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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by JETT55 on February 26, 2001, at 10:36:10
Hi,
Cam you helped me before with a post about TD. Thank you
it was most helpful. I have some more questions. Do you
mind? It'll be long. Let me know. Thanks.
Jett
Posted by Cam W. on February 26, 2001, at 13:03:37
In reply to CAM W PLEASE READ, posted by JETT55 on February 26, 2001, at 10:36:10
Jett - I am a pharmacist. My knowledge of disease states (like TD) and diagnosis are very limited. I know about the drugs and their involvement in disease states (like typical anitpsychotics involvement in TD) but do not know a great deal about the dieases themselves nor about diagnosing a diease.
Perhaps you can post your questions to the entire board and those with greater expertise in areas of disease states will be able to help far more than I would be able to. I will give answers to the areas that I feel comfortable answering (ie those which pertain to my knowledge of drugs).
Sorry, but I would be doing you a disservice trying to answer questions outside of my area of expertise. Sincerely - Cam
> Hi,
> Cam you helped me before with a post about TD. Thank you
> it was most helpful. I have some more questions. Do you
> mind? It'll be long. Let me know. Thanks.
> Jett
Posted by JETT55 on February 27, 2001, at 11:45:03
In reply to Re: CAM W PLEASE READ » JETT55, posted by Cam W. on February 26, 2001, at 13:03:37
Hi again,
No, this has nothing to do with TD. Cam, I want
to ask you and others out there if they had this
problem. I have benign familial tremor of the neck.
I started on Zoloft about a month ago, 25mgs. You
know I've really noticed a good deal of help with
my anxiety/panic issue. Much calmer. But here's the
problem, zoloft really seems to activate my tremor
like crazy. I hate it. My mom had this from no
meds, so you see, I've inherited it from her. She
only had it when she was upset/nervous, and the same
with me. But, for about the first 3 hrs after taking
zoloft, I'm really shaky and therefore the neck goes.
All's I'd like to know is, will this, and this
ridiculous dia**hea let up. I hate to quit this
med, it seems so helpful. And yes, I was worried that
for awhile there I was getting some muscular twitches
from this also, and worried it was the start of
TD, but I guess not, I guess muscle twitches
are common with SSRI's? Also, do you think a switch
to Serzone would be more beneficial? I have mostly panic,
mix in a little ocd and depression. That's why I
chose the zoloft to start out with.
Anyway, if you can help, thanks alot!
Jett
Posted by Cam W. on February 27, 2001, at 15:44:09
In reply to Re: Zoloft med, for Cam W, posted by JETT55 on February 27, 2001, at 11:45:03
Jett - Yes, tremor is a side effect, but it usually lessens considerably in the first month, as does the diarrhea. You can eat a couple of bananas or if the diarrhea is troublesome, try Imodium.
I wouldn't suggest a switch to Serzone unless you've given the Zoloft a fair trial (8 weeks) and if it works I'd be hesitant to stop it and try Serzone. Ask your doc about the tremors and see if he/she thinks they are bad enought to justify a switch. I believe the Zoloft to be a better drug for combined OCD/depression than Serzone, in most people. If it ain't broke, don't fix it.
Hope this helps - Cam
Posted by JETT55 on February 27, 2001, at 17:43:33
In reply to Re: Zoloft med, for Cam W » JETT55, posted by Cam W. on February 27, 2001, at 15:44:09
Thank you for the good info, Cam. I appreciate it
very much. It's weird that something that is
supposed to help you, initially makes you feel
worse! Cam, you don't know why some of these meds
cause muscle twitching, do you? Especially around
the eyes? You know it's always a concern that it's
a precursor of TD?
Jett
Posted by Cam W. on February 27, 2001, at 19:06:02
In reply to Re: Zoloft med. THANKS, CAM W!, posted by JETT55 on February 27, 2001, at 17:43:33
Jett - The twitching around the eyes, which I noticed with Zoloft, as well, is probably a serotonin-induced thing (but I am not positive). I sincerely doubt it is related to TD because that is more of a dopamineric blockade reaction. - Cam
This is the end of the thread.
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