Wellbutrin and jaw clenching
We are incredibly fortunate to live in a time when some of our most painful and debilitating medical conditions can be well-controlled with prescription medications, allowing us to enjoy a more pleasurable quality of life.
Certain medications and drugs act on the brain by stimulating it. The results suggest brain stimulation is believed to contribute to grinding. Scientific data shows several neurotransmitters are involved in the effect of various drugs on bruxism. The dopaminergic systems in the striated body and the frontal lobe of the brain are of special importance, since hyperactivity generates bruxism, particularly the mandibular movement with tooth grinding. Selective Serotonin Reuptake Inhibitors SSRIs — Prescribed for depression, obsessive-compulsive disorder, anxiety, panic disorder, post-traumatic stress disorder, seasonal affective disorder, and depressive episodes of bipolar disorder, social phobia, premenstrual dysphoric disorder and menopause. In some reported cases where bruxism is thought to be initiated by SSRIs, decreasing the dosage may resolve the issue. Other sources state reports of SSRIs causing bruxism are rare and it only happens with long-term use.
Wellbutrin and jaw clenching
Federal government websites often end in. The site is secure. Antidepressant-associated movement disorders are a well-described phenomenon. However, antidepressant-associated bruxism, jaw pain, or jaw spasm, while reported in dental literature, is less commonly recognized among neurologists. We summarize the clinical features and treatment of antidepressant-associated bruxism and associated jaw pain through a systematic review of case reports. Antidepressant-associated bruxism may occur in pediatric and adult patients, most commonly among female patients. Patients may develop symptoms with short-term and long-term antidepressant use. Fluoxetine, sertraline, and venlafaxine were the most commonly reported offending agents. Symptoms may begin within 3—4 weeks of medication initiation and may resolve within 3—4 weeks of drug discontinuation, addition of buspirone, or substitution with another pharmacologic agent. The incidence of this phenomenon is unknown. Bruxism associated with antidepressant use is an underrecognized phenomenon among neurologists, and may be treated with the addition of buspirone, dose modification, or medication discontinuation.
Clin Neuropharmacol ; 38 — Indian J Psychol Med ; 37 —
Why do SSRIs cause jaw clenching? While the exact mechanism is unknown, it appears that SSRIs trigger jaw clenching because of their effect on the level of neurotransmitters like serotonin in the brain. These neurotransmitters control mood, but they also contribute to movement regulation. Recent clinical evidence points to a significant association between selective serotonin reuptake inhibitor SSRI antidepressant drugs and jaw clenching. The effect is not permanent, as SSRI jaw clenching starts around 3 weeks after starting the medication and resolves 3 weeks after stopping. In a article in the journal BMC Psychiatry, researchers found that compared to all other medications, your chances of reporting bruxism when taking antidepressants are 10 times higher than they are with any other type of medication.
Objective: To report a case of acute dystonia consisting of neck stiffness, trismus, and unilateral temporomandibular joint TMJ pain and subluxation secondary to an increase in sustained-release SR bupropion. Case summary: A year-old white man with a history of chronic low-back pain and tension headaches, taking no other medications, was started on bupropion SR mg once a day for depression. The dosage was increased to mg SR twice a day and eventually augmented with buspirone 15 mg 3 times a day. He developed bilateral trismus, inability to rotate his head laterally, and spontaneous left TMJ subluxation. Symptoms recessed with discontinuation of both medications and failed to reappear with a trial of buspirone 15 mg 3 times a day alone.
Wellbutrin and jaw clenching
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:. Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. Call your doctor for medical advice about side effects.
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Citalopram-induced bruxism. Here we break down the rationale for using ice, heat, or both for TMJ pain. She noted that her jaw symptoms returned, but were less severe than with sertraline. Call Us. Symptoms may also resolve over time without pharmacologic intervention. Bruxism associated with antidepressant use is an underrecognized phenomenon among neurologists, and may be treated with the addition of buspirone, dose modification, or medication discontinuation. Full disclosure form information provided by the authors is available with the full text of this article at Neurology. Background Jaw pain associated with antidepressant use Jaw pain and bruxism are common, associated with a wide variety of disorders. First, speak to your physician about the side-effects that you are experiencing and ask if there are any treatment alternatives. Antidepressant-associated bruxism may occur in pediatric and adult patients, most commonly among female patients. Table 1 Patient data included in literature search and analysis, by article. Duloxetine-induced nocturnal bruxism resolved by buspirone: case report. During a second trial of bupropion SR mg a day, neck and jaw symptoms recurred within hours of increasing the dose to mg SR twice a day. Correspondence Dr.
Our pharmacist answers the latest question regarding what to do if your SSRI causes jaw clenching. I'm on citalopram 40mgs daily, bupropion sr mgs daily, hydroxyzine 25mgs 3x daily, trazodone mgs nightly. Can any of one of these medications be a side affect causing my jaw to lock up.
The good news is that there are a variety of conservative measures that you can take to get jaw pain relief. J Clin Psychopharmacol ; 34 — A number of medications that are used to treat these conditions can also trigger jaw problems, including:. There are many different types of temporomandibular TMJ disorders, so the best mouth guard for TMJ pain depends on your underlying condition. Why do SSRIs cause jaw clenching? Garrett: study concept and design, acquisition of data, analysis and interpretation of data. Bupropion: a systematic review and meta-analysis of effectiveness as an antidepressant. Venlafaxine-induced severe sleep bruxism in a patient with generalized anxiety disorder. Bruxism may develop as an adverse reaction to antidepressant therapy, and is most likely to develop within 2—3 weeks of medication introduction or dose titration. As a library, NLM provides access to scientific literature. These medications have been shown to lead to the unconscious habit of clenching or grinding the teeth, especially at night. Br J Psychiatry ; Our Blog. Meta-analyses of these cases are lacking, and there are few data on the incidence, clinical manifestations, and mechanism of antidepressant-associated bruxism.
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