SSRI Medications & TMJD - Priya Mistry, DDS (the TMJ doc)
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- Опубліковано 22 сер 2024
- Hello Friends!
In this video, I talk about a side effect of the commonly prescribed SSRI medications, such as Zoloft, Paxil, Celexa, Lexapro, & Prozac.
Increased clenching and/or bruxing/grinding activity is a side effect associated with these medications. This increased clenching/bruxing activity can harm the muscles and joints of the jaw leading to headaches, jaw pain, ear pain, neck pain, clicking/popping noises in the joints, and even jaw locking!
Please watch this video for more information.
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#ssri #tmjd #clenching #bruxing #tmjdisorders #clickingjaw #poppingjaw #headaches #neckpain #jawpain #earpain
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This channel is all about TMJ disorders - what they are, how they manifest, what to do about them and how they relate to other issues that may be going unnoticed in the body such as tongue tie, sleep apnea, ADHD, and more! I will also be posting about being a dentist and a working mommy to two wonderful children. Thank you and I hope you enjoy my videos!
Hi, I'm on SSRI med. Sertraline from last 2years and was recently diagnosed with bruxism and my dentist suggested me to start wearing upper and lower nightguard and my symptoms have subsided.Thanks for the video, it was really helpful😊
You're welcome! Glad it helped :)
I stopped my SSri medicine 4 years ago after causing clenching but the problem still exists until now! I’m clenching my teeth all the day I’m in severe pain now 😢
sorry to hear this!
Great. I’m on sertraline for life. Life was great for 2 years. Ten months ago everything went to shit. Nothing helps now. I’m fearing that I have to go on a benzodiazepine to get my jaw under control
Sorry to hear this!
I recently had Botox injections. That was 3 weeks ago. A little improvement. But not much. I’m praying it works. I know my jaw needs time to heal.
@@theTMJdoc please give me a suggestion that works. I am desperate. I have ear issues now too. It feels clogged on my left side. I’ve sought help for a year. I’ve had acupuncture, X-rays, sound therapy, electro therapy, Botox, and way too many other treatments. Are benzos my last option?
Awesome. Just started zoloft yesterday for my OCD, which leads to anxiety (and is super not helpful in my job). All I need in life is to clench more! Lol! Thanks for the warning, I will do my best to be aware and watch out for this potential side effect. 💙
Good luck! And remember this side effect doesn’t necessarily affect everyone so I hope you can escape it! 🤞🏼
@@theTMJdoc absolutely! Hopefully, I'll avoid it, because I have GOT TO get my OCD/Anxiety under control.
@@AlexisWallace1984 👍🏼
Oh man...back in November I started on Zoloft due to Covid and being an RN.Within 2.5 weeks of starting these meds I started bruxism, severe left sided scalp burning sensation, and neck pain. I stopped the meds in January due to the severe left sided scalp pain. Ive been having daily chronic headaches for the last 8 months. Ive been to neurologist, pain specialist, chiropractor, accupuncture with no avail. Im extremely depressed, anxious, and at times suicidal. My quality of life is forever changed and need help please. Im willing to travel. I have all the symptoms of TMD. Please help me.
I’m sorry you’re going through this. You can schedule a zoom meeting with me through my assistant Alex. You can email her at patientcare@tmjdentaldoc.com
@prima mistry, dds do you happen to know of any tmj specialist in the southern California area. Ty for your thoughts and timely response.
@@nancyguzman4685 Dr. William Hang in Agoura Hills comes recommended. I don’t know him personally or his exact methods.
Dr.Priya,
Thanks for giving us a great information on SSRI Medications & TMJD
You’re welcome!
Wow this is so interesting !! I would think these meds would help clench or grind less. Thank you for the info !!
I know! So paradoxical right?
Any meds that you know of help the pain??@@theTMJdoc
Was told I needed a $50k surgery on my jaw for tmj, got a second opinion and the doctor said to get off lexapro (which I was given for ibs) and wear a night guard. I’m going to give it 5 months and see what happens before I get surgery.
Surgery is always a last resort!
Hi Priya, my understanding is that bruxism is caused by either breathing related sleep disorders or anxiety. It seems SSRIs cause sleepiness and have been linked to respiratory depression. I wonder if this is what triggers the bruxing
activity. Also as for women having a higher incidence, I wonder if previous pregnancy / menopause etc. have a correlation as these are stressors unique to females.
Yes, less than ideal breathing and bruxing are definitely intertwined/related. As for women having a higher incidence, it's due to hormones - please watch my video "Hormones and TMJD" and lmk if you have any questions.
The jaw clenching is horrendous and very wearing. Constant gnawing and mewing and strained breathing with noises.
I only really started experiencing tmj pain again after coming off of antidepressants:(
Sorry to hear that! Often times the muscles get trapped in a dysfunctional state and it can take some work to get them out.
I developed Bruxism after coming off of antidepressants too. It’s been 9 months, nightguard has helped but I still wake up catching myself clenching down on the mouthpiece. I’m about to try magnesium oil on my jaw neck and temp muscles. And also going to try buspar
@@ryanbramucci7264 it's so strange. I'm thinking about doing botox in the future just to give my muscles a break for a few months.
What kind of medications do you prescribe if needed?
I only ever prescribe a mild muscle relaxer to treat acute pain. :)
This is why I dont want to take ssri. My doctor wants me to but im scared because i have TMD. But he doesnt offer me any things similar only oxamepam because of panic attacks. Dont know what to do. I want to stop with oxamepam but im scared for this.
Sorry to hear that!
Today I find my answers because last year I start SSRI and use 6 month and after 6 months I ween off and then my jaw pain start when I ween off SSRI but now I have so much jaw clicking popping and pain in my left side with tooth sensitive and pain and I always looking my answers but today because of you I find my answers God bless you…. Can you tell me now which doctor I see in my pain because my dentist said your teeth is fine you need to see chiropractor for jaw pain??? I really appreciate if you suggest me thanks
I would recommend a tmj dentist or tmj physical therapist. Best of luck to you! Please be sure to Subscribe!
@@theTMJdoc I will and i also follow you in Instagram God bless you
@@daneenaslam5274 thank you 🙏🏼
Thank you doctor for putting more information out there!
You're welcome! :)
What if the TMJ is caused primarily by anxiety itself? Does the benefit of treating the anxiety outweigh the pharmacologically induced bruxism risk?
It’s impossible to say. If you’re asking for yourself, though, men are at a lower risk of developing SSRI-linked bruxism but it’s still possible.
Brian, did anxiety meds take away your TMJ pain/muscle tension ?
Do these symptoms sometimes go away after your body is stabilized on these meds? I am on day 3 of low dose Lexapro and my right jaw is killing me. I have no interest in feeling like this all the time if it doesn't go away.
My understanding is that the clenching/bruxing does not go away unless you stop taking the medication but it's best if you consult with your Primary Care Physician about this :)
I’m having the same issues on day 4
I already have a history of bruxism and anxiety. Started Lexapro 3 weeks ago. Will see if it works for me.
Good luck!
Is metharbanol a good and gentle muscle relaxer. I was recently prescribed and afraid to take it.
If not what do you recommend?
I am not familiar with that medication. I’m sorry but I don’t feel comfortable giving you advice on medication to take or not take over the internet and without examining you in person.
Is there a reason why tmj increases anxiety for some people? To me, it seems like our bodies have this primal or visceral reaction to a jaw injury. It thinks you won't be able to eat, and goes into panic mode. What do you think of using benzodiazepines like clonazepam for TMJ? That's been the only thing that's worked for me. The VA would rather I take 7 other medications off label over this one, and I have to say, I don't understand why they believe this is safer or healthier. They also want me to stay on the max dose of Lexapro because "ssri meds shouldn't do that." Straight from my psyche docs mouth. Good ol VA medicine, a solid 20 years behind the rest of the medical world...
Hi Ken! It’s very cyclical. TMJ pain leads to anxiety which leads to more pain, etc..
Hi! Did anxiety meds take away your TMD? I have tried everything and nothing works. Anxiety meds might be my only option . Was your tmd caused by anxiety?
@@alisonsimon5528 it took away 80-90% of it. I use clonazepam 0.5mg at night. The half life is really long. The anti anxiety effect lasts about 8-12 hours. But, the anticonvulsant property lasts much longer. If you go this route, please, please, please be aware of the addiction profile for these medications, and have a real think about if that's the route you want to go. I felt like I didn't have any other choice because I'd gotten to the point where it was so bad, I was sitting in a dark bedroom all day, everyday, all day. Any sound hurt and gave me vertigo. Any light felt like it pierced through my eyes and into my skull. Talking more than a few words was impossible, and it legitimately ruined my life for a good year. Luckily, I have a PCP who trusts me and wrote the prescription for clonazepam.
I am kind of a strange case. No one is really sure why I developed TMD. Some doctors don't even think I have it, and is purely neurological in nature. The main symptom I have is a constant tremor in my jaw. Some doctors call it a tremor, some a spasm, and others say I have oramandibular dystonia. I saw Dr Priya here, she's amazing BTW. But, ended up with Dr Kushner in Silverdale as the VA paid for it all. But, she does offer flexible payment plans, and I'd say she probably one of the most knowledgeable people in the US on TMD.
Anyways, I have a constant tremor/dystonia in my jaw. I was/am a boxer/kickboxer with quite a few fights. Did that cause it? Don't know. It is like I'm freezing cold and my teeth are chattering away. But, I'm not cold. It doesn't stop, ever. I am guessing, but I think having that constant tremor over works all the muscles in my face, base of my skull, and head in general. This causes extreme pain. It's like flexing a muscle for weeks or months on end. I've been in the ER from the pain with a heart rate of 190+. They thought I was having a stroke. Nope. I was in that much pain. They'd IV Ativan, and I'd almost instantly feel better.
I did a lot of research on my own and saw that clonazepam and Valium are used for TMD. I'd see Dr Priya if I was you.
What are your thoughts on tricyclic antidepressants for treating TMJ tension? Do those cause clenching or grinding?
I don't recommend medication for treating TMD.
Ok, what if tmd is caused by anxiety ?
I’m not sure if the tension is caused by anxiety or if anxiety is
Caused by the tension.
If anxiety goes away, I was thinking tension might go away.
Hello mam!! My dentist told me wearing metal braces for 2 yrs is much preferred than soft splints...He told wearing soft splints has only temporary relief on TMJ...What do u recommend soft splints or metal braces?
We don’t make soft splints. We make hard splints/orthotics to treat pain and/or jaw joint noises. Orthodontia is considered phase 2 when patients are symptom-free.
So if we need to take these ssri medications and develop bad clenching and bruxism, what do we do? I am in that boat and concerned... yes I have tried all sorts of nightguards and even Botox. They all help a little but my bruxism is bad!
Have you seen a tmj dentist or tried an orthotic?
@@theTMJdoc Oh Yes. I have tried several orthotics and several TMJ doctors. It all works for a while but the clinching is so bad. I’ve determined it’s because the bruxism is so bad it’s not just from TMJ it is from the SSRI
@@aprilgross6247 any concerns about sleep apnea? Have you had a sleep study? Clenching/bruxing are often related to sleep disordered breathing.
I’m in the same boat as you . Have you tried ssris yet ? I believe my constant jaw tightness is due to anxiety
Hello. Thanks for all your information. Do you know if Gabapentin helps for TMJ?
that is more for nerve issues which can be involved with tmjd. As a dentist I can’t and don’t ever prescribe that :)
But can they also decrease preexisting teeth grinding?
What do you mean? I don’t understand your question.
I have been on Sertraline for years and suffered from bruxing during that time. Because of it I have cracked many of my teeth. I am now undergoing treatment with many extractions and fitted with partials. Now I'm afraid of breaking the partials. Are there any antidepressants other than the SSRI's?
Yes there are but many of them have the unfortunate side effect of increased clenching/bruxing activity.
You could try buspar with your sertraline
@@ryanbramucci7264 Did this work for you to stop clenching? Thanks.
I started trintellix 2-3 wks ago and went up to 10 mg a day and the last 2 days have the worst headache I've ever had in my life. I'm 46. Now I gotta get a mouth guard and take tylenol and I probably just gotta stop taking it I guess- I can't live this way
Sorry to hear this. There is a big difference between a typical mouthguard and a TMJ orthotic & understanding this difference and having the correct appliance will go a long way for pain relief. Please watch my video "Dental Nightguard vs. TMJ Orthotic" and lmk if you have any questions.
Can it affect your ears too?
Yes! Please watch this video for info on ear related symptoms:
Stuffy Ears, Vertigo, & Ear Pain Explained - Priya Mistry, DDS (the TMJ doc) #stuffyears #earpain
ua-cam.com/video/Vng3tmFJPDY/v-deo.html
@@theTMJdoc thank you so much Doctor!
I don't know why all of my other doctors like my psychiatrists and my primary said that it's not a symptom when I've been reading a lot that other patients get this
@@DivineWisdom28 this is not taught in many medical and dental schools unfortunately:/
Hi doc! How about the med buspirone? Does it make TMD worse?
I’m not sure about this specifically. You can look up its side effects and see!
What about SNRIs? Does Cymbalta cause clenching/grinding?
also how common are these side effects??
I believe that SNRI's do increase clenching/bruxing activity.
How common ?
I am told Amotriptoline or Cymbalta in low doses are prescribed for tmd/j disorders
I have not prescribed those for TMJD 😊
@@theTMJdoc what do you usually prescribe for tmd?
I heard Depakote is good for TMJ
Hi Dr Priya! Does seizures cause TMJ?
I suppose it can.