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What Cause Uncontrolled Chewing Movements In Mouth After Taking Remeron And Concerta?
Brief Answer:
effexor and concerta can cause them
Detailed Answer:
Hello,
The chewing or mouth movements you developed can be caused by effexor or concerta (amongst the three meds you were taking). They are known as motor coordination disorder or extra pyramidal side effects.
They are among very rare side effects of these drugs but may develop seen at any point during treatment with the rugs.
Managment-
1. stopping the culprit agent (which you already did).
2. drugs like- trihexphenidyl 2-14mg in day time
3. drugs like - pramipexole & benztropine. These are the main agents which are used.
The movements are invoulantry and may increase under stressful conditions or when one becomes concious due to them. They reduce or vanish during sleep but come again when one wakes up.
Please discuss the above meds with your doctor and try them for managing the side effects. The symptom is unlikely to go on its own.
Wish you a speedy recovery.
Dr. Manisha Gopal
MD Neuropsychiatry
effexor and concerta can cause them
Detailed Answer:
Hello,
The chewing or mouth movements you developed can be caused by effexor or concerta (amongst the three meds you were taking). They are known as motor coordination disorder or extra pyramidal side effects.
They are among very rare side effects of these drugs but may develop seen at any point during treatment with the rugs.
Managment-
1. stopping the culprit agent (which you already did).
2. drugs like- trihexphenidyl 2-14mg in day time
3. drugs like - pramipexole & benztropine. These are the main agents which are used.
The movements are invoulantry and may increase under stressful conditions or when one becomes concious due to them. They reduce or vanish during sleep but come again when one wakes up.
Please discuss the above meds with your doctor and try them for managing the side effects. The symptom is unlikely to go on its own.
Wish you a speedy recovery.
Dr. Manisha Gopal
MD Neuropsychiatry
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
thanks for your response. will the drugs that you've mentioned cure my uncontrolled chewing? or no it'll come back if I stop taking them?
Brief Answer:
I hope you will have good response, dont worry
Detailed Answer:
Hello,
The drugs I mentioned are helpful in eradicating the chewing movements. If the movement has good response to these meds, then usualy after stopping them it dosent come back again ( provided you are not exposed to the culprit agent again).
Sometimes it does hapen that the movement dosent go away competely even with proper medicines. Then it may take long to respond..This partial response is mostly seen in aged patients and who took drug for long duration and continue to take the offending agent.
So, dont worry, move ahead with anyone of the drug mentioned earlier and hope for the best.
Please ask if there are more doubts bothering you.
Dr. Manisha Gopal
MD Neuropsychiatry
I hope you will have good response, dont worry
Detailed Answer:
Hello,
The drugs I mentioned are helpful in eradicating the chewing movements. If the movement has good response to these meds, then usualy after stopping them it dosent come back again ( provided you are not exposed to the culprit agent again).
Sometimes it does hapen that the movement dosent go away competely even with proper medicines. Then it may take long to respond..This partial response is mostly seen in aged patients and who took drug for long duration and continue to take the offending agent.
So, dont worry, move ahead with anyone of the drug mentioned earlier and hope for the best.
Please ask if there are more doubts bothering you.
Dr. Manisha Gopal
MD Neuropsychiatry
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
can the drugs that I took cause a goitre? I developed the goitre that I have while I was on the combination of Effexor, remeron and, concerta aswell and wonder if they caused my thyroid to enlarge. my thyroid function is still within the normal range and that's why doctors can't medicate me for it and my ultrasound scans do show that I have a goitre but because there's no fluid in it no biopsy is required.
Brief Answer:
yes, effexor/ concerta can rarely lead to goiter
Detailed Answer:
Hello,
Yes, both effexor and conecrta can lead to goiter as a rare side effect. There is no need to start drugs for the same if tests are otherwise normal.
As they are one of the rare side effects doctor cant predict it. Moreover, usualy the predisposed individuals develop it- whi have some family history/ past history or undiagnosed sub clinical hypo-thyroid.
You can take another blood TSH and TPO antibody tests after three months- and if there is any change in readings one may put you on thyroid replacement.
There is no need to take anything specific right now for it.
Wish you good health.
Dr. Manisha Gopal
MD Neuropsychiatry
yes, effexor/ concerta can rarely lead to goiter
Detailed Answer:
Hello,
Yes, both effexor and conecrta can lead to goiter as a rare side effect. There is no need to start drugs for the same if tests are otherwise normal.
As they are one of the rare side effects doctor cant predict it. Moreover, usualy the predisposed individuals develop it- whi have some family history/ past history or undiagnosed sub clinical hypo-thyroid.
You can take another blood TSH and TPO antibody tests after three months- and if there is any change in readings one may put you on thyroid replacement.
There is no need to take anything specific right now for it.
Wish you good health.
Dr. Manisha Gopal
MD Neuropsychiatry
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I don't know if I have an undiagnosed sub clinical hypothyroidism but I do have family history of hypothyroidism. both of my parents have hypothyroidism and take medication for it but my dad's was hyper and they made it hypo so that they could medicate him for it. I might change my psychiatrist cause I don't think that my current one is good.
Brief Answer:
TPO antibody test, will help. Find a doctor nearby
Detailed Answer:
Hello,
You have a family history of thyroid disorder, this is the major point which made you vulnerable for developing goiter(as i mentioned amongst the risk factor in previous answer). In such cases history taking should have been elaborate in the first meeting itself with the patient and relevant investigations shouls be done.
You can get anti TPO antibody test, and if that is raised, taking thyroid supplement will help you.
You are already off drugs which may have led to chewing movements and goiter, so, now the tests and drug for movement disorder needs to be started and progress should be monitored. You would need someone who can look them closely and guide you. It will be wise to find someone close to your home. An endocrinologist can take care of your throid and a psychiatrist or a neurologist to help involuantry movements.
The movements can increase when the person is anxious or under stress or when people are watching. But mostly these are out-of-control of oneself. You can practice relaxation techniques- deep breathing. This can help when done regularly along with meds.
Please feel free to ask more questions for clarification of anymore doubt. I will try to help you.
Dr. Manisha Gopal
MD Neuropsychiatry
TPO antibody test, will help. Find a doctor nearby
Detailed Answer:
Hello,
You have a family history of thyroid disorder, this is the major point which made you vulnerable for developing goiter(as i mentioned amongst the risk factor in previous answer). In such cases history taking should have been elaborate in the first meeting itself with the patient and relevant investigations shouls be done.
You can get anti TPO antibody test, and if that is raised, taking thyroid supplement will help you.
You are already off drugs which may have led to chewing movements and goiter, so, now the tests and drug for movement disorder needs to be started and progress should be monitored. You would need someone who can look them closely and guide you. It will be wise to find someone close to your home. An endocrinologist can take care of your throid and a psychiatrist or a neurologist to help involuantry movements.
The movements can increase when the person is anxious or under stress or when people are watching. But mostly these are out-of-control of oneself. You can practice relaxation techniques- deep breathing. This can help when done regularly along with meds.
Please feel free to ask more questions for clarification of anymore doubt. I will try to help you.
Dr. Manisha Gopal
MD Neuropsychiatry
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
so I need to have a TPO test for my thyroid and see a neurologist or psychiatrist to help me with the involuntary movements? I just had my thyroid checked a month ago in my checkup and the results were normal but I don't know if that was TPO test. I'll ask my family doctor cause he was the one that checked my thyroid a month ago. you say that the major reason to why I developed a goitre is that both of my parents have hypothyroidism (my dad's was hyper first but they made it hypo so that they could medicate him for it)is this the main reason to why I developed depression aswell as goitre? I initially started seeing a psychiatrist for my deppression and they tried so many drugs on me and the last combination that I took was Effexor and concerta and remeron and i developed uncontrolled chewing habits and goitre while I was on them so I stopped taking them and haven't taken any other psychiatric drug since then.
Brief Answer:
yes, meet the doctors and u had risk to get goiter
Detailed Answer:
Hello,
Yes, you should meet an endocrinologist for further and appropriate managment of goiter. Also see a neurologist/psychiatrist in person to handle chewing movements.
Genetics of a person, espically of first degree relatives is the main reason behind any illness. It is not that it is valid only in your case...almost all kinds of illness can have genetic basis.
I dont know if the depression has a famailial predisposition in your case as you didnt tell if any of your parents had it? But goiter had a risk factor in your case.
I hope you get well soon
Dr. Manisha Gopal
MD Neuropsychaitry
yes, meet the doctors and u had risk to get goiter
Detailed Answer:
Hello,
Yes, you should meet an endocrinologist for further and appropriate managment of goiter. Also see a neurologist/psychiatrist in person to handle chewing movements.
Genetics of a person, espically of first degree relatives is the main reason behind any illness. It is not that it is valid only in your case...almost all kinds of illness can have genetic basis.
I dont know if the depression has a famailial predisposition in your case as you didnt tell if any of your parents had it? But goiter had a risk factor in your case.
I hope you get well soon
Dr. Manisha Gopal
MD Neuropsychaitry
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I would say yes my parents do have deppression. they both have seen psychiatrists in the past and they have siblings with deppression but not all of them have been diagnosed but I'm sure that they do have deppression. they have habits such as smoking cigarettes and oppium. all those are signs of deppression right? some of them might not have been diagnosed because they're in my country of Iran and unfortunately over there people think that if you see a psychiatrist
you're crazy.
you're crazy.
Brief Answer:
mild drugs are suitable for you + therapy
Detailed Answer:
Hello,
If both of your parents and one or more siblings are diagnosed of depression or other psychiatric illnesses- this definitely is a risk factor for you to develop one.
Secondly, smoking and taking cannabis is not a diagnostic feature of depressive disorder. A depressive patient may do all that but their presence doesnot indicate depression. Depression can and should only be diagnosed by a proffesional and treated.
However, looking at your family history, I can say that your siblngs who are still not diagnosed are definitely at risk.
Thirdly, I can understand that local cultural stigma attached to psychiatric diagnosis may refrain people from seeking treatment. But finally its the patient/ caregivers who suffers...so, when there is personal downfall one should try to come out of such bindings and move for ones own welfare. Finally, we are the one who can.change the siciety for welfare of its people.
You have mentioned history of heart failure ( i think coz of kidney issues- you have high creatinine) this makes proper treatment of depression even more necessary.
Your family history and other comorbid illness point that - you should ideally be put on mild anti depressants, resisting drug combinations where ever possible; and focussing more on therapy.
Therapy is a non medicated approach to treatment in psychological problems and help in stabilising mood, reducing relapses and reducing the need of drugs.
Please feel free to ask more questions for clarifications.
Dr. Manisha Gopal
MD Neuropsychiatry
mild drugs are suitable for you + therapy
Detailed Answer:
Hello,
If both of your parents and one or more siblings are diagnosed of depression or other psychiatric illnesses- this definitely is a risk factor for you to develop one.
Secondly, smoking and taking cannabis is not a diagnostic feature of depressive disorder. A depressive patient may do all that but their presence doesnot indicate depression. Depression can and should only be diagnosed by a proffesional and treated.
However, looking at your family history, I can say that your siblngs who are still not diagnosed are definitely at risk.
Thirdly, I can understand that local cultural stigma attached to psychiatric diagnosis may refrain people from seeking treatment. But finally its the patient/ caregivers who suffers...so, when there is personal downfall one should try to come out of such bindings and move for ones own welfare. Finally, we are the one who can.change the siciety for welfare of its people.
You have mentioned history of heart failure ( i think coz of kidney issues- you have high creatinine) this makes proper treatment of depression even more necessary.
Your family history and other comorbid illness point that - you should ideally be put on mild anti depressants, resisting drug combinations where ever possible; and focussing more on therapy.
Therapy is a non medicated approach to treatment in psychological problems and help in stabilising mood, reducing relapses and reducing the need of drugs.
Please feel free to ask more questions for clarifications.
Dr. Manisha Gopal
MD Neuropsychiatry
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I actually think that my deppression caused my goitre. yes I do believe that I've a goitre cause my parents have goitres aswell but I also believe that our depressions have caused our goitres. as I said both of my parents are taking medications for their goitres but I'm taking none fur mine cause according to my family doctor my thyroid is still functioning within the normal range. I think that my mom developed her goitre when she was about 31 or 32 years old and my father when he was about 45 or 46 but I developed mine when I was 23 or 24 years old. I went through subacute thyroiditis three years ago which lasted four month but my thyroid is functioning fine at the moment according to my family doctor and that's why I'm not on medication for it.
Brief Answer:
children get diseases at an early age than parents
Detailed Answer:
Hello,
You developed thyroid problem at a younger age compared to your parents- which is usually the case seen in several common disorders- like diabetes, hypertension etc.
That is althemore reason for a doctor to interview the client in detail about family and past history and then treat accordingly. Even though someone hasn't developed diabetes but has a strong family history of the same- certain drugs must be avoided to prevent it in future also. This is what one tries to practice till it is feasble.
Sometimes, when there is no better/safer option then we carriy out timely tests to keep a check on development of adverse effects.
So, it can be a possibility that thyroid problem precipitated depression in your case- as it was both a biological as well as psyhological stressor.
You have said that you are currently off drugs for depression but not told if you are completely symptom free and for how long. Looking at your family history and comorbid illnesses, it is important that you take treatment for adequate time and remain healthy.
Please get anti TPO antibody to see if they are raised. Also, get Vit. B12 and Vit. D levels. They are also linked with various bodily illnesses. Treating these simple deficiencies help a lot.
Wish you good luck.
Dr. Manisha Gopal
MD Neuropsychiatry
children get diseases at an early age than parents
Detailed Answer:
Hello,
You developed thyroid problem at a younger age compared to your parents- which is usually the case seen in several common disorders- like diabetes, hypertension etc.
That is althemore reason for a doctor to interview the client in detail about family and past history and then treat accordingly. Even though someone hasn't developed diabetes but has a strong family history of the same- certain drugs must be avoided to prevent it in future also. This is what one tries to practice till it is feasble.
Sometimes, when there is no better/safer option then we carriy out timely tests to keep a check on development of adverse effects.
So, it can be a possibility that thyroid problem precipitated depression in your case- as it was both a biological as well as psyhological stressor.
You have said that you are currently off drugs for depression but not told if you are completely symptom free and for how long. Looking at your family history and comorbid illnesses, it is important that you take treatment for adequate time and remain healthy.
Please get anti TPO antibody to see if they are raised. Also, get Vit. B12 and Vit. D levels. They are also linked with various bodily illnesses. Treating these simple deficiencies help a lot.
Wish you good luck.
Dr. Manisha Gopal
MD Neuropsychiatry
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
thanks for Your response. I'm not symptom free from deppression. I stopped taking Effexor, remeron and concerta due to their side effects. I changed my psychiatrist but told her that I no longer want psychiatric drugs and want psychotherapy only but I haven't seen her for a long time, maybe because I became much less outgoing since I took the combination of Effexor, remeron and concerta. if I need to see a psychiatrist then I'll change my doctor again cause my current doctor whom I haven't seen for a long time works is retired and works twice a week only or I might try seeing a neurologist this time . do you think that a neurologist would be able to help me with my deppression aswell as my uncontrolled movements ( uncontrolled chewing that started while I on the Effexor, remeron, and concerta combination)?
Brief Answer:
See a neuropsychiatrist, regularise therapy sesion
Detailed Answer:
Hello,
The best thing is that you tell the details truly and accept the facts as they are. You are having some features of depression and you want to pursue therapy for the same.
The best approach will be to find a suitable councillor who is able to guide you and listen to you well. The next and the most important thing is being regular with the therapy sessions. At least the sessions (when done properly) will prevent relapse or reduce symptoms. The frequency of therapy should ideally range from two to three times a week for having good effects.
if you are not taking medicines and are also not regular with sessions, then you are inviting trouble....which is not a very wise thing to do.
Regarding side effects of drugs, if you want to see one specialist only ( and can't see both neuropsychiatrist and neurologist), then you should see a neuropsychiatrist, as he can take care of therapy, psychological issues, along with movement problems. The neurologists can handle only movement disorder and can't guide on psychological issues.
You should also learn relaxation techniques like deep relaxed breathing and may be some yoga techniques to relax your mind (from some one trained) and practice them. These techniques will help you a lot in handling stress, and also help in reducing movement problem. If not possible, then simply joining a good gym for three times a week, under trained guide is also a good deal. A healthy body who exercises regularly, gathers a healthy and relaxed mind.
Wish you good luck.
Please feel free to ask more questions for clarifications.
Dr. Manisha Gopal
MD Neuropsychiatry
See a neuropsychiatrist, regularise therapy sesion
Detailed Answer:
Hello,
The best thing is that you tell the details truly and accept the facts as they are. You are having some features of depression and you want to pursue therapy for the same.
The best approach will be to find a suitable councillor who is able to guide you and listen to you well. The next and the most important thing is being regular with the therapy sessions. At least the sessions (when done properly) will prevent relapse or reduce symptoms. The frequency of therapy should ideally range from two to three times a week for having good effects.
if you are not taking medicines and are also not regular with sessions, then you are inviting trouble....which is not a very wise thing to do.
Regarding side effects of drugs, if you want to see one specialist only ( and can't see both neuropsychiatrist and neurologist), then you should see a neuropsychiatrist, as he can take care of therapy, psychological issues, along with movement problems. The neurologists can handle only movement disorder and can't guide on psychological issues.
You should also learn relaxation techniques like deep relaxed breathing and may be some yoga techniques to relax your mind (from some one trained) and practice them. These techniques will help you a lot in handling stress, and also help in reducing movement problem. If not possible, then simply joining a good gym for three times a week, under trained guide is also a good deal. A healthy body who exercises regularly, gathers a healthy and relaxed mind.
Wish you good luck.
Please feel free to ask more questions for clarifications.
Dr. Manisha Gopal
MD Neuropsychiatry
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
thanks for your response. is there a difference between a psychiatrist and neuropsychiatrist? I'm searching ratemds.com for a local neuropsychiatrist but I just find psychiatrists not neuropsychiatrists.
Brief Answer:
Both are same, good luck.
Detailed Answer:
Hello,
No neuropsychiatrist is same as psychiatrist. In XXXXXXX the degree given is of neuropsychiatry (as the psychiatrist is supposed to have sound knowledge of neurology also in order to diagnose correctly).
So, it is one and the same thing. You may as well search for psychiatrist in your area.
Good luck and do take care of your health.
Dr. M. Gopal
Both are same, good luck.
Detailed Answer:
Hello,
No neuropsychiatrist is same as psychiatrist. In XXXXXXX the degree given is of neuropsychiatry (as the psychiatrist is supposed to have sound knowledge of neurology also in order to diagnose correctly).
So, it is one and the same thing. You may as well search for psychiatrist in your area.
Good luck and do take care of your health.
Dr. M. Gopal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Both are same, good luck.
Detailed Answer:
Hello,
No neuropsychiatrist is same as psychiatrist. In XXXXXXX the degree given is of neuropsychiatry (as the psychiatrist is supposed to have sound knowledge of neurology also in order to diagnose correctly).
So, it is one and the same thing. You may as well search for psychiatrist in your area.
Good luck and do take care of your health.
Dr. M. Gopal
Both are same, good luck.
Detailed Answer:
Hello,
No neuropsychiatrist is same as psychiatrist. In XXXXXXX the degree given is of neuropsychiatry (as the psychiatrist is supposed to have sound knowledge of neurology also in order to diagnose correctly).
So, it is one and the same thing. You may as well search for psychiatrist in your area.
Good luck and do take care of your health.
Dr. M. Gopal
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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