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Metoclopramide one dose, long term disability


JJSmith

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Posted

Went to the hospital to get scans for some neck pain headache/possible TMJ. I was given Reglan (Metoclopramide) IV nausea med (though I wasn’t nauseous) back on December 4th of 2022 and had severe reaction seized out, lost control of bodily functions, hallucinated, eyes rolled back, temporary paralysis of my legs for about a week, lost bladder and bowel control in hospital bed. Then I guess they wheeled me out while I was vomiting and having dystonia.

 

That started the hell that’s been my year. I moved with my parents obviously bc I couldn’t speak, bathe myself or eat. I still need assistance bathing and walking and have been bedbound for 9 months. 

 

Here is my (almost) complete list of symptoms over past 9 months:

 

Akathisia, dystonia, DPDR, agoraphobia/monophobia, panic, anxiety, depression, intrusive thoughts, short term memory loss, temporary paralysis, leg and arm tremors, whole body feels like cement, restlessness, chest pain, dizziness, chills, fainting, frequent yawning, stomach pain, diarrhea, dry heaving, nausea, vomiting, acid reflux, loss of appetite, shortness of breath, muscle aches, fatigue, TMJ, extreme light and sound sensitivity, hot red burning skin, numbness in limbs, severe vertigo, headache, recurring eye infections/partial blindness 

 

I have never had any of these things in my entire life. I worked in an office, played sports, went to festivals and bars. 

Unfortunately I have not seen any improvements and get new symptoms popping up all of the time. I still can’t leave the house without fainting, losing bowel and bladder control, skin turning red and burning, shaking, vomiting, crying, screaming. 
 

I’ve seen almost every doctor under the sun got a bunch of diagnoses; akathisia, dystonia, colitis, IBS, dysautonomia, drug induced parkinsonism, functional neurological disorder. They just want to prescribe antidepressants. I am in intensive virtual therapy and at-home Physical Therapy for tremors and spasms but I feel like I’m being tortured physically and mentally forever.

December 4th 2022 - Metoclopramide IV 10mg 

  • Moderator Emeritus
Posted

Hi @JJSmith

I'm so sorry you're going through this - if sounds horrendous. Some of our members have had similar issues with antidepressant withdrawal or adverse effects. 

 

We are a site for going off antidepressants.  While we do have a small number of members who have had an adverse drug reactio to ADs it's not our main expertise. 

 

You're absolutely welcome to be part of the community. Just let us know how we can help. 

 

Omw

"Nothing so small as a moment is insurmountable, and moments are all that we have. You have survived every trial and tribulation that life has thrown at you up until this very instant. When future troubles come—and they will come—a version of you will be born into that moment that can conquer them, too." - Kevin Koenig 

 

I am not a doctor and this should not be considered medical advice. You can use the information and recommendations provided in whatever way you want and all decisions on your treatment are yours. 

 

In the next few weeks I do not have a lot of capacity to respond to questions. If you need a quick answer pls tag or ask other moderators who may want to be tagged. 

 

Aug  2000 - July 2003 (ct, 4-6 wk wd) , citalopram 20 mg,  xanax prn, wellbutrin for a few months, trazodone prn 

Dec 2004 - July 2018 citalopram 20 mg, xanax prn (rarely used)

Aug 2018 - citalopram 40 mg (self titrated up)

September 2018 - January 2019 tapered citalopram - 40/30/20/10/5 no issues until a week after reaching 0

Feb 2019 0.25 xanax - 0.5/day (3 weeks) over to klonopin 0.25 once a day to manage severe wd

March 6, reinstated citalopram 2.5 mg (liquid), klonopin 0.25 mg for sleep 2-3 times a week

Apr 1st citalopram 2.0 mg (liquid), klonopin 0.25 once a week (off by 4/14/19- no tapering)

citalopram (liquid) 4/14/19 -1.8 mg, 5/8/19 - 1.6 mg,  7/27/19 -1.5 mg,  8/15/19 - 1.35, 2/21/21 - 1.1 (smaller drops in between), 6/20/21 - 1.03 mg, 8/7/21- 1.025, 8/11/21 - 1.02, 8/15/21 - 1.015, 9/3/21 - 0.925 (fingers crossed!), 10/8/21 - 0.9, 10/18/21 - 0.875, 12/31/21 - 0.85, 1/7/22 - 0.825, 1/14/22 - 0.8, 1/22/22 - 0.785, 8/18/22 - 0.59, 12/15/2022 - 0.48, 2/15/22 - 0.43, 25/07/23 - 0.25 (mistake), 6/08/23 - 0.33mg

 

Supplements: magnesium citrate and bi-glycinate

  • Moderator Emeritus
Posted

I relate quite a bit to your story, albeit with one critical difference. I have dystonia that was caused by psych meds, but mine was not an acute (a.k.a. immediate) reaction like yours was. Mine was tardive, meaning the involuntary movement came on a little after I’d started the medication.

 

My learning curve has been steep, and one of the things I am now vigilant of is to stay away from anti-nausea meds in hospitals, and I won’t let them be given to my family members, either, unless it’s ABSOLUTELY necessary. Those anti-nausea meds are the same as psych meds, but even nurses don’t usually know that. I refused to allow an ER to give an anti-nausea IV to my mom in the past (there was NO reason for it, like in your case). But, on the other hand, my aunt who is on chemo and who has very aggressive cancer has been given a prescription of a psych med/anti-nausea pill, and I of course think she should take it if she needs to. (Luckily, she’s only needed to take it once.)

 

I am so sorry this happened to you. 
 

I did neuro physical therapy to help me get some coordination back into my body and to help the dystonia improve over time. My PT took it VERY slow!!! 
 

Also, because you have had an acute dystonic reaction, perhaps it would help to join some dystonia support groups online. May I suggest the following on Facebook:

 

Neuronauts

 

The Silence of Dystonia

 

Dystonia is a Disorder Not a Disease

 

Also, you might want to follow the Dystonia Medical Research Foundation on social media and get on their mailing list. They send out hard copies of dystonia magazines a few times a year.

 

Maybe it will help if you are on SA and also on some of those dystonia forums on Facebook so that you can get as much support as possible. 
 

Much love,

Wiggle
 

 

*I'm not a doctor and don't give medical advice, just personal experience
**Off all meds since Nov. 2014. Mentally & emotionally recovered; physically not
-Dual cold turkeys off TCA & Ativan in Oct 2014. Prescribed from 2011-2014

-All meds were Rxed off-label for an autoimmune illness.  It was a MISDIAGNOSIS, but I did not find out until AFTER meds caused damage.  All med tapers/cold turkeys directed by doctors 

-Nortriptyline May 2012 - Dec 2013. Cold turkey off nortrip & cold switched to desipramine

-Desipramine Jan 2014 - Oct. 29, 2014 (rapid taper/cold turkey)

-Lorazepam 1 mg per night during 2011
-Lorazepam 1 mg per month in 2012 (or less)

-Lorazepam on & off, Dec 2013 through Aug 2014. Didn't exceed 3x a week

-Lorazepam again in Oct. 2014 to help get off of desipramine. Last dose lzpam was 1 mg, Nov. 2, 2014. Immediate paradoxical reactions to benzos after stopping TCAs 

-First muscle/dystonia side effects started on nortriptyline, but docs too stupid to figure it out. On desipramine, muscle tremors & rigidity worsened

-Two weeks after I got off all meds, I developed full-blown TD.  Tardive dystonia, dyskinesia, myoclonic jerks ALL over body, ribcage wiggles, facial tics, twitching tongue & fingers, tremors/twitches of arms, legs, cognitive impairment, throat muscles semi-paralyzed & unable to swallow solid food, brain zaps, ears ring, dizzy, everything looks too far away, insomnia, numbness & electric shocks everywhere when I try to fall asleep, jerk awake from sleep with big, gasping breaths, wake with terrors & tremors, severely depressed.  NO HISTORY OF DEPRESSION, EVER. Meds CREATED it.

-Month 7: hair falling out; no vision improvement; still tardive dystonia; facial & tongue tics returned
-Month 8: back to acute, incl. Grand Mal seizure-like episodes. New mental torment, PGAD, worse insomnia
-Month 9: tardive dystonia worse, dyskinesia returned. Unable to breathe well due to dystonia in stomach, chest, throat
-Month 13: Back to acute, brain zaps back, developed eczema & stomach problems. Left leg no longer works right due to dystonia, meaning both legs now damaged
-7 years off: Huge improvements, incl. improved dystonia

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