Posted by mtdewcmu on January 2, 2010, at 17:45:24
In reply to Re: Remeron and mouth symptoms » mtdewcmu, posted by MoBe on January 2, 2010, at 17:24:33
> > > > You're almost certainly dealing with anticholinergic side effects from the Remeron (and/or some other med you are taking). A lot of psychiatric drugs do this. Maybe you could get the doctor to prescribe you a drug for dry mouth like cevimeline or pilocarpine. Keep us posted.
> > >
> > > Yes, I agree with you that it is likely it is the Remeron, although the dry mouth side effect didn't appear in full force and was manageable for the last 10 years. I've asked for pilocarpine, a saliva stimulant and my family doc has refused, saying it causes side effects. I've offered that I am willing to try but unfortunately he isn't. What is quite odd, is that even when I have discontinued the remeron for 2 weeks the problem doesn't resolve itself. The doc said pilocarpine would make me tired. I've read that it makes you sweat more, tear more and nose drip more but not so much tiredness. Maybe I can plead with him. Oh brother!!!!!
> > >
> > > Thanks.
> > >
> > > Mobe
> >
> > If you have stopped the Remeron for 2 weeks and it hasn't resolved, then I don't see how it could be the Remeron. Remeron doesn't remain in the body that long.
>
> Yes, I agree. I have discontinued the Remeron for 2 weeks and the dry mouth did not go away. Then I put myself back on it and discontinued the prometrium for 2 weeks and it also did not go away. I wonder if there is something I'm missing. I don't want to discontinue the methylphenidate as my brain goes into a fog without it. The thyroid meds would probably be dangerous to discontinue.
>
> Thanks.
>
> MobeMy drug book lists dry mouth as a side effect of methylphenidate, but not Cytomel. However, if you are on a tad too much Cytomel, I could see that contributing. You could try gradually reducing your dose of Cytomel and see if that helps. Or you could see a specialist doctor that deals with the mouth (I'm not sure what specialty that would be), and that doctor might be looser with the prescription pad. The pdocs probably don't want to prescribe the meds because they are not familiar enough with them.
PS. Neither the MPH or any of the hormones you're on has anticholinergic side effects that I know of. But MPH is a sympathomimetic and that's the opposite branch of the autonomic nervous system. IIRC, excess thyroid hormones stimulate release of adrenaline, too.
poster:mtdewcmu
thread:931060
URL: http://www.dr-bob.org/babble/20091227/msgs/932170.html