Posted by yxibow on September 2, 2008, at 2:31:04
In reply to HELP! TRD...Ritalin and Involuntary mouth tics?, posted by francineus on August 24, 2008, at 18:20:26
> I'm taking Imipramine, and lithium and klonopin prn for treatment resistant depression. The pdoc added
> ritalin (concerta) since lithium was makine me exhausted. I found that the ritalin helped tremendously with the depression but has now (after
> months of use) caused me to have these weird mouth
> tics, like grinding my jaw. It's embarrassing yet I dread the idea of going off of ritalin as it has been so helpful. Any ideas. I've taken low doses of klonopin to see if that helps but it doesn't.
>
I would certainly mention the jaw grinding to your doctor when you next see him. Bruxism is a common anxiety condition, but it also is a side effect of medications, not just dopamine but others. One has to weigh the benefits and risks of this situation.If you have dental insurance and it covers it or other insurance will conver it, I would definitely suggest getting a "night guard" that is professionally made (they take a mold of your mouth and produce a small plastic thing that is like a retainer but a bit hard to talk with). There are store kits but they aren't as reliable.
I have a night guard which I used to also wear as a day guard because I have a medicine induced oral-buccal tic.
I haven't in a while though I should, but I have memory issues now and I can forget possessions -- side tangent, not part of this discussion.But it does make a difference in how you feel the day after or even if you have to wear it during the day. They last several years at least, if not more, depending how you use it.
Botox is a treatment for severe bruxism, but botox always comes with risks and has to be repeated -- this is something for an oral surgeon I would think and is a more drastic palleative
-- best wishes
Jay
poster:yxibow
thread:848052
URL: http://www.dr-bob.org/babble/20080822/msgs/849834.html