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Facial tics, jaw, tongue muscle tension and pain, bruxism, teeth clenching, TMJ


buxy2222

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  • Mentor

The drugs can cause weird paresthesia things but I think it's wise to get a medical rule out.

Now: 100 mg Zoloft am, 50 mg Trazodone.  Daily drug burden decreased from 2050 in 2018 mg to 150 mg 🐢🐢

Zoloft: 1/24/23 increased to 100 mg after suicide attempt 9/17/22 cut 6 mg, 8/14/22 cut 6.5 mg, 5/7/22 cut 12.5 mg 3/20/22 cut 12.5 mg 10/26/21 cut 6 mg 10/17/21 cut 5 mg, 9/17/21 Cut 3 mg,  9/13/21 cut 4 mg, 8/29/21 Cut 2 mg 8/8/21 Cut 3 mg  7/30/21 Zoloft: Converted 25 mg to liquid. Also take 100 mg pill & 25 mg pill=150 mg total
🌞 Feb 28, 2021 0 mg Gapapentin 2021 Gaba each dose 4x/day: Feb 27 7 mg (one dose only), Feb 10, 7 mg, Jan 14 10 mg 2020 Current taper schedule from Aug 30-present: drop 8 mg every 2-3 weeks. Aug 20 31 mg, Aug 18, 33 mg, July 29, 35 mg, July 23 38 mg, July 22 40 mg Jun 24 42 mg, Jun 15 44 mg, Jun 9 48 mg, May 22 50 mg, May 14 54 mg, May 7 56 mg, Apr 16 58 mg, Mar 28 60 mg, Mar 18 62 mg. Feb 26 64 mg. Feb 19, 66 mg. Jan 23, 70 mg. 2019 Dec 19, 72 mg. Nov 14 ,76 mg. Aug 8, 80 mg. Aug 6, 85 mg. Jul 26, 90 mg. Jul 11, 95 mg.

Jul 16 trazodone from 100 to 50 mg.

Jun 17-July 10 Slowly changed gab fr pill to liquid at same dose 100 mg 4x/d.

Apr 24 Stopped klon!!! 🌞 Apr 4  Decreased gaba to 400 mg (100 mg 4x/day)-Apr 4, 2019   0.25 klon March 11  Klonopin .5 mg twice daily, varied dose til Apr 15. Started Klon fast taper 25%, short use

Mar 16, 450 mg gaba 3x/day cut 600 mg--not exact!--updose after learning w/d

Feb 20, 2019 1800 mg gabapentin; MD taper; off 3 days=mvt disorder & autonomic instability. July 2018 temazepam 15 mg 1-2; prn several x/wk til Jan/Feb 2019 when cold turkey, flu illness for months

July 2018 started gabapentin 100 3x/day; titrated up to 1800 mg (600 3x/day)

Buspar, I forget how much, 2 pills a day Jan 2017-July 2018 cold turkey. On Zoloft since maybe 2004? After trying many.

*I speak from my experience. Nothing I say is medical advice. I'm not a doctor.

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10 hours ago, ShiningLight said:

The drugs can cause weird paresthesia things but I think it's wise to get a medical rule out.

Other than an MRI/CT scan, what other tests could I get?

Risperdal 2012

Lexapro 2013-2020

30mg Lexapro from 2016-2020

30mg cold turkey in June 2020 due to issues with APRN

Re-instatement of 10mg of Lexapro in late September 2020 due to panic attack

Cold turkey 10mg Lexapro early October 2020 due to sudden health problems possibly caused by Lexapro

Now taking 20mg of Lisinopril. Stopped iron supplement over the counter for low iron due to feeling sick while taking it. Taking a vitamin D supplement alongside the Lisinopril.

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  • Mentor

Not sure, I'm not a doctor. If you have already run it by them, great. I hope it gets better.

Now: 100 mg Zoloft am, 50 mg Trazodone.  Daily drug burden decreased from 2050 in 2018 mg to 150 mg 🐢🐢

Zoloft: 1/24/23 increased to 100 mg after suicide attempt 9/17/22 cut 6 mg, 8/14/22 cut 6.5 mg, 5/7/22 cut 12.5 mg 3/20/22 cut 12.5 mg 10/26/21 cut 6 mg 10/17/21 cut 5 mg, 9/17/21 Cut 3 mg,  9/13/21 cut 4 mg, 8/29/21 Cut 2 mg 8/8/21 Cut 3 mg  7/30/21 Zoloft: Converted 25 mg to liquid. Also take 100 mg pill & 25 mg pill=150 mg total
🌞 Feb 28, 2021 0 mg Gapapentin 2021 Gaba each dose 4x/day: Feb 27 7 mg (one dose only), Feb 10, 7 mg, Jan 14 10 mg 2020 Current taper schedule from Aug 30-present: drop 8 mg every 2-3 weeks. Aug 20 31 mg, Aug 18, 33 mg, July 29, 35 mg, July 23 38 mg, July 22 40 mg Jun 24 42 mg, Jun 15 44 mg, Jun 9 48 mg, May 22 50 mg, May 14 54 mg, May 7 56 mg, Apr 16 58 mg, Mar 28 60 mg, Mar 18 62 mg. Feb 26 64 mg. Feb 19, 66 mg. Jan 23, 70 mg. 2019 Dec 19, 72 mg. Nov 14 ,76 mg. Aug 8, 80 mg. Aug 6, 85 mg. Jul 26, 90 mg. Jul 11, 95 mg.

Jul 16 trazodone from 100 to 50 mg.

Jun 17-July 10 Slowly changed gab fr pill to liquid at same dose 100 mg 4x/d.

Apr 24 Stopped klon!!! 🌞 Apr 4  Decreased gaba to 400 mg (100 mg 4x/day)-Apr 4, 2019   0.25 klon March 11  Klonopin .5 mg twice daily, varied dose til Apr 15. Started Klon fast taper 25%, short use

Mar 16, 450 mg gaba 3x/day cut 600 mg--not exact!--updose after learning w/d

Feb 20, 2019 1800 mg gabapentin; MD taper; off 3 days=mvt disorder & autonomic instability. July 2018 temazepam 15 mg 1-2; prn several x/wk til Jan/Feb 2019 when cold turkey, flu illness for months

July 2018 started gabapentin 100 3x/day; titrated up to 1800 mg (600 3x/day)

Buspar, I forget how much, 2 pills a day Jan 2017-July 2018 cold turkey. On Zoloft since maybe 2004? After trying many.

*I speak from my experience. Nothing I say is medical advice. I'm not a doctor.

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So you had an mri? Did they do it with contrast?  I'm going for one soon for something similar.   My doctor also noted on the order "with trimengal cuts".   There is the trimengal nerve in that area.   Or it sounds like maybe your tmj joint. 

 9/2018- lexapro low dose few days.11/3/2018- zoloft 2 days

11/7/18  - 11/15/18 - Prozac 9 days, from 10 mg for week, to 20

11/16  inpatient put on Lexapro for a few days, Cymbalta, 2 days

11/24-12/8 - gabapentin 100 mg 3xs per day - a very fast taper

1/7 - tbuspar for  three days- blurry vision, jerky eye

1/17/19 - 2/15/19- mirtazapine 15 mg - started taper on 1/30 

2/20/19 gabapentin 600 mg. .  12/20-  taper finished

2/20/19 - seroquel 25 mg current - taken  10 pm

2/20/19- luvox (generic) 25 mg.  4/6/19  to 18.75 mg .held  . Started taper again  1/7/21- 15 mg, 2/7/21- 12.5 mg, 3/7/21 -10 mg, 4/1/21- 9 mg, 5/1/21- 8.1 mg, 5/27/21- updose to 10 mg,  6/21-  in patient updose to 50 mg,  6/25/21- reduce to 10 mg (current) .  9/5- split dose 5mg am/5 mg pm.  9/20- 4 mg am/5 mg pm . 

9/1/21-  took one dose of vistril 50 mg.   

9/1/21-accidental double dose of seroquel- 50 mg 

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  • Administrator

@rilexapro have you ever heard of bruxism or TMJ pain? Please read this topic from the beginning.

 

Please use search before starting a new topic in the Symptoms and Self-Care forum, and add to existing discussions. We have discussed just about everything you can think of.

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

All postings © copyrighted.

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17 hours ago, BfromNJ said:

So you had an mri? Did they do it with contrast?  I'm going for one soon for something similar.   My doctor also noted on the order "with trimengal cuts".   There is the trimengal nerve in that area.   Or it sounds like maybe your tmj joint. 

 

Yes, with contrast. I had a CT of my chest with contrast too. Nothing showed up in terms of visual damage to my brain or anything else, it seems. It could be a thyroid issue, or nerve issue, like you said.

 

16 hours ago, Altostrata said:

@rilexapro have you ever heard of bruxism or TMJ pain? Please read this topic from the beginning.

 

Please use search before starting a new topic in the Symptoms and Self-Care forum, and add to existing discussions. We have discussed just about everything you can think of.

 

I have heard about TMJ pain, but not bruxism very much. Sorry about creating a new topic. I am very new to this forum.

Risperdal 2012

Lexapro 2013-2020

30mg Lexapro from 2016-2020

30mg cold turkey in June 2020 due to issues with APRN

Re-instatement of 10mg of Lexapro in late September 2020 due to panic attack

Cold turkey 10mg Lexapro early October 2020 due to sudden health problems possibly caused by Lexapro

Now taking 20mg of Lisinopril. Stopped iron supplement over the counter for low iron due to feeling sick while taking it. Taking a vitamin D supplement alongside the Lisinopril.

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  • Administrator

Most likely, your symptoms are caused by clenching your jaw and maybe your neck muscles -- withdrawal tension very commonly causes this symptom. You are feeling it in an odd way because of withdrawal hypersensitivity, also very common.

 

This probably is not an exotic neurological condition requiring a head scan, but you may wish to talk to a dentist or otolaryngologist about it.

 

Many of our members have found a bite guard will reduce this pain. Acupuncture, chiropractic, massage, osteopathic manipulation, and stretching exercises can also help.

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

All postings © copyrighted.

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5 minutes ago, Altostrata said:

Most likely, your symptoms are caused by clenching your jaw and maybe your neck muscles -- withdrawal tension very commonly causes this symptom. You are feeling it in an odd way because of withdrawal hypersensitivity, also very common.

 

This probably is not an exotic neurological condition requiring a head scan, but you may wish to talk to a dentist or otolaryngologist about it.

 

Many of our members have found a bite guard will reduce this pain. Acupuncture, chiropractic, massage, osteopathic manipulation, and stretching exercises can also help.

 

It's possible, but the constant face/neck tingling/weird feeling issues only happened after going back on 10mg of Lexapro after going off 30mg about 3 months before cold turkey. My jaw used to stiffen during the day subconsciously and I'd have to stop it from doing that. It went away, but the other problems haven't. Almost every day, the left side of my face has a weird "warm" feeling to it.

Risperdal 2012

Lexapro 2013-2020

30mg Lexapro from 2016-2020

30mg cold turkey in June 2020 due to issues with APRN

Re-instatement of 10mg of Lexapro in late September 2020 due to panic attack

Cold turkey 10mg Lexapro early October 2020 due to sudden health problems possibly caused by Lexapro

Now taking 20mg of Lisinopril. Stopped iron supplement over the counter for low iron due to feeling sick while taking it. Taking a vitamin D supplement alongside the Lisinopril.

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Just now, rilexapro said:

 

It's possible, but the constant face/neck tingling/weird feeling issues only happened after going back on 10mg of Lexapro after going off 30mg about 3 months before cold turkey. My jaw used to stiffen during the day subconsciously and I'd have to stop it from doing that. It went away, but the other problems haven't. Almost every day, the left side of my face has a weird "warm" feeling to it.

 

Bruxism is also a common adverse effect of antidepressants. Again, your being sensitized by drug mishaps has caused the odd manifestation of symptoms.

 

That you had a pre-existing habit is further confirmation this probably is your problem.

 

We have seen this hundreds, if not thousands, of times in this community -- as we have many of the dozens of potential drug adverse effects and withdrawal symptoms. 

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

All postings © copyrighted.

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Just now, Altostrata said:

 

Bruxism is also a common adverse effect of antidepressants. Again, your being sensitized by drug mishaps has caused the odd manifestation of symptoms.

 

That you had a pre-existing habit is further confirmation this probably is your problem.

 

We have seen this hundreds, if not thousands, of times in this community -- as we have many of the dozens of potential drug adverse effects and withdrawal symptoms. 

 

Do you think any permanent damage/life altering damage has been done here? I probably did clench in my sleep before this, but the facial warmness is very new, and only after going back on Lexapro. Same with the brain fog, memory loss, numb mood, etc.

 

I am seeing my primary care doctor early next month, is there anything I should ask them? Already had both a CT/MRI scan. Are there any other tests that could be done?

Risperdal 2012

Lexapro 2013-2020

30mg Lexapro from 2016-2020

30mg cold turkey in June 2020 due to issues with APRN

Re-instatement of 10mg of Lexapro in late September 2020 due to panic attack

Cold turkey 10mg Lexapro early October 2020 due to sudden health problems possibly caused by Lexapro

Now taking 20mg of Lisinopril. Stopped iron supplement over the counter for low iron due to feeling sick while taking it. Taking a vitamin D supplement alongside the Lisinopril.

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  • Administrator

Please read this topic from the beginning. Many of our members have recovered from the jaw pain and clenching. I have myself, with use of a bite guard and the usual normal neurological stabilization process.

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

All postings © copyrighted.

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  • 2 weeks later...

@rilexapro hi I’m curious about the mri you had with contrast , did you effect your wd 

2021:  started celexa 10mg feb 2nd 

feb 25th took my last 10g; feb 26th 5mg; feb 27th 5mg; feb 28th 2021 cold turkey 

currently taking mag

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  • 2 weeks later...
On 8/25/2021 at 7:50 PM, Phoenixmama said:

@rilexapro hi I’m curious about the mri you had with contrast , did you effect your wd 

What does wd mean?

Risperdal 2012

Lexapro 2013-2020

30mg Lexapro from 2016-2020

30mg cold turkey in June 2020 due to issues with APRN

Re-instatement of 10mg of Lexapro in late September 2020 due to panic attack

Cold turkey 10mg Lexapro early October 2020 due to sudden health problems possibly caused by Lexapro

Now taking 20mg of Lisinopril. Stopped iron supplement over the counter for low iron due to feeling sick while taking it. Taking a vitamin D supplement alongside the Lisinopril.

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  • 4 weeks later...
On 6/20/2011 at 8:04 PM, Altostrata said:

I had bad jaw tension, causing me to clench my teeth while sleeping. In early withdrawal, destroyed a couple of fillings this way. Jaw tension can cause a lot of problems outside of the jaw. There is a condition called Temporal Mandibular Joint Syndrome.

 

From https://secure.wikimedia.org/wikipedia/en/wiki/Temporomandibular_joint_disorder

 

Two things helped me: 1) a rubbery night guard to wear in my mouth and cushion clenching; 2) acupuncture. The Wikipedia article -- link above -- has other suggestions for treatment.

Alto-  i know this is an older post.  But im in the process of getting a guard.   Did you get yours from the dentist or just over the counter?  The dentist is making me a custom one that will be hard but angled in front to keep my teeth apart.  But I almost feel like I really need something to actually keep me from moving it at all.  

 9/2018- lexapro low dose few days.11/3/2018- zoloft 2 days

11/7/18  - 11/15/18 - Prozac 9 days, from 10 mg for week, to 20

11/16  inpatient put on Lexapro for a few days, Cymbalta, 2 days

11/24-12/8 - gabapentin 100 mg 3xs per day - a very fast taper

1/7 - tbuspar for  three days- blurry vision, jerky eye

1/17/19 - 2/15/19- mirtazapine 15 mg - started taper on 1/30 

2/20/19 gabapentin 600 mg. .  12/20-  taper finished

2/20/19 - seroquel 25 mg current - taken  10 pm

2/20/19- luvox (generic) 25 mg.  4/6/19  to 18.75 mg .held  . Started taper again  1/7/21- 15 mg, 2/7/21- 12.5 mg, 3/7/21 -10 mg, 4/1/21- 9 mg, 5/1/21- 8.1 mg, 5/27/21- updose to 10 mg,  6/21-  in patient updose to 50 mg,  6/25/21- reduce to 10 mg (current) .  9/5- split dose 5mg am/5 mg pm.  9/20- 4 mg am/5 mg pm . 

9/1/21-  took one dose of vistril 50 mg.   

9/1/21-accidental double dose of seroquel- 50 mg 

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I got mine from a dentist, but I believe others have gotten the less expensive ones over-the-counter.

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

All postings © copyrighted.

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3 hours ago, Altostrata said:

I got mine from a dentist, but I believe others have gotten the less expensive ones over-the-counter.

I just went to dentist and was fitted for the hard one.  He didn't even mention the soft ones.   Which makes more sense if you are going for no movement at all.   Kind of like the ones for sports 

 9/2018- lexapro low dose few days.11/3/2018- zoloft 2 days

11/7/18  - 11/15/18 - Prozac 9 days, from 10 mg for week, to 20

11/16  inpatient put on Lexapro for a few days, Cymbalta, 2 days

11/24-12/8 - gabapentin 100 mg 3xs per day - a very fast taper

1/7 - tbuspar for  three days- blurry vision, jerky eye

1/17/19 - 2/15/19- mirtazapine 15 mg - started taper on 1/30 

2/20/19 gabapentin 600 mg. .  12/20-  taper finished

2/20/19 - seroquel 25 mg current - taken  10 pm

2/20/19- luvox (generic) 25 mg.  4/6/19  to 18.75 mg .held  . Started taper again  1/7/21- 15 mg, 2/7/21- 12.5 mg, 3/7/21 -10 mg, 4/1/21- 9 mg, 5/1/21- 8.1 mg, 5/27/21- updose to 10 mg,  6/21-  in patient updose to 50 mg,  6/25/21- reduce to 10 mg (current) .  9/5- split dose 5mg am/5 mg pm.  9/20- 4 mg am/5 mg pm . 

9/1/21-  took one dose of vistril 50 mg.   

9/1/21-accidental double dose of seroquel- 50 mg 

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  • Administrator

Perhaps you should talk to your dentist.

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

All postings © copyrighted.

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  • 6 months later...

It's been over a year since any activity on this thread, but through I'd post anyway for any advice or encouragement someone may have.  @LexAnger and @btdt You both seemed to have similar stories to mine.

I was on Lexapro for over 20 years and bruxism was one of my most distressing side effects. I ended up quitting basically CT in April 2021.

I see the best TMJ specialist in my area and I have worn a night guard faithfully for as long as I can remember. Nevertheless, last February, I entered the world of dental hell. I ended up needing 2 crowns, one of which was painful from the day of the procedure, ended up with a root canal, and was still in pain for months on end, eventually leading to the tooth being extracted in late September.

Because of all this my health anxiety spiraled to the point of breakdown. I could not get the possibility that the pain was from some lingering infection that would escalate to extreme pain and that I would contract covid and not be able to be seen. So I spent many weeks isolated from everyone, and eventually went on clonazepam 2x day to stabilize. I am still in the process of doing a slow taper off that, and the more I taper, the more my grinding and teeth sensitivity continue to worsen. Plus I had dental trauma as a child, so every dental procedure I have needed involves extreme anxiety. I felt great when the offending tooth was removed and I was on the clonazepam 2x a day. But that is not a sustainable solution.

I guess my question is did your bruxism and/or teeth sensitivity every resolve? I meditate, do yoga, walk. I have tried cranio sacral, chiropractic, massage, acupuncture. I am nearly 2 years off and so frustrated that I am still dealing with this. I can feel myself spiraling into that really bad, dark scary place.

Also, does anyone have any links to any studies I can show my dentist and family to "prove" I am not crazy and that the grinding and sensitivity are related?

 

Thanks.

2001 to 2016  - On & off primarily Lexapro 10 mg 5 to 6 times (also tried Clexa, Wellbutrin, Effexor and Prozac)

2018 - Added Buspar for a month to mediate teeth grinding, didn't work, still on Lexapro

01/2021 - Lexapro, 15 mg, bumpy increase

02/2021 - Cross taper off Lexapro to 100 mg Zoloft

03/27/2021 - Very short taper, 50 mg Zoloft for one week then stopped (was supposed to be cross tapering with Cymbalta)

2011 - current Xanax .5 mg PRN
05/2022 - Klonopin .5 mg 2x a day, for 2 weeks because of full breakdown due to protracted dental issues
06/2022-10/2022 - kept trying to stop Klonopin, but would have panic attacks every 3-4 days, interdose withdrawals
10/2022 - Klonopin .5 mg 2x a day, stabilized then began slow taper
3/19/2023 - Klonopin .36 mg split between 2 does a day

 

 

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