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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 14 of 14. This is the beginning of the thread.
Posted by SheilaC on August 4, 2009, at 7:13:09
What causes teeth grinding on meds such as Effexor or Pristiq or other SSRIs SNRIs?
I just started Pristiq and I notice some tension in my jaw. I already wear a night guard, but I am wondering if I can counter this side effect with more Seroquel or Klonopin or some other drug to calm the clenching feeling.
Posted by SLS on August 4, 2009, at 8:45:22
In reply to Teeth Grinding?, posted by SheilaC on August 4, 2009, at 7:13:09
> What causes teeth grinding on meds such as Effexor or Pristiq or other SSRIs SNRIs?
>
> I just started Pristiq and I notice some tension in my jaw. I already wear a night guard, but I am wondering if I can counter this side effect with more Seroquel or Klonopin or some other drug to calm the clenching feeling.Too much serotonin can do that. Sometimes it gets better when one responds well to treatment.
How would you describe your current state of depression?
Linkadge would probably know more about what kind of drug would help.
- Scott
Posted by SLS on August 4, 2009, at 8:58:21
In reply to Teeth Grinding?, posted by SheilaC on August 4, 2009, at 7:13:09
I forgot Buspar. It has been shown to help, presumably through its serotonin 5-HT1a autoreceptor agonism.
Abilify might improve the bruxism for the same reason and also might help make the antidepressant work better. This is just a guess on my part.
- Scott
Posted by Phillipa on August 4, 2009, at 13:03:32
In reply to Re: Teeth Grinding?, posted by SLS on August 4, 2009, at 8:58:21
Just a comment so many say tooth grinding sounds like such a strange side effect. I hope someone knows the actual reason why. Phillipa
Posted by yxibow on August 4, 2009, at 16:05:26
In reply to Re: Teeth Grinding?, posted by Phillipa on August 4, 2009, at 13:03:32
> Just a comment so many say tooth grinding sounds like such a strange side effect. I hope someone knows the actual reason why. Phillipa
It's quite a natural condition in anxiety spectrum disorders, so its something that may or may not be medicine related -- bruxism.That being said, I don't think its any completely strange side effect to medications, a fair number can induce this, SSRIs, etc.
- Jay
Posted by SheilaC on August 4, 2009, at 16:08:53
In reply to Re: Teeth Grinding? » Phillipa, posted by yxibow on August 4, 2009, at 16:05:26
Is there any way around this side effect? Besides wearing a night guard?
Posted by Zyprexa on August 4, 2009, at 16:25:53
In reply to Teeth Grinding?, posted by SheilaC on August 4, 2009, at 7:13:09
Teeth grinding is often a side-effect of a stimulant.
Posted by Zyprexa on August 4, 2009, at 16:28:20
In reply to Re: Teeth Grinding?, posted by SheilaC on August 4, 2009, at 16:08:53
A sedating drug might help. Have you uped the dose of seroquel? That might help.
Posted by SheilaC on August 4, 2009, at 17:59:46
In reply to Re: Teeth Grinding?, posted by Zyprexa on August 4, 2009, at 16:28:20
> A sedating drug might help. Have you uped the dose of seroquel? That might help.
Funny, I need the stimulating effect that is causing the teeth clenching/grinding. I could up my Seroquel or Klonopin at night and see how that goes.
Posted by SLS on August 5, 2009, at 5:56:54
In reply to Re: Teeth Grinding?, posted by SheilaC on August 4, 2009, at 17:59:46
> > A sedating drug might help. Have you uped the dose of seroquel? That might help.
>
> Funny, I need the stimulating effect that is causing the teeth clenching/grinding. I could up my Seroquel or Klonopin at night and see how that goes.I still think Buspar is worth a look at for treating bruxism. I'm sure you can find stuff on it on Google.
- Scott
Posted by jane d on August 6, 2009, at 1:01:22
In reply to Teeth Grinding?, posted by SheilaC on August 4, 2009, at 7:13:09
Sheila,
How recently did you start the Pristiq? I experienced this temporarily when I started a couple of meds. It was a long time ago and I don't remember offhand which ones it was but one at least one was probably an SSRI. As I recall it wore off in a few weeks. Since you already have a night guard to protect your teeth you might want to see if the problem goes away by itself before adding another medication.Jane
Posted by bulldog2 on August 6, 2009, at 14:18:53
In reply to Teeth Grinding?, posted by SheilaC on August 4, 2009, at 7:13:09
> What causes teeth grinding on meds such as Effexor or Pristiq or other SSRIs SNRIs?
>
> I just started Pristiq and I notice some tension in my jaw. I already wear a night guard, but I am wondering if I can counter this side effect with more Seroquel or Klonopin or some other drug to calm the clenching feeling.
>
>When I started zoloft developed tmj and broke most of my molars. Very painful. Swallowed them in my sleep. Klonopin was very helpful. Try not to swallow any broken teeth as you may choke on them. Spit them out.
Posted by yxibow on August 6, 2009, at 16:30:40
In reply to Re: Teeth Grinding?, posted by bulldog2 on August 6, 2009, at 14:18:53
> > What causes teeth grinding on meds such as Effexor or Pristiq or other SSRIs SNRIs?
> >
> > I just started Pristiq and I notice some tension in my jaw. I already wear a night guard, but I am wondering if I can counter this side effect with more Seroquel or Klonopin or some other drug to calm the clenching feeling.
> >
> >
>
> When I started zoloft developed tmj and broke most of my molars. Very painful. Swallowed them in my sleep. Klonopin was very helpful. Try not to swallow any broken teeth as you may choke on them. Spit them out.
>I'm saddened that that happened to you... I have a particular rare phenomenon due to Seroquel that causes a lot of tics.... but it hasn't been that hard....
If things get that hard, please definitely consider a night guard, and if you can't isolate or come to terms with an informed decision as to whether the benefits outweigh the risks of medication, maybe something else has to be substituted.
Not to scare the original poster at all... I mean the above story sounds particularly strong and rare; bruxism is common, usually leaves slight traces a dentist can notice and if necessary in the future can be bonded but I can't say for you -- I would weigh what the medication does best for you versus your symptoms.
-- Jay
Posted by elanor roosevelt on August 9, 2009, at 15:59:13
In reply to Re: Teeth Grinding?, posted by SheilaC on August 4, 2009, at 17:59:46
similar problems have plagued me for several years and with ssri's it got to the point that my mouth was always inflamed for the physical "worrying" i did
if you are somewhat predisposed, the serotonin can trigger the nervous reactions
so, yes, it is the serotonin and you are not imagining it
please post if you come up with a solutionbe forewarned, i cracked a good half of my molars as a result of med-related behavior
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