Posted by utopizen on June 27, 2004, at 16:44:15
In reply to Could Remeron and Lexapro cause Serotonin Syndrome, posted by BRC on June 27, 2004, at 13:35:02
> Hi, I read the earlier post about Serotonin Syndrome. I was aware of the condition but did not know all the symptoms.
>
> I take 40mg Lexapro and 30mg Remeron. I daily experience symptoms such as tingling senations, muscle spasms, my hands tremble, and when I go to raise my legs (like in bed) or raise up my limbs tremble. I thought these where all symptoms of my anxiety disorder and side effects from the meds.
>It could just be that one of the meds is too much for your body. 15mg of Remeron typically helps many people, and I'm not sure whether it's proven if 30 or 45mg offers statically more response over placebo. Maybe someone in here knows? I read an abstract recently on Medline that established highest dose needed to find response for antipsychotics. Abilify was rated at 10mg, and I take 30mg currently.
SWEATING, AGITATION AND TREMOR are, I believe if I read my Zoloft side effects warnings correctly, symptoms associated with toxicity. But that's with any drug when you have these symptoms. If you're sweating at all in your hands or face or so that's toxicity often. Agitation is pretty severe, and it sounds like you have it. Rigidity or restlessness alone is ussually associated with antipsychotics... I'm not sure if you have that, but talk to your doctor. TREMOR is a pretty big side effect when it comes to your body warning you.
Muscle shocks are NOT associated with anxiety-- talk to your doctor about this, and possibly a neurologist who would likely order a EEG test. I've only heard of it being associated with withdrawl.
You may find these could go away if you, say, go down to 20mg of Lexapro and 15mg of Remeron, all common and effective doses as much as the ones you're on now. And then if you still find difficulty you can always cut one off or switch to a different med.
But talk to your doctor about it all. And you should be telling your doc about these side effects, not to sound nagging... but they are listed under the side effects section that read "talk to your doctor immediately" section if I'm not mistaken.
poster:utopizen
thread:360995
URL: http://www.dr-bob.org/babble/20040627/msgs/361031.html