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What Causes Tingling Sensation In The Neck Post Intake Of Fluoxetine?

Posted on Mon, 24 Oct 2016

Question: i am 36 male. and undergoin psychiatric treatment for hypocondriasis n obsessional thoughts since the last two year... my psychiratist prescribed flouxetine tablet for treatment.. now doge increased and current status is 80 mg flouxetine daily... 60 mg morn and 20 mg nyt... i got almost complete remisiion on this dose and i am verymuch satisfied wt this...

sir..., unfortunatelty, arround two weeks before i have accidently consumed fluoxetine 60 mg morn and 60 mgnyt..cz of very similier look of tht brand tablets in defferent doses.. i knw its a mistake and overdose..

aftr used three more days , i can feel a twitching or tingling sensatiin on my left cheek... then i check my tablet and noticed this overdose mistake...

then i feared it has started some movent disorder on me... i really fedup and meet my psychiratist .. then he given proponol 10mg tablet for seven dys.....
aftr tht the intensity of twiching reduced or not progressed...
but in some tym of day sply aftrn and evenin i feel same sensation... a slight sensation.. not heavy... then i am very disappointed

here i asking u that.., dear sir, is this twitching sensation on cheek is the onset of tradive dyskenisia or dystonia...
if it is.., have any treatment or cure for tht.. i am fearing it may persistant and effect badly on my handsome look till my lyf time..
. can a get a complete remission or cure from this problem... my psychiartist taken this as very simple..
and
what is the course or prognosis for this situatiin....

now i am taking flouxetine 60 mg morn and 20 mg nyt...
thanking u sir

Answered by Dr. Seikhoo Bishnoi (30 minutes later)

Brief Answer:
Tardive Dyskinesia with Fluoxetine is very rare.

Detailed Answer:
Hello thanks for asking from HCM for your health related queries

I can understand your concern and before going into details I'd like to tell you that Fluoxetine is a safe drug and since you were taking 80 mg per day already and even if by accident you took 120 mg per day for three days this could not cause any permanent serious effects.

The risk of Tardive dyskinesia with Fluoxetine is very rare so no need to worry. You were taking Fluoxetine only and if you had no pre-existing neurological condition then the risk further decreases. I haven't observed such side effect any of my patients on Fluoxetine.

With Propranolol this twitching will decrease. This can be treated easily.

The twitching responded to Propranolol and this also prove that that occurred due to over dose of Fluoxetine or due to exacerbation of anxiety. So remain relaxed this is not a permanent condition, no need to worry.

As this is not a tardive dyskinesia so this will not affect your looks. Just try to suppress the anxiety about this.

Thanks. Take care

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Seikhoo Bishnoi (22 minutes later)

thanku sir... i havent no history of any neurological disorder yet... and i havnt no side effect of this medication... sir toomuch days wll take to solve this problm... and i am fearing tht have any chance to progress this badly and have any chance to change this twitching to lips from cheeks...

your answer is very helpful.. thankuu sir

Answered by Dr. Seikhoo Bishnoi (2 minutes later)

Brief Answer:
This will not progress.

Detailed Answer:
Hello again and thanks for asking a follow up

So no need to worry. No history of neurological disorder, you are on Fluoxetine only so no history of recent neuroleptic drug use. The chances that these symptoms are due to some neurological condition are extremely rare.

Don't think about this again and again. Just try to ignore this twitching and in few days you will be alright. This will not progress because this just due to anxiety.

Thanks.

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Raju A.T