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Re: SSRIs, Sweating and Possible Heat Exhaustion? » IsoM

Posted by Ritch on February 19, 2003, at 23:34:44

In reply to SSRIs, Sweating and Possible Heat Exhaustion?, posted by IsoM on February 18, 2003, at 15:35:47

> I'm throwing this open to everyone who has problems with sweating & SSRIs. Maybe among us, someone will know the answer.
>
> Sweating is common with SSRIs but do the rest of you also feel uncomfortably hot or do you just sweat easily at temperatures you used to feel comfortable at? Do you sweat but still feel comfortably warm, not overly hot?
>
> A lot of my work includes working outside in summer, sometimes under direct sun. It can be physically hard work too, further raising my body temperature. I find despite drinking lots & making sure I'm getting enough electrolytes in my foods to make up for any salt loss, I think I fit the definition of heat exhaustion (though not heat stroke).
>
> I live in the Pacific Northwest & while our summers can get very warm & fairly humid, they're nothing like Texas heat or New York temps & humidity. Most people are quite comfortable in our summers but I dread the heat though I really love the long daylit hours.
>
> Does anyone know if our core body temperature rise with SSRIs & this sweating or what? Does it rise dangerously high at all? I'm literally wiped out after working in the heat. Weak & exhausted & it takes a day or so to feel better again. When I have the choice at home, I only work in the cooler hours, out of the sun. They don't understand at work how I can feel so sick in this temperature while most others are enjoying it.

I've experienced some rather pronounced sweating from Effexor and Celexa. Effexor is the worst for me in that regard. The other SSRI's I didn't notice it near as much (never noticed it on Prozac at all). Effexor/Celexa at higher doses than I usually take (which isn't much) create this "heat furnace" effect right in the center of my chest/abdomen. It is kind of like taking a form of internal "Icy-Hot" or something for arthritis. I haven't done a temp reading when experiencing this, so I don't know what's actually happening to my actual central temperature. I have a feeling that the temp regulation center in my brain just gets fooled into thinking that my body is too hot (by the excess extracellular serotonin), and sets off the autonomic sweating reaction. I also get diarrhea from all SSRI's, too, so it is probably related as well.


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