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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by iforgotmypassword on September 17, 2005, at 10:57:47
this was the most outwardly noticable side effect i would get... then the pacing... then the twitches... then the painless yet very agitated writhing in my bed (akathisia)... the occasional contorting of my face...
is this a sign of anything actually wrong with my brain that could use fixing and could make my life pseudo worth living again, or is it just a sign that i really need to stop exploiting depressed people.
Posted by lunesta on September 17, 2005, at 11:11:09
In reply to is shivering from SSRIs a sign of anything?, posted by iforgotmypassword on September 17, 2005, at 10:57:47
yes
1) it can be a sign of withdrawl from them
2) it can be "startup" anxiety and symptoms
3) Finally, it sounds more like serotonin syndrome if you have been on them for a bit now. Slowly tapering off or lowering dosage might be a good idea.
Posted by linkadge on September 17, 2005, at 11:26:01
In reply to Re: is shivering from SSRIs a sign of anything?, posted by lunesta on September 17, 2005, at 11:11:09
Too much activation of the 5-ht1a receptor can cause shivering and hypothermia.
Linkadge
Posted by SLS on September 17, 2005, at 15:26:25
In reply to is shivering from SSRIs a sign of anything?, posted by iforgotmypassword on September 17, 2005, at 10:57:47
> this was the most outwardly noticable side effect i would get... then the pacing... then the twitches... then the painless yet very agitated writhing in my bed (akathisia)... the occasional contorting of my face...
>
> is this a sign of anything actually wrong with my brain that could use fixing and could make my life pseudo worth living again, or is it just a sign that i really need to stop exploiting depressed people.What drugs are you taking, and at what dosages?
I would say that the shivering could be a simple side effect. However, with all of the other things you describe it is very possibly the manifestation of a toxic serotonin syndrome. It is hard to know without more information.
Have you ever been a substance abuser?
Please don't exploit me.
- Scott
Posted by Sarah T. on September 17, 2005, at 15:47:05
In reply to is shivering from SSRIs a sign of anything?, posted by iforgotmypassword on September 17, 2005, at 10:57:47
Hi. I had a terrible problem with shivering on ssri's, especially Celexa and, to some extent, Lexapro, although I didn't spend much time on Lexapro. The shivering and hypothermia were a chronic problem on Celexa. It never went away, so that even in the middle of summer, I needed several quilts in bed. It was horrible. Another poster here, "Emme," had the same problem. As others on this thread have mentioned, it could be serotonin syndrome and/or over-activation of the 5-HT1a receptors, which are involved in thermoregulation, I believe.
Posted by spriggy on September 17, 2005, at 16:02:24
In reply to Re: is shivering from SSRIs a sign of anything? » iforgotmypassword, posted by Sarah T. on September 17, 2005, at 15:47:05
I don't remember shivering but I do remember having " twitches" and a lot of "jerk" movements in my sleep while on Lexapro.
Posted by Phillipa on September 17, 2005, at 17:54:21
In reply to Re: is shivering from SSRIs a sign of anything?, posted by spriggy on September 17, 2005, at 16:02:24
I just remember lexapro making me angry and running up the street. My husband took it once and it caused inappropriate laughter. Fondly, Phillipa
Posted by UgottaHaveHOPE on September 18, 2005, at 0:02:23
In reply to Re: is shivering from SSRIs a sign of anything?, posted by Phillipa on September 17, 2005, at 17:54:21
my grandma used to say nerves can all but kill you. i know with me, when anxiety peaked, i had all these funky symptons the docs couldnt explain ... twitches, night sweats, numbness in toes, etc., etc.
Posted by iforgotmypassword on September 18, 2005, at 13:12:29
In reply to Re: is shivering from SSRIs a sign of anything?, posted by SLS on September 17, 2005, at 15:26:25
> Please don't exploit me.
yeah, that's the general sentiment people seem to pass along. apart from the obvious "grow up, get off your *ss, and get a life". i'll just never get it, i guess.
i don't know what you mean by substance abuser... when i was in my teens i abused marijuana heaily. i didn't use it as much as other people, but i was affected by it a lot more and couldn't handle it. at the same time i really had trouble living any other way. soon enough, my friends told me to get f*cking lost (as in they just avoided me), as i was too exploitative to be around. i suprise myself that i am able to move, talk, smile, laugh and eat, because when it comes to anything useful or validating i may as well be trapped in cement.
at times pot helped, at times mushrooms did... sometimes dexedrine and ritalin could... but all very unreliably. pot was the only one i abused steadily because... i guess the social component. ritalin just helped me get through work shifts. now i am just toxic sludge.
if i were to make anything of this i would gather i have no prefrontal cortex. i can't do anything beyond superficial behaviour. when i am alone, i can barely get up. and then when i am with people, i can't say anything properly, my face looks like hell, i can't co-ordinate myself properly... but i'm like that always.. its even more frustrating when i'm alone, but then completely humiliating around people. today and yesterday i've been having instances of forgeting to breathe. i'm wondering if this is accompanying the huge amounts of food i'm consuming and the weight that i'm gaining. ugh.
i am currently on selegiline 10mg, lamotrigine 100mg... ive been trying mixing it with L-phenylalanine but if it causes a difference i cant trace it properly. the most helpful thing lately has been caffeine pills. but i don't take them often.
i almost think that it is IMPOSSIBLE for me to be addicted to anything, i am so (pseudo?)anhedonic i can't really want anything other than to just collapse. i can't assume positive responses to anything because i can barely recognize such things. i can still laugh, smile, (over)eat, yell, scream, punch walls...
whatever is wrong with a lot of men when i used to live in a homeless shelter, i'm assuming is wrong with me. and it appears that its gathered to be inherent and not an illness that you can get rid off. boo hoo.
This is the end of the thread.
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