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Ear Issues - blocked, pressure, congested, eustachian tube dysfunction (ETD)


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For tinnitus, see Tinnitus, another ear problem. What does all that noise mean?

For dizziness etc see  dizziness-vertigo-light-headedness-rocking-or-swaying-sensations


 

Hi everyone, I'm new to this forum and would appreciate any feedback you could give me on the following, as I can't seem to find much information on this:

 

I've been on Effexor XR 150mg for about 3 days now, and have developed ear pressure in my right ear. I have also been having tinitus, but have had that in the past on celexa as well. This is just an odd symptom, and was curious as to your experiences . . .

 

Much appreciated - thanks

 

Edited by Altostrata
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1999: First put on SSRI - Citalopram 40mg.

2012-2014: Then to Zoloft - panic attack & then CT. Life spiraled out of control. Then Ambien - got off. Then Effexor. Cross tapered back to Citalopram 40mg from Effexor, then down to 20mg (05/2014). Everything scared me so much that I didn't further reduce for 2 years.

Past 3 years

10/2016: Down to 10 mg Citalopram from 20mg. Obviously way fast. Again. 🙄

12/2016: Updose to 15 mg due to symptoms.

~Mid 2018: Down to 10mg from 15 mg. I keep forgetting that I need to go slow.🙄

03/2019: Continuing at 10mg. In and out of bouts with fatigue. Intend to stay here for a bit.

 

Have been steadily on Magnesium Glycinate since 2014. 240 - 480 mg at dinner.

 

 

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The SS/NRIs can cause bruxism (teeth clenching/ grinding) which can produce pressure or feeling of fullness in ears. Just a thought.

Pristiq tapered over 8 months ending Spring 2011 after 18 years of polydrugging that began w/Zoloft for fatigue/general malaise (not mood). CURRENT: 1mg Klonopin qhs (SSRI bruxism), 75mg trazodone qhs, various hormonesLitigation for 11 years for Work-related injury, settled 2004. Involuntary medical retirement in 2001 (age 39). 2012 - brain MRI showing diffuse, chronic cerebrovascular damage/demyelination possibly vasculitis/cerebritis. Dx w/autoimmune polyendocrine failure.<p>2013 - Dx w/CNS Sjogren's Lupus (FANA antibodies first appeared in 1997 but missed by doc).

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jbjennin, for adverse effects of Effexor XR, see http://www.drugs.com/pro/effexor-xr.html

 

You may be a person who is sensitive to serotonergics and should not be taking them at all. Or, you may be taking antidepressants at dosages that are too high for your system.

 

I suggest you think about non-drug therapeutic strategies.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

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Effexor XR is known to be ototoxic (cause pain or pressure in the ear(s), tinnitus (ringing) and hearing loss) in a small percentage of patients. I wouldn't expect it to go away with time, and if you're on it for the long haul, I'd mention it to your doctor.  Perhaps he'd recommend something in place of it or at least reduce the dosage.  I don't get ototoxicity from SS/NRI's, but I do from other meds, so I know exactly what you're talking about.  Made me want to poke a hole in my own eardrum just to relieve the pressure!  That's one side effect I simply can't cope with; if I'm given a drug that causes ototoxicity, I either don't take it or discontinue it immediately. 

insomnia, anxiety, depression- since childhood

lyme disease, dysautonomia, chiari malformation- dx 4/1997

nortriptyline- 75mg since childhood

clonazepam- 3mg since 4/1997

trazodone-100mg since 4/2013, now tapering

rotating antibiotics and antimalarials for lyme disease

midodrine- 10mg for dysautonomia

repeated skull surgeries for chiari malformation

 

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  • 1 year later...

Maybe a strange place to ask, but I'm asking here as I'm terrified to take anything [for an ear infection] from the doctor or OTC. Anyone ideas of something natural that I could take? Thanks

Edited by Altostrata
merged related topics

2000 - sertraline for job anxiety low confidence (17 years old) ..which turned the next 16 years into nightmare!

 

On/off sertraline severe withdrawals every time. 2014 - felt better as reduced dose of sertraline no more inner restlessness. Doctor rushed off again. Hit severe withdrawal. Lost the little I had in life. Couldn't get stable again on 12.5mg. Was switched to prozac. Had severe reaction to prozac..came off in November 2015 at 6mg as felt more confused and damaged on it..Even more withdrawal ..rage, depression, dyphoria, near constant suicidal ideation, self harm impulses, doom, concrete block in head, unable to do much of anything with this feeling in head..went back on 6mg of sertraline to see if would alleviate anything. It didn't..reduced from December to June 2016 came off at 2.5mg sertraline as was hospitalised for the severe rage, suicidal impulses, and put on 50mg lofepramine which in 2nd week reduced all symptoms but gave insomnia which still have..psych stopped lofepramine cold turkey..no increased withdrawal symptoms new symptoms from lofepramine except persistant insomnia which has as side effect.

 

Taking Ativan for 8 months for the severe rage self harm impulses 1-3 times a week (mostly 2 times a week) at .5mg. Two months (I'm unsure exactly when the interdose started to happen) ago interdose withdrawal seemed to happen..2 days I think after the Ativan.

 

 

Nightmare that could have been avoided!

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  • Moderator Emeritus

Hi Love , you're right to be scared , lol.

Before taking anything new , plug it into the interaction checker at www.drugs.com , their motto is "Know More , Be Sure".

 

Perhaps do a search for "ear infection natural cure" on google or bingle , and see what you find?

1987-1997 pertofran , prothiaden , Prozac 1997-2002 Zoloft 2002-2004 effexor 2004-2010 Lexapro 40mg

2010-2012Cymbalta 120mg

Sept. 2012 -decreased 90mg in 6months. Care taken over by Dr Lucire in March 2013 , decreased last 30mg at 2mg per week over 3 months. July 21 , 2013- last dose of Cymbalta

Protracted withdrawal syndrome kicked in badly Jan.2014 Unrelenting akathisia until May 2014. Voluntary hosp. admission. Cocktail of Seroquel, Ativan and mirtazapine and I was well enough to go home after 14 days. Stopped all hosp. meds in next few months.

July 2014 felt v.depressed - couldn't stop crying. Started pristiq 50mg. Felt improvement within days and continued to improve, so stayed on 50mg for 8 months.

Began taper 28 Feb. 2015. Pristiq 50mg down to 45mg. Had one month of w/d symptoms. Started CES therapy in March. No w/d symptoms down to 30mg.

October 2015 , taking 25mg Pristiq. Capsules compounded with slow-release additive.

March 2016 , 21mg

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  • 1 year later...

While I do not wish this on anyone, it has me a bit anxious that I can't seem To find many with this symptom. It makes me worry that what I am experiencing is not WD but perhaps something worse.

 

I've had congested ears / ear pressure for a year now as well as dizziness ( as well as in motion rocky boat swaying for 4 ish months now) when it first started it was pretty unbearable. Extremely maddening. Now it's not as bad, only maddening a few days out of the month yet still always there . ( knock on wood)

 

The ear issue started with the dizziness around 2.5 to 3 weeks after quitting the celexa. I just wish it would go away already. Ent thought maybe allergies since I wasn't as dizzy in the summer. Pcp agreed. I think they are just guessing now.

 

So I was curious if anyone else has this issue? Thanks for reading!

Current age - 29

 

At Ages 16- 20 Celexa 40 mg 

 

2014- September through February of 2016 ( 18 months) Celexa 20 mg

 

Tapered for Several months

 

Celexa free since February of 2016

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Ear pressure is a withdrawal symptom that I have experienced when I have gone down too quickly/too far with a dose.  A couple of times it has been so bad, with pain, that I have updosed a small amount and it has went each time.

Please DO NOT TAG me - thank you

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions. 

  MISSION ACCOMPLISHED:    (6 year taper)      0mg Pristiq      on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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Yes, but only really in early WD over a year ago.

Dose History: 19 Feb 2014 - Escitalopram 10mg daily June 2015 - Started taper, 5mg every other day July 2015 - 5mg every 2 days August 2015 - 5mg every 3 days September 2015 - 5mg every 4 days Sept 14th - Completed tapering, but at 7 weeks "drug free" I suffered serious WD symptoms as a consequence of "incorrect" tapering. Nov 25 2015 - Re-instated Cipralex @ 2.5mg daily. WD symptoms faded. Held at this dose and experienced "windows and waves". 12 Oct 2017 Reduced dose to 1.25mg. 13 Mar 2018 Reduced dose to 0.625mg (approx.). 16 April 2018 0mg. Windows and waves triggered by stress (IBS/reflux, headaches, sinus issues) Aug 2019 Mirena coil fitted 6 Jan 2020 MAJOR Wave hit 19 months following last dose (protracted WD).  Symptoms listed below Mar 2020 Mirena coil removal.

Therapy: Nov 15th 2016 Re-started therapy Jan 19th 2017 Started CBT Dec 2017 Started listening to Hypnotherapy CD (self-esteem). Nov 2019 Started couples therapy.

Supplements: "Bioglan" Biotic Balance Ultimate Flora 10 billion CFU, live Bacteria, Probiotic, suitable for Vegetarians, with Lactobacillus Acidophilus, Lactobacillus Rhamnosus, Bifidobacterium Longum"Pukka" Vitalise a unique blend of 30 energising botanicals.

Diet: 16 April 2018 Detox cleanse / anti-candida for 90 days. Jan 2020 Started "small plate" diet (i.e child size portions).

Exercise: Stretching, Yoga, Pilates, Spinning, Elliptical/upper body workout, walking.

Medical Test Results: 4 Jan 2017 Homeopathic Treatment starts 24 Feb 2017 Started weight loss program 24 Mar 2017 Naturopathic Treatment + anti-Candida diet started due to suspected Candida Related Complex (CRC). DETOXED for 7 weeks to "re-set" gut. April 2017 "Genova Diagnostics" Comprehensive Stool Analysis NEGATIVE; Full Blood Count (Normal) / Blood Cholesterol: 5.6 (Borderline) / Blood Sugar (Normal) / 28 Jun 2017 FSH 8.2 / 14 Nov 2017 FSH 17.7 Dec 2017 Blood Cholesterol: 3.9 (Normal) / Kidney Function (Normal) / Blood Sugar (Normal). December 2017 "Genova Diagnostics" Food panel allergy (bloodwork) analysis - a few "VERY LOW/VL" allergens; Mar 2018 "Genova Diagnostics" SIBO urine analysis: High Level of Yeast/fungal markers found in small intestine but NO SIBO.  April 2018 Thyroid (Normal) / Full Blood Count (Normal) / FSH (Normal). 16 April 2018 Started anti-Candida diet - 3 month protocol.   25 March 2020 All test results "Normal". CRP" 5 mg/L (normal range to 0-5 mg/L).

Symptoms:  Flu-like symptoms, anxiety, anhedonia, sinus headaches right-side (severe), IBS issues/reflux (severe)**, tinnitus, fatigue, inner tremor, nausea, chills/hot flushes, pounding heart, muscular issues including stiff left hip flexor, intense anger, PSSD (ongoing).  **Histhamine intolerance (suspected).

Major Life Events: 

Re-located to UK from Canada: Jan 2016

My father died: 5:05pm, Monday 5 Feb 2018 Last Lexapro dose: 16 April 2018 (its now been over a year since I quit ADs)  Moved house: Friday 23rd February 2018  "Divorced" toxic Mother: Monday 26 March 2018 Starting working again: 19 November 2018  Diagnosed with: 5th August 2021 PTSD/C-PTSD Diagnosed with: March 2022 Interstitial Cystitis (IC)/Painful bladder syndrome

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  • 1 month later...

Kaline, I had ear and face,head and neck all at once for a period. It didn't happen until 5 months off Citalopram. I had a heavy night of drinking alcohol and it must have triggered something and BAM swaying, rocking boat sensation. Sometimes feels like I'm rocking back and forth to the beat of my heart.

 

I got eye floaters, ringing in the ears, pressure on my nose, temples, back of the neck and migrating pressure all around the head. I also had pressure build in my ears. That left long ago (14 months ago). I still have the swaying, rocking almost feels like a pressure of being pulled by a force or gravity to one side - can stretch down my face or neck. I only get ear pressure now if I go down a hill in the car which I do everyday to go to work!

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  • 1 month later...

Hey... I have been struggling with ear issues since i came off paxil. ENT Said i have a lot of hearing loss, my tinnitus is very loud. I also cant unpop my ears they feel blocked all the time but a pressure test revealed my ears are normal

 

Just wanted to find out if anyone has this issue and any solutions? I need to fly next week and im really scared. I cant take sudafed although it seems like the only option to open my tubes up for the flight

 

 

Thank you

Was on Citalopram 20mg since Feb 2008 - switched to Paxil 20mg in August 2010

Tapered way too fast in April 2012 by skipping days. Taper completed in 6 weeks

Tried prozac 20mg for 3 days - felt spaced out, not better.

Tried 30mg Cymbalta for 2 days. SEVERE ADVERSE REACTION

Antidepressant free since 14 August 2012

Birth control on and off during this time - Last taken 18 June 2017 - Morning after pill 

Started mainly using 0.5mg Xanax beginning 2016 for severe panic attacks and anxiety due to trauma

Xanax on and off never more than 0.5mg at a time, never taking it 3 days in a row - used sparingly 

 

6 Years antidepressant free - Still in severe withdrawal with over 60 symptoms

Severe setback started May 2018 with no let up to date. Developed many new symptoms like tremors, inner vibrations, insomnia, visual distortions and dr/dp are 100x worse, i have severe sensitivity to movement, My dizziness and vertigo got worse and it now feels like im constantly rocking on a boat, my anxiety is sky high, suicidal idiation is back, i feel extremely brain damaged 

 

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  • 3 weeks later...

So frustrating! I've had the same thing since coming off of celexa a year and 3 ish months ago. I can happily say that I had a few month window recently! Sadly I had a hyperthyroid swing which caused me severe anxiety and stress and put me into a wave of super pressurized congested ears and in motion dizziness! I do not have hearing loss and I've had tinnitus in silence since I was a kid. I've been to ent and vestibular specialists.

 

Stay positive! I am seeing windows with this and hope you will see it soon too!

 

Do you absolutely have to fly? Id look into safe ways for helping it. For me personally Sudafed and all kinds of decongestants and ephedrine did absolutely nothing.

Current age - 29

 

At Ages 16- 20 Celexa 40 mg 

 

2014- September through February of 2016 ( 18 months) Celexa 20 mg

 

Tapered for Several months

 

Celexa free since February of 2016

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  • 1 month later...

Was wondering if anyone else is dealing with these ear issues? Im going on a year and 3 months. So so sick of this! Pressure in ears, congested feeling, constantly feels like I have to pop them. Dizziness,etc. Been to many doctors and specialists and vestibular ENT centers. No help. 

Current age - 29

 

At Ages 16- 20 Celexa 40 mg 

 

2014- September through February of 2016 ( 18 months) Celexa 20 mg

 

Tapered for Several months

 

Celexa free since February of 2016

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I have nearly constant tinnitus. My ears often feel blocked too. I was weaned off too fast, and I have reinstated at a quarter my original dose 5 days ago. Since reinstating, I've had brief patches of relief. 

 

I'm finding that mindfulness and then distraction is the only way to keep my sanity. If I focus on it constantly, I become anxious. I just try to practise mindfulness - notice it without judgment and then mentally move on. I accept this is how "silence" now sounds for me.

 

What gives me hope is that I had shingles a year ago, and had constant crawling/tingling sensations in my ear and neck from the nerve damage. Once I stopped focusing on it, it resolved without me even noticing. I suspect this will be the same.

Citalopram: Feb 2016 to May 2017. I tapered over 2 weeks under the supervision of my GP.

Dosage: 20mg pd.

Tapering: 20mg every 2nd day for 1 week, 20mg every 3rd day for 1 week.

Reason to quit: Mitral valve prolapse - disturbing palpitations and chest pain which resolved off meds; weight gain.

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  • Mentor

I went through a terrible withdrawal last year and had to reinstate to get relief.  One of my symptoms during the wd was pressure in the ear and like Kalinia said, it felt like I needed to pop my ears.  I went to doctors as well and they found nothing wrong.  It was extremely painful. I don't remember how long it took once I reinstated for the pain to go away, but it did.

 

I am not a health professional in any way.  I do not give medical advice.   Discuss any decisions about your medical care with a professional medical practitioner.

 

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April 29, 2022 900 mg to 800 mg (11%), May 29, 2022 800 to 700 mg (12.5%), June 20, 2022 700 to 650mg (8%), July 20, 2022 650 to 575 (12%), August 20,  575 to 500 (13%),  Sept 20, 2020 500 to 475mg (5%) Nov 7, 2022 475 to 425 (11%), Nov 21, 2022 500mg

Medications and supplements: Gabapentin, Prednisone 5mg a day, Cortisol Inhaler daily, Azithromycin 250mg 3 times a week, Fish oil, vitamin D, Calcium.

HISTORY

Feb. 2016 to June 2016  - Was on 150mg Zoloft.  Put on Gabapentin at 900mg a day in 2016 due to antidepressant withdrawal.  As of Nov 2022 down to 600mg.

Quit Zoloft (Sertraline) June  2016,  reinstated 50mg of Zoloft July 2016.  From July 2016  to October 2016 went from 50 mg down 2.3 mg. I up-dosed in November 2016 to 12.5 mg. Held there until January 2017 when I started a much slower taper.

STARTING SENSIBLE  ZOLOFT TAPERING USING GUIDELINES FROM THIS SITE

Dec. 10 2016  - switched to Liquid Zoloft (Sertraline) @ 12.5 mg.   Jan. 4, 2020 1.875 mg (6.3%). Jan. 25, 2020 1.75 mgFeb. 29, 2020 1.625mg (7.10%).  Apr. 4, 2020 1.5 mg.  May 9, 2020 1.375 mg.  June 6, 2020 1.25 mg. (9.10%).  July 4, 2020 1.125 mg. (10%).  August 15, 2020 1.0 mg.  Oct 24, 2020 .875 mg.  Nov. 28, 2020 .75mgJan 16, 2021 .685mg (8.7%).  Feb 13, 2021 .62mg. March 12, 2021 .56mg.  May 1, 2021 .375mg.  May 29, 2021 .25mg. June 26, 2021 .0125mg. July 25, 2021 .065mg. August 22, 2021 .048mg.  October 2, 2021 .043mg.  October 10, 2021 .038mg.  October 23, 2021 .035mg.  October 30, 2021 .032mg.  Nov. 13, 2021 .030 mg.  Dec 4, 2021 .0285 mg.  Dec 11, 2021 .0265 mg. Dec 18, 2021 .0246 mg. Dec 25, 2021 .023mg. Jan 1, 2022. 0 mg. OFF COMPLETELY

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I'm so glad to hear the pressure went away for you guys! Mine never hurts. It messes with my equilibrium though and makes me dizzy or feeling like I'm in motion. Very very frustrating! I'd give anything for it to go away! It feels like my eustachian tubes aren't functioning properly. Probably some sort of dysfunction. Hopeful one day it will lessen. 

 

I've had tinnitus since I was a teen so I am used to what it's like. Some days though it is so bad and still causes anxiety. White noise music definitely helps! Sometimes I have to do it really loud in the room ( not too loud) and eventually I lose focus of it 

Current age - 29

 

At Ages 16- 20 Celexa 40 mg 

 

2014- September through February of 2016 ( 18 months) Celexa 20 mg

 

Tapered for Several months

 

Celexa free since February of 2016

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  • ChessieCat changed the title to Ear Issues - Blocked, tinnitus, eustachian tube disfunction (ETD)
  • 7 months later...

Wondering if anyone has had any success with the eustachian tube dysfunction/ear pressure getting better?

 

I'm going on almost 2.5 years with it and it truly sucks! 

Current age - 29

 

At Ages 16- 20 Celexa 40 mg 

 

2014- September through February of 2016 ( 18 months) Celexa 20 mg

 

Tapered for Several months

 

Celexa free since February of 2016

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  • ChessieCat changed the title to Ear Issues - blocked, tinnitus, eustachian tube disfunction (ETD)
  • Moderator Emeritus

I suffered with ear pressure and having to pop my ears by holding my nose and blowing down it to release the pressure on and off for all my adult life, even prior to antidepressants.  I've just had to learn to live with.

 

Edited by ChessieCat

Please DO NOT TAG me - thank you

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions. 

  MISSION ACCOMPLISHED:    (6 year taper)      0mg Pristiq      on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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  • Altostrata changed the title to Ear Issues - blocked, pressure, congested, eustachian tube disfunction (ETD)
  • 1 year later...
On 2/21/2017 at 8:26 AM, ChessieCat said:

Ear pressure is a withdrawal symptom that I have experienced when I have gone down too quickly/too far with a dose.  A couple of times it has been so bad, with pain, that I have updosed a small amount and it has went each time.

Hi @ChessieCat I hope all's well. It's me again, with another question :) Did your ear pressure resolve and if so, after how long? I developed eustachian tube dysfunction as my latest WD symptom. Grateful for any feedback on this. Thank you so much as always.

Summer 2016 - summer 2018: put on Lexapro, going from 5 mg up to 20 mg over the span of the 2 years (had visited shrink for help with obsessive thinking, was not diagnosed with anything in particular, just prescribed Lexapro 15 mins into first session)

Summer 2018: tapered down by 2.5 mg every few weeks

Protracted withdrawal ever since. 0-14 months began with a massive panic attack that landed me in ER, followed by prolonged anxiety, mental fog and a skin rash on my back. Was regularly consuming alcohol as did not know I was in WD. From then onwards, hit with worse myriad symptoms. Currently at 22 months and have electromagnetic sensitivity, brain zaps, brain fog, memory problems (especially name recall), twitch in right eyebrow, daily waking up at 3 or 4 a.m. with fast heartbeats and "sticky" negative memories, suicidal thoughts, rage episodes, temperature dysregulation, physical numbness & weakness, libido loss.   

 

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  • ChessieCat changed the title to Ear Issues - blocked, pressure, congested, eustachian tube dysfunction (ETD)
  • Mentor

Hello everyone ! I have had allergies for trees and grasses - spring , summer , fall since I was a child. Started Paxil when I was 30 and a year after that started having sinus infections, sinus headaches and ear issues. And had sinus surgery which didn't help. After a fast taper 5 years later  sinus system started running again. So I figured out that paxil had caused dry sinuses, dry eyes, and dry mouth. Started lexapro 15 mg 2 years ago. About 4 months after that started having dry burning eyes and sinuses , popping ears and dry mouth . Along with dizziness fog in hot summer. when cold weather comes have these sinus issues when temp drops. During allergy season this sinus burning aching is so much worse. Its like my sinus system is trying to work but it can't. I went to ENT and was giving more medicine and started me on immunization drops. It took me most of the summer trying to figure things out. When I would take the immunization drops, I would get dizzy and light headed. Then 9 months after starting lexapro I had mouth surgery for an infected dental implant. I thought dizzy fog was caused from infection but ? After tapering to 10 mg this last summer had a little light headedness but a lot less. So with what Im seeing and what you all are saying is this is a side effect of ssri ! ? I don't go to ENT or take allergy pills unless absolutely have to. I have found out that saline spray, saline flush and hot steam air helps like a hot shower. 

Thanks Guys !

2000-2013 Paxil - 1 year fast taper

2013-2018 drug merry go round with dr. 
zoloft, cymbalta, lamictal, Prozac.

 Nov. 2018 lexapro 15 mgs, Dec. 2019 to Mar. 2020 10mg. Jul 2020 to October 2020 8.5 ml.
Oct 2020 reinstated to 9 ml.
Apr 2021 to Jul  7ml. Oct 2021 to Jan 2022 5.9ml, Mar 5 2022 5.8 ml, Mar 12 5.7ml, Mar 20 5.6ml, Mar 27 5.5ml, April 23 5.4ml, April 30 5.3ml, May 7 5.2ml,  Jul 9, 5.4ml, 

Klonopin as needed, present Celebrex 200 - 400 mg daily as needed, 1000 to 2000 mg  turmeric Qunol daily as needed, Trader Joe’s omega 3, Prilosec very rarely if desperate 

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