrinologist, since I know I have nodules on my thyroid and the nurse told me I have a high TSH. I still have hope that I will get back to some sort of 'normal', but it is just going to take some time. Have you and your doctor messed around with your medications at all, maybe there is another combination that would work better for you? Have you noticed any improvement, even a small amount over time? Also, I have found that compression stockings can completely change my life (even though I don't wear them in the summer). Exercise I know is important, too, if possible. This spring got lazy and overconfident on my salt intake, thinking I had things under control and realized I was getting about half of what was recommended for me, so I am trying to be more diligent about that each day.