
What Causes Tilted Jaw And Difficulty On Speaking After Stopping Serta?

Please tell me if the jaw tilt and the speech issues will be restored and what should I do to get that to a normal state? Please help. This happened 3 weeks back and since then I am not taking anything other than a multivitamin.
evaluation needed, multivitamin is okay
Detailed Answer:
Hi XXXX
Welcome to healthcare Magic!
Some persons do not tolerate these medicine so well as their peers do.
Some dizziness, drowsiness, behavioural issue, speech problems can be explained during the initial period of starting this drug particularly at that doses.
In fact this is the reason most psychiatrists and physicians start this drug as low as 12.5 mg/day and slowly build it up as required and tolerated.
Patient receives 25 mg by day 10 of treatment and 50 mg per day by 3rd week.
The symptoms apparently seem to be related to sertraline upto a week after stopping the drug but having that much symptoms even after 3 weeks of drug discontinuation are abnormal.
If the cause is the drug only you are bound to recover in due course.
if the symptoms are due to the primary disease for which the drug was started then you need to get reviewed again.
If you are aged above 40yrs then you must be evaluated by a local neurologist or a physician for any neurological disease like CVA.
In any case you should be clinically assessed by a physician of your locality and then streamline the further course of management.
I hope the advise would be informative and useful for you.
Take Care!


I dont want to take any medication. Will the side effects that I have go and will I ever feel normal again. I envy everyone happy around me. This is a bad thing but cant stop these thoughts. I feel I will never have a wife and kids as I have gone mad. I feel I will never be able to work the way I used to. I dont want to take medication doctor. Please help.
Medicines must under psychiatric care
Detailed Answer:
Hi,
Welcome back to healthcare Magic!
your thought content is certainly abnormal, the recurrence of unwanted thoughts is called obsessive compulsive disorder and another problem with you is the Generalized Anxiety disorder, where usual things are creating too much response. A merely exposure to CT scan has created a trail of thought leading to no marriage, impotence, no children or cataract!
I have seen patients having 4-5 CT scans in a months time and no one had cancer, cataract or impotence in the follow up.
It is like believing that driving a car leads to accident. How often we think of dying in a car accident while driving... Never... so Why to think of accident while in CT scan. Small risk is everywhere!
Even your food can cause food poisoning... Did anyone thought of not eating at all to be safe...No... because that is not practical.
Same is true in your case. Think of common things first, rare things happen rarely.
You need a psychiatric evaluation, Behavioral therapy and of course medication.
You neck issue and the twisted tongue may be a prolonged side effect called Extrapyramidal syndrome or dystonic posturing due to EPS.
It responds to Phenergan drastically, which you can take under supervision of a local psychiatrist.
I hope the advise would be informative and useful for you.
Take Care!


please start treatment under a psychiatrist
Detailed Answer:
Hi XXXX,
Welcome back.
The dystonia will recover fully if it is caused by Serra.
But you should not be adamant for not taking medicines.
You may recover of this on expectant treatment but the psychiatric illness is highly unlikely to do so.
Rather it may cause more troubles if not sorted out and treated as soon as possible.
At times if there is undue delay in such matters then it may be too late for a full recovery.
I hope you will take a more pragmatic approach.

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