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Jaw Clenching From Escitalopram?


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I just recently started taking this med (about 5 weeks) and the last 4 or 5 days I have been jaw clenching and flexing my tongue. By the end of the day my teeth are sore and my tongue is dead tired from pushing against my lower front teeth so much. Besides the sore mouth, the drug is working well for me. It was prescribed for its anti-obsessional and anti-depressive properties.

Is this anything to worry about? I have a psychiatric visit scheduled in the next 2 weeks, should I just wait until then? I was actually feeling pretty good today so I don't really want to have to quit it. I was quite sociable ( for me anyway) and talked to 2 strangers today.

Thanks.

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When I was taking citalopram, I had horrible jaw clenching, tooth grinding and tongue chewing. I had it the whole two months I was on it (stopped due to mania). You ought to call your pdoc since it started after you were past the initial SEs period. Either he will see you sooner or at the least reassure you.

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I found Escitalopram pretty potent, Citalopram didn't do too much for me but Escitalopram gave me this skin crawly mania and my gdoc yanked me right off it.

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I've had the same side effect. I'm getting close to 2 months on it and I think it's subsided a little. I'm taking lorazepam for when it happens and I'm finding I need it less lately.

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I'd never really thought about it before, but looking back yes it does seem my nighttime teeth grinding (bruxism) coincides with the times I've been on Cipralex.

The product monograph (pdf) lists it as a less common side effect that occurred during clinical trials.

I don't think I'd stop taking it however, given ripping yourself off it can be more immediately dangerous than jaw clenching or teeth grinding. If you can hold out until your pdoc appt, give it a shot.

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What dosage you are taking? When I started Lexapro I was so nervous about the side effects I went up to my current 20 mg very very slow and the side effects subsided eventually.

I do clench my jaw at night, have TMJ, etc., but this started before I started Lexapro. When I stopped drinking coffee last year my bruxisum improved considerably. Any increase in stress or tension also adds to any nighttime clenching. My jaw is the only place on my body I can massage myself pretty well but you could try finding a massuese who speicializes in TMJ.

If you can bear the side effects and the med is working well so far, I would wait at least 3 months before deciding to quit. Lexapro was an extremely hard med for me to adjust to but it totally filled in all the corners and holes and bits of places bupropion didn't find.

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I'm really happy with the way escitolopram has worked for me thus far. Hopefully it is just a temporary problem from having just gone up to a 20mg dose. I am afraid that if I stop it now that I may miss out on a breakthrough drug for me.

Thanks to all who responded.

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  • 1 month later...

Just thought I'd post an answer to what was causing the jaw clenching. My psychiatrist lowered my Risperdal by 1mg and the problem went away. I'm not sure if it was caused by the Escitolopram and the Risperdal together, fortunately it is now gone.

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  • 1 month later...

Glad you found your answer, yeah maybe the Risperidol was agitating this rather common SE of Cipralex.

I had quite pronounced jaw clenching on it m'self, it did ease up somewhat, and thanks to experince in past years of stim abuse I seem to good with stopping myself from doing it - obviously doesn't help me while asleep.

But I do remember reading about it being a rather common SE. It was worse for me than any clenching I get with methylphenidate, because I did it in a different way.

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  • 2 years later...

I do clench my jaw at night, have TMJ, etc., but this started before I started Lexapro. When I stopped drinking coffee last year my bruxisum improved considerably. Any increase in stress or tension also adds to any nighttime clenching. My jaw is the only place on my body I can massage myself pretty well but you could try finding a massuese who speicializes in TMJ.

Two and half years later, my Lexapro jaw clenching side effect is much better. 

Unfortunately I still have TMJ, but not because of lex.

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