@erinrackham: Day 1–Guanfacine for hyperadrenergic POTS (.25 mg IR)! Who knows if these effects will last, but my heart rate has come down by about 30 bpm any time I have to stand or exert (🤯), my executive functioning feels improved already, it’s helping me tolerate cold temps, & I feel like it got rid of the last of the fight/flight I’ve been living in! So for today, at least, I’d say Guanfacine’s been a success. We’ll see how I feel tomorrow and in the coming days/weeks! 🤞🏻 #Guanfacine #HyperadrenergicPOTS #HyperPOTS #longCOVID

Erin Rackham, PhD
Erin Rackham, PhD
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Thursday 02 July 2026 19:48:21 GMT
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imalarper
Lily :
Would guafacine possibly replace beta blockers ??
2026-07-03 20:12:59
10
lisasfullcircle
FullCircle💫Design :
My guanfacine is waiting for me at the pharmacy. I have been putting off picking it up cause ai was afraid to take it. I am picking it up today thanks to you sharing this so thank you, truly!
2026-07-03 12:04:27
61
ali_reese
Ali_Reese :
I miss propanalol so bad 😭 I took it for 4 years and then it started affecting my breathing. Nothing is as good.
2026-07-03 04:02:38
2
helli1003
Helen :
Hi! My blood pressure is very low when I’m lying down, but when I stand up, my heart rate and blood pressure often increase a lot. Do you also have low blood pressure when lying down? Did guanfacine make it even lower, or did it mainly help your standing symptoms?🙏
2026-07-02 20:34:03
9
dudewehaveaseriousproblm
Tara :
Had no idea there were SO many meds for these conditions. Have you navigated mthrough 8-10 while I still tried to get the courage to try the naltrexone 🤫 I admire the bravery to keep look for relief
2026-07-03 15:32:01
0
ciera_diyduo
ciera_diyduo :
Can you please tell me if when you get the adrenaline surges, if you get air hunger? Not necessarily like you can’t breath it just feels like you are not getting enough air? I notice my stomach muscles tense and I start breathing in my chest/incorrectly which causes me to hyperventilate.
2026-07-03 17:55:43
6
patchouli_ghoul
patchoulighoul :
Can I help with heat intolerance bc I’m dyingggg 😭
2026-07-02 20:51:34
20
riotgirlonfire
riotgirlonfire :
You probably know this, but guanfacine was originally approved for ADHD!
2026-07-04 22:11:44
3
titapfyq4t7
My Name :
What about heat intolerance?
2026-07-03 16:19:11
1
missjotho
Nicci :
I feel like im getting a bit of my life back with guanfacine, im still building up, on 2mg now. but my need for naps and brain fogg are far less💜💜💜only my bpm is still in the 90s as a baseline so we're trying ivabradine for the good days and propranolol for the stressdays
2026-07-02 19:55:20
6
torontofartgirl
TorontoFartGirl :
Hi! Can I ask what health centre has been helping you with this condition? There isn’t enough awareness among healthcare providers about POTS and the treatments available.
2026-07-15 20:41:06
1
alexaspast
Alexa :
how do you find the brainfog? I asked my cardiologist about this and he wouldn't let me try it because he said it would make my brain fog worse.
2026-08-01 21:19:06
0
unbrokenlines8
UnbrokenLines :
Can I ask if you have heard about the long covid treatment in Japan?
2026-07-04 02:42:52
2
intervalfilms
mario_teclados1608 :
I was on guanfacine for 5 months but made my symptoms worse. It’s really good for people that have high BP.
2026-08-07 05:44:53
0
lu_ma_ro
Lucy :
Watching your videos pop up on my fyp for the last few years has been giving me so much comfort that I wasn’t alone, and now so much hope that things can get better. I’m so so glad to see you doing so much better!
2026-07-03 14:40:06
5
maliashannon
Malia Shannon :
Are you still on the cromolyn? Just curious. I sort of felt like the cromolyn helped with my fight or flight feelings but not all.
2026-07-03 03:41:35
3
sydneyclevenger61
sydneyclevenger61 :
What mg are you hoping to get to?
2026-07-03 05:11:28
2
otterly_marsha
🧡🦦 otterly Marsha Faye 🦦🧡 :
I’m on Guanficine for ADHD I had no idea it helped with POTS 😱
2026-07-02 23:40:43
5
bricchapman
Bri Chapman :
omg I’m so excited I just got prescribed guanfacine today! Can’t wait!
2026-07-02 21:45:09
5
neldacastillo1
Nelda ❤️ :
This is amazing!!!!!
2026-07-11 15:53:32
1
nightsinger94
Nightsinger 🌎🆘🇺🇸 :
Wow I didn’t know this was a thing. I’m definitely thankful this came across my fyp!
2026-07-04 01:58:11
3
megcbabs
Meg :
My pots specialist prescribed this for me and I want to try it so bad but my BP always runs low so I'm afraid it would make it worse
2026-07-06 03:23:19
1
tinypaintbrush
Amy | tinypaintbrush :
I started clonidine for my hPOTS a little more than a month ago and it’s genuinely changed my life. It lowered my body temp by a couple degrees so I’m not fully heat intolerant. It’s crazy! I’m so glad you’re having a good experience with your new medicine!!
2026-07-03 03:28:05
4
softlystriving
Rach ❤️ :
ahhh I didn't know there was IR. I was on 1mg on intuniv (xr) and then got bumped to 2mg and it sedated me HARD. I'm going to ask about this asap
2026-07-03 10:09:18
2
nikkinick0816
Nikki nick0245 :
What type of doctor do you see for pots?
2026-08-21 13:17:43
1
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