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Explore our range of treatments

RTHM Direct provides prescriptions for hard-to-find medications for Long COVID, ME/CFS, POTS, and MCAS.

LDN
Low Dose Naltrexone

Headaches, Air Hunger, Chest Pain, Palpitations, Sleep, Dizziness, Orthostatic Intolerance, Exercise Intolerance, Sweating

LDN modulates the immune system and reduces chronic inflammation, which may alleviate symptoms like fatigue, pain, and brain fog.

$128
Estimated for
90 day supply
Metformin
Metformin

Long COVID Prevention, Acute COVID

Studies show metformin may reduce the risk of developing Long COVID.

$54
Estimated for
90 day supply
OAA
Oxaloacetate

Fatigue, Post-Exertional Malaise, Brain Fog, Neuroinflammation

Oxaloacetate is a naturally occurring metabolite in the body that plays a crucial role in energy production in mitochondria (powerhouses of our cells), which a study found to be low in ME/CFS patients.

$399
Estimated for
90 day supply
Ketotifen
Ketotifen

Shortness of Breath, Headaches, Cough, Allergic Reactions, Flushing, Swelling

By stabilizing mast cells, ketotifen helps reduce allergic-type reactions, providing relief to those with hypersensitivity issues.

$159
Estimated for
90 day supply
Pyridostigmine
Pyridostigmine

Fatigue, PEM, Brain Fog, Palpitations, Muscle Pain, Orthostatic Intolerance, Exercise Intolerance, Sweating

Pyridostigmine improves autonomic function, particularly in patients experiencing dysautonomia.

$89
Estimated for
90 day supply
Propranolol
Propranolol

PEM, Shortness of Breath, Headaches, Chest Pain, Palpitations, Sleep, Dizziness, Orthostatic Intolerance

A beta-blocker that helps manage symptoms related to dysautonomia, such as elevated heart rate and anxiety.

$70
Estimated for
90 day supply
Midodrine
Midodrine

Orthostatic Intolerance, Dizziness

By constricting blood vessels and increasing blood pressure, midodrine reduces dizziness and improves daily functioning.

$109
Estimated for
90 day supply
Ivabradine
Ivabradine (Coming Soon)

PEM, Shortness of Breath, Palpitations, Chest Pain, Dizziness, Exercise Intolerance

Lowers heart rate without affecting blood pressure, making it ideal for patients with autonomic issues like postural orthostatic tachycardia syndrome (POTS).

$209
Estimated for
90 day supply
Guanfacine
Guanfacine (Coming Soon)

Brain Fog, Memory, Cognitive Clarity

By regulating norepinephrine levels in the brain, guanfacine helps with attention, memory, and cognitive clarity.

$74
Estimated for
90 day supply
Pills

Don't knowwhere to start?

We can help! Our treatment discovery tool takes in your symptoms and their severity levels and provides a tailored list of medications that may support your journey back to health.

Get personalized suggestions based on your specific symptoms and conditions and save time sifting through countless research papers.