Hi, so I have been on the forum for a couple years now, but this is my first time posting. I am a very atypical POTSie in that I have very few problems with being upright--hardly ever have lightheadedness, nausea, palpitations, etc. However, what I do experience is an absolutely debilitating brain fog which affects me throughout the whole day, no matter if I’m sitting, standing, or whatever I’m doing. It has affected me so much that recently I had to stop taking classes all together after decreasing my credit load my last couple of semesters. My other most prevalent symptom is a terrible head pressure that also greatly affects my cognition. I also have other POTS symptoms like exercise intolerance, sleep troubles, and fatigue, and I have been diagnosed with POTS by Mayo Clinic.
I have done all the baseline treatments recommended for POTS like increasing salt and water, doing an exercise regimen, wearing compression stockings; and have tried a bunch of different drugs like florinef, propranolol, and stimulant medications. The increased salt and water actually made my head pressure and cognition worse. The stimulants worked at first, but after awhile I grew tolerant to them, and they worsened my head pressure to where I could feel my pulse pounding in my own head. I was wondering if there was anybody else out there who experienced something similar where they had terrible brain fog but no dizziness. And if so what have you done to help your brain fog?