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Help. Is this a relapse or something else?

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Question:

– Hide quoted text — Show quoted text – ssri meds can cause a neurological side effect that creates uncontrollable movement or shaking-it would be best if your doc weaned you off zoloft as quickly as he could-gave you some valium or klonopin while doing so and waited a few weeks to see if this remits If you do two things at once (i.e taper off Zoloft and start a benzo), and the shaking (or shaking feeling) remits, how will you know which of the two caused the effect? Tapering off the Zoloft? Or, starting a benzo? Chip I wouldn’t care-if you "mask" td symptoms caused from an ssri or ap med it just isn’t worth the risk ( for an anxiety dondition anyway, if this were intractable psychosis td is just something that can happen as a byproduct )-by reducing the possible cause and using a med that will sedate smooth muscles as well as act anxiolytically you get he results you want-if an ad med is needed therafter use one from another class-if neither of these things work then further neuro workup is mandated

Margrove, is the incidence of tardive dyskinesia with SSRIs known? From what I’ve read, it’s rare. OTOH akathesia seems to be fairly common. Chip — The charter is available at: http://readystump.algebra.com/~asapm

Response:

– Hide quoted text — Show quoted text – ssri meds can cause a neurological side effect that creates uncontrollable movement or shaking-it would be best if your doc weaned you off zoloft as quickly as he could-gave you some valium or klonopin while doing so and waited a few weeks to see if this remits If you do two things at once (i.e taper off Zoloft and start a benzo), and the shaking (or shaking feeling) remits, how will you know which of the two caused the effect? Tapering off the Zoloft? Or, starting a benzo? Chip I wouldn’t care-if you "mask" td symptoms caused from an ssri or ap med it just isn’t worth the risk ( for an anxiety dondition anyway, if this were intractable psychosis td is just something that can happen as a byproduct )-by reducing the possible cause and using a med that will sedate smooth muscles as well as act anxiolytically you get he results you want-if an ad med is needed therafter use one from another class-if neither of these things work then further neuro workup is mandated Margrove, is the incidence of tardive dyskinesia with SSRIs known? From what I’ve read, it’s rare. OTOH akathesia seems to be fairly common. Chip

it is rare in relationship to the massive amount of drugs used, but it is still present and usually unrecognized by youngish docs who have not seen it-so it goes undiagnosed and the meds are continued causing irreversible damage. In some really sensitive people even tca meds can do this in particular imipramine since it is somewhat closely related to a phenothiazine moreso then its more refined relatives-I have seen one case of it ina hospitlized middle age female on 350mg a day for a few years-she was given cogentin back then and some valium-it just toned down her muscle jerking and mouth movements — The charter is available at: http://readystump.algebra.com/~asapm

Response:

the same problem, she was taking valium,but it did not help her. She would tremble so bad at times she could not even hold a fork. And she told me she felt like her insides were trembling all the time. I asked her to go back to her Doctor and explain this more in detail . She insisted she was not anxious ,but I knew she was ,because of the life changes my father and her had just made. Tne Doctor put her on (buslbar), I’am sorry if I didn’t spell it correctly , maybe someone else can help you with that. Anyway once the medication clicked in ,she stopped  trembling  completly and as long as she stays on it she is fine. Just a thought , it may help you. Good Luck …   — The charter is available at: http://readystump.algebra.com/~asapm

Response:

ssri meds can cause a neurological side effect that creates uncontrollable movement or shaking-it would be best if your doc weaned you off zoloft as quickly as he could-gave you some valium or klonopin while doing so and waited a few weeks to see if this remits

If you do two things at once (i.e taper off Zoloft and start a benzo), and the shaking (or shaking feeling) remits, how will you know which of the two caused the effect? Tapering off the Zoloft? Or, starting a benzo? Chip — The charter is available at: http://readystump.algebra.com/~asapm

Response:

I’ve had anxiety most of my life. Undiagnosed until 4 years ago when I took one levaquin antibiotic pill and wound up in the emergency room with uncontrollable anxiety. Some therapy, with a short round of xanax and then 25mg of zoloft made me a new man. i got rid of the xanax after a month and stuck with the zoloft at the smallest dose of 25mg. Virtually no anxiety for 4 years. even though I was on only 25mg of zoloft. I had tried weaning myself down to half a pill daily at times, but needed to go back to the full pill. I tried again these past few months, and it seemed to be working. about 2 weeks ago, **I got a littled worried about something right before bed, and when I tried to go to bed all of a sudden I felt the muscles in my arm shaking**

Worry (a cognition) often leads to anxiety (an emotion).  . It’s been 2 weeks and now I’m shaking all over almost constantly, although it seems to be worse in the morning and when I wake in the middle of the night. It’s extremely scary. I immediately when back up to a pill and a half of zoloft (25 +12) for the past 2 weeks but it doesn’t seem to be doing anything. I have no other real symptoms other than feeling weak.

An adrenalin surge due to anxiety leads to increased energy at first, and then a weak feeling (in my experience) I don’t feel like I’m anxious, but I can’t stop this shaking feeling.

Shaking? Or a shaking feeling? – Hide quoted text — Show quoted text – Sometimes when I try to exercise it feels like my muscles are shaking, other times it just feels like this internal trembling that won’t stop. my doctor has no idea what to do. I have an increasing fear I could have something like ALS or MS, but I don’t know whether to push for another round of MRI’s and other tests or try more zoloft or a different sri or start XANAX again. The first thought was that my thyroid medication I take was messed up since I had thyroid cancer when I was a teen some 20 years ago, but my thyroid tests came back normal. I don’t know whether this is anxiety or something else. I was wondering if anyone else ever had anxiety symptoms like this without any real cause of anxiety or even a feeling of anxiety. On the one hand I may need to push for all kinds of neuro tests, but on the other hand I might need to push for a different anxiety therapy. I’ve taken for granted how great it felt to be normal for the past 4 years.

It sounds like anxiety to me. I’d go on a benzo, say Xanax, for a few days, and see if the shaking and weak feelings go away. Chip — The charter is available at: http://readystump.algebra.com/~asapm

Response:

about uncontrolable shaking.   I just wanted to thank Margrove for inclunding the information about the antibodics. I have taken 2 prescriptions of cipro and now I’am on Levaquin .Just started taking this 2 days ago. I have been so anxious lately and my panic attacks have worsened.I thought I was going off my rocker. I would get sensations of utter panic just watching tv ot whatever . I never thought  my symtoms would be affected by an antibiodic.  Thankyou so much for including this in your post.  Much appreaction!!   — The charter is available at: http://readystump.algebra.com/~asapm

Response:

ssri meds can cause a neurological side effect that creates uncontrollable movement or shaking-it would be best if your doc weaned you off zoloft as quickly as he could-gave you some valium or klonopin while doing so and waited a few weeks to see if this remits If you do two things at once (i.e taper off Zoloft and start a benzo), and the shaking (or shaking feeling) remits, how will you know which of the two caused the effect? Tapering off the Zoloft? Or, starting a benzo? Chip

I wouldn’t care-if you "mask" td symptoms caused from an ssri or ap med it just isn’t worth the risk ( for an anxiety dondition anyway, if this were intractable psychosis td is just something that can happen as a byproduct )-by reducing the possible cause and using a med that will sedate smooth muscles as well as act anxiolytically you get he results you want-if an ad med is needed therafter use one from another class-if neither of these things work then further neuro workup is mandated — The charter is available at: http://readystump.algebra.com/~asapm

Response:

– Hide quoted text — Show quoted text – I’ve had anxiety most of my life. Undiagnosed until 4 years ago when I took one levaquin antibiotic pill and wound up in the emergency room with uncontrollable anxiety. Some therapy, with a short round of xanax and then 25mg of zoloft made me a new man. i got rid of the xanax after a month and stuck with the zoloft at the smallest dose of 25mg. Virtually no anxiety for 4 years. even though I was on only 25mg of zoloft. I had tried weaning myself down to half a pill daily at times, but needed to go back to the full pill. I tried again these past few months, and it seemed to be working. about 2 weeks ago, **I got a littled worried about something right before bed, and when I tried to go to bed all of a sudden I felt the muscles in my arm shaking** Worry (a cognition) often leads to anxiety (an emotion). . It’s been 2 weeks and now I’m shaking all over almost constantly, although it seems to be worse in the morning and when I wake in the middle of the night. It’s extremely scary. I immediately when back up to a pill and a half of zoloft (25 +12) for the past 2 weeks but it doesn’t seem to be doing anything. I have no other real symptoms other than feeling weak. An adrenalin surge due to anxiety leads to increased energy at first, and then a weak feeling (in my experience) I don’t feel like I’m anxious, but I can’t stop this shaking feeling. Shaking? Or a shaking feeling? Sometimes when I try to exercise it feels like my muscles are shaking, other times it just feels like this internal trembling that won’t stop. my doctor has no idea what to do. I have an increasing fear I could have something like ALS or MS, but I don’t know whether to push for another round of MRI’s and other tests or try more zoloft or a different sri or start XANAX again. The first thought was that my thyroid medication I take was messed up since I had thyroid cancer when I was a teen some 20 years ago, but my thyroid tests came back normal. I don’t know whether this is anxiety or something else. I was wondering if anyone else ever had anxiety symptoms like this without any real cause of anxiety or even a feeling of anxiety. On the one hand I may need to push for all kinds of neuro tests, but on the other hand I might need to push for a different anxiety therapy. I’ve taken for granted how great it felt to be normal for the past 4 years. It sounds like anxiety to me. I’d go on a benzo, say Xanax, for a few days, and see if the shaking and weak feelings go away. Chip

good point about the shaking—I see the word and just jolt (shake and bake) to see if an ssri us used and jump on the td issue-it may just be anxiety in which case adding a benzo would most likely do the trick as well as increasing the ssri since any change in affect may take a few weeks to observe — The charter is available at: http://readystump.algebra.com/~asapm

Response:

It’s possible that your shaking is *not* anxiety, but a side-effect of your antidepressant. I know that Paxil causes this side-effect in me. HZ – Hide quoted text — Show quoted text – I’ve had anxiety most of my life. Undiagnosed until 4 years ago when I took one levaquin antibiotic pill and wound up in the emergency room with uncontrollable anxiety. Some therapy, with a short round of xanax and then 25mg of zoloft made me a new man. i got rid of the xanax after a month and stuck with the zoloft at the smallest dose of 25mg. Virtually no anxiety for 4 years. even though I was on only 25mg of zoloft. I had tried weaning myself down to half a pill daily at times, but needed to go back to the full pill. I tried again these past few months, and it seemed to be working. about 2 weeks ago, I got a littled worried about something right before bed, and when I tried to go to bed all of a sudden I felt the muscles in my arm shaking. It’s been 2 weeks and now I’m shaking all over almost constantly, although it seems to be worse in the morning and when I wake in the middle of the night. It’s extremely scary. I immediately when back up to a pill and a half of zoloft (25 +12) for the past 2 weeks but it doesn’t seem to be doing anything. I have no other real symptoms other than feeling weak. I don’t feel like I’m anxious, but I can’t stop this shaking feeling. Sometimes when I try to exercise it feels like my muscles are shaking, other times it just feels like this internal trembling that won’t stop. my doctor has no idea what to do. I have an increasing fear I could have something like ALS or MS, but I don’t know whether to push for another round of MRI’s and other tests or try more zoloft or a different sri or start XANAX again. The first thought was that my thyroid medication I take was messed up since I had thyroid cancer when I was a teen some 20 years ago, but my thyroid tests came back normal. I don’t know whether this is anxiety or something else. I was wondering if anyone else ever had anxiety symptoms like this without any real cause of anxiety or even a feeling of anxiety. On the one hand I may need to push for all kinds of neuro tests, but on the other hand I might need to push for a different anxiety therapy. I’ve taken for granted how great it felt to be normal for the past 4 years.

– The charter is available at: http://readystump.algebra.com/~asapm

Response:

- Hide quoted text — Show quoted text – I’ve had anxiety most of my life. Undiagnosed until 4 years ago when I took one levaquin antibiotic pill and wound up in the emergency room with uncontrollable anxiety. Some therapy, with a short round of xanax and then 25mg of zoloft made me a new man. i got rid of the xanax after a month and stuck with the zoloft at the smallest dose of 25mg. Virtually no anxiety for 4 years. even though I was on only 25mg of zoloft. I had tried weaning myself down to half a pill daily at times, but needed to go back to the full pill. I tried again these past few months, and it seemed to be working. about 2 weeks ago, I got a littled worried about something right before bed, and when I tried to go to bed all of a sudden I felt the muscles in my arm shaking. It’s been 2 weeks and now I’m shaking all over almost constantly, although it seems to be worse in the morning and when I wake in the middle of the night. It’s extremely scary. I immediately when back up to a pill and a half of zoloft (25 +12) for the past 2 weeks but it doesn’t seem to be doing anything. I have no other real symptoms other than feeling weak. I don’t feel like I’m anxious, but I can’t stop this shaking feeling. Sometimes when I try to exercise it feels like my muscles are shaking, other times it just feels like this internal trembling that won’t stop. my doctor has no idea what to do. I have an increasing fear I could have something like ALS or MS, but I don’t know whether to push for another round of MRI’s and other tests or try more zoloft or a different sri or start XANAX again. The first thought was that my thyroid medication I take was messed up since I had thyroid cancer when I was a teen some 20 years ago, but my thyroid tests came back normal. I don’t know whether this is anxiety or something else. I was wondering if anyone else ever had anxiety symptoms like this without any real cause of anxiety or even a feeling of anxiety. On the one hand I may need to push for all kinds of neuro tests, but on the other hand I might need to push for a different anxiety therapy. I’ve taken for granted how great it felt to be normal for the past 4 years.

ssri meds can cause a neurological side effect that creates uncontrollable movement or shaking-it would be best if your doc weaned you off zoloft as quickly as he could-gave you some valium or klonopin while doing so and waited a few weeks to see if this remits levaquin is in a class of antibiotics that can cause anxiety reactions just so you know for future reference-this class includes cipro so it may be better to use another class of meds when needed — The charter is available at: http://readystump.algebra.com/~asapm

Response:

I’ve had anxiety most of my life. Undiagnosed until 4 years ago when I took one levaquin antibiotic pill and wound up in the emergency room with uncontrollable anxiety. Some therapy, with a short round of xanax and then 25mg of zoloft made me a new man. i got rid of the xanax after a month and stuck with the zoloft at the smallest dose of 25mg. Virtually no anxiety for 4 years. even though I was on only 25mg of zoloft. I had tried weaning myself down to half a pill daily at times, but needed to go back to the full pill. I tried again these past few months, and it seemed to be working. about 2 weeks ago, I got a littled worried about something right before bed, and when I tried to go to bed all of a sudden I felt the muscles in my arm shaking. It’s been 2 weeks and now I’m shaking all over almost constantly, although it seems to be worse in the morning and when I wake in the middle of the night. It’s extremely scary. I immediately when back up to a pill and a half of zoloft (25 +12) for the past 2 weeks but it doesn’t seem to be doing anything. I have no other real symptoms other than feeling weak. I don’t feel like I’m anxious, but I can’t stop this shaking feeling. Sometimes when I try to exercise it feels like my muscles are shaking, other times it just feels like this internal trembling that won’t stop. my doctor has no idea what to do. I have an increasing fear I could have something like ALS or MS, but I don’t know whether to push for another round of MRI’s and other tests or try more zoloft or a different sri or start XANAX again. The first thought was that my thyroid medication I take was messed up since I had thyroid cancer when I was a teen some 20 years ago, but my thyroid tests came back normal. I don’t know whether this is anxiety or something else. I was wondering if anyone else ever had anxiety symptoms like this without any real cause of anxiety or even a feeling of anxiety. On the one hand I may need to push for all kinds of neuro tests, but on the other hand I might need to push for a different anxiety therapy. I’ve taken for granted how great it felt to be normal for the past 4 years. — The charter is available at: http://readystump.algebra.com/~asapm

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