Posted by Ritch on February 6, 2003, at 22:29:01
In reply to Re: Muscle Pain/Stiffness/SSRI Question. Please Help!, posted by Mr.Scott on February 6, 2003, at 13:47:53
> My question in the end would be something along the lines of "Given the fact I am quite depressed without an SSRI, would you continue to use them even though they caused dystonia or spasms that required anticholinergics?" Or would you switch to a tricyclic, or back to Effexor which gave me less muscle problems, but also had it's own host of perhaps lesser problems.
>
> Let me know your thoughts, since I see a decision coming up for me fairly soon..
Scott, I *definitely* experienced EPS from Paxil, and wasn't surprised when that was noted as a reason to not prescribe Seroxat (1st line) as an AD in the British NHS guidelines. I got a *little* EPS with Celexa (tongue wag), and got stiff muscles right under my chin with Prozac and Celexa. Zoloft didn't do that, but I got restless legs and jaw "clench". I would suggest going to Effexor first (since it is most like the SSRi's). I got a little jaw "clench" from it, and the stiff shoulder/back of the neck thing, but no clearly EPS-like thing from Effexor. My favorite antipanic combo is a little Klonopin mixed with a little Benadryl. Also, I found nortriptyline to work quite nicely at canceling out the stomach volcanic effects of SSRI's and making me feel less restless. I didn't ask about Straterra at my last visit, but I wonder if low-dose Effexor+Straterra might be a nice deal.
poster:Ritch
thread:139725
URL: http://www.dr-bob.org/babble/20030204/msgs/139882.html