Wellbutrin and jaw clenching
Certain medications and drugs act wellbutrin and jaw clenching the brain by stimulating it. The results suggest brain stimulation is believed to contribute to grinding. Scientific data shows several neurotransmitters are involved in the effect of various drugs on bruxism. The dopaminergic systems in the striated body and the frontal lobe of the brain are of special importance, since hyperactivity generates bruxism, particularly the mandibular movement with tooth grinding.
Why do SSRIs cause jaw clenching? While the exact mechanism is unknown, it appears that SSRIs trigger jaw clenching because of their effect on the level of neurotransmitters like serotonin in the brain. These neurotransmitters control mood, but they also contribute to movement regulation. Recent clinical evidence points to a significant association between selective serotonin reuptake inhibitor SSRI antidepressant drugs and jaw clenching. The effect is not permanent, as SSRI jaw clenching starts around 3 weeks after starting the medication and resolves 3 weeks after stopping. In a article in the journal BMC Psychiatry, researchers found that compared to all other medications, your chances of reporting bruxism when taking antidepressants are 10 times higher than they are with any other type of medication.
Wellbutrin and jaw clenching
We are incredibly fortunate to live in a time when some of our most painful and debilitating medical conditions can be well-controlled with prescription medications, allowing us to enjoy a more pleasurable quality of life. Jaw pain is a common complication that many people experience as the result of taking certain prescription medications for the treatment of other health conditions. Technically known as TMJ disorder, clenching and gritting the teeth can sometimes be triggered by the medications that are used to treat:. A number of medications that are used to treat these conditions can also trigger jaw problems, including:. These medications have been shown to lead to the unconscious habit of clenching or grinding the teeth, especially at night. Unfortunately, this destructive behavior causes headaches, tooth sensitivity , broken enamel, damaged dental work, earaches, and tongue-biting. You need your medication but you also need your teeth, and there is a way to protect your health and your smile at the same time. First, speak to your physician about the side-effects that you are experiencing and ask if there are any treatment alternatives. Next, talk to the dentist to find out if a night guard or occlusal guard can provide the necessary protection as long as you are taking the medication. A professionally-fitted bite appliance can provide significant relief from most TMJ pain. To find out more about the effect of your prescription medications on your jaw joint, contact a Southern Pines dentist for a consultation today. Online Bill Pay. Our Blog. Technically known as TMJ disorder, clenching and gritting the teeth can sometimes be triggered by the medications that are used to treat: Anxiety Depression Psychosis A number of medications that are used to treat these conditions can also trigger jaw problems, including: Prozac fluoxetine , Zoloft sertraline Wellbutrin Bupropion , Paxil paroxetine These medications have been shown to lead to the unconscious habit of clenching or grinding the teeth, especially at night.
National Institutes of Mental Health ; Ther Adv Psychopharmacol ; 6 —
Federal government websites often end in. The site is secure. Antidepressant-associated movement disorders are a well-described phenomenon. However, antidepressant-associated bruxism, jaw pain, or jaw spasm, while reported in dental literature, is less commonly recognized among neurologists. We summarize the clinical features and treatment of antidepressant-associated bruxism and associated jaw pain through a systematic review of case reports. Antidepressant-associated bruxism may occur in pediatric and adult patients, most commonly among female patients.
Objective: To report a case of acute dystonia consisting of neck stiffness, trismus, and unilateral temporomandibular joint TMJ pain and subluxation secondary to an increase in sustained-release SR bupropion. Case summary: A year-old white man with a history of chronic low-back pain and tension headaches, taking no other medications, was started on bupropion SR mg once a day for depression. The dosage was increased to mg SR twice a day and eventually augmented with buspirone 15 mg 3 times a day. He developed bilateral trismus, inability to rotate his head laterally, and spontaneous left TMJ subluxation. Symptoms recessed with discontinuation of both medications and failed to reappear with a trial of buspirone 15 mg 3 times a day alone. A retrial of bupropion alone evidenced no adverse effects at a dosage of mg SR once a day. However, when the dosage was increased to mg SR twice a day, the patient reexperienced initial signs of neck stiffness, jaw muscle tightness, and left TMJ subluxation within hours. Discussion: Medication-induced focal dystonias usually present with dramatic head most frequently oral-buccal and neck muscle spasm with occasional jaw clenching, bruxism, and TMJ syndrome. In this case, the rapid onset of neck and jaw symptoms within hours of an increase of bupropion SR from mg once a day to mg twice a day suggest that the patient may have been sensitized by an initial trial of bupropion and buspirone, or by the increased dose of bupropion alone. Both agents are reported to interact with both the dopaminergic and serotonergic systems.
Wellbutrin and jaw clenching
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine.
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All rights reserved. Again, any medication changes, including stopping a medication, is a decision that should be guided by a healthcare professional. Fluoxetine-induced sleep bruxism in an adolescent treated with buspirone: a case report. Consumer Dental Medical. Consequently, she had only been eating soft foods and chewing food on the left side of her mouth. Neurol Clin Pract. The effect is not permanent, as SSRI jaw clenching starts around 3 weeks after starting the medication and resolves 3 weeks after stopping. These include jaw rest, gentle physical therapy exercises for the jaw, hot and cold packs, and an anterior bite guard to prevent further jaw clenching. As a result, she decided to discontinue her antidepressant. The Naranjo probability scale indicated that this untoward reaction was probable. Summary Bruxism associated with antidepressant use is an underrecognized phenomenon among neurologists, and may be treated with the addition of buspirone, dose modification, or medication discontinuation. Buspirone to improve compliance in venlafaxine-induced movement disorder. We summarize the clinical features and treatment of antidepressant-associated bruxism and associated jaw pain through a systematic review of case reports. Open in a separate window. While much depends on the type of injury or temporomandibular joint TMJ condition you have, using both is often optimal.
Our pharmacist answers the latest question regarding what to do if your SSRI causes jaw clenching. I'm on citalopram 40mgs daily, bupropion sr mgs daily, hydroxyzine 25mgs 3x daily, trazodone mgs nightly. Can any of one of these medications be a side affect causing my jaw to lock up.
Along with several case reports, one cross-sectional study assessed rates of sleep bruxism among patients taking serotonergic antidepressants compared to controls. Medical Downloads Protocols Videos. Our Blog. One case reported bruxism of many years that was attributed to antidepressant use only after discontinuation of the medication resulted in rapid cessation of symptoms. She described her symptoms as an achy, persistent right-sided pain, worse in the morning. However, she was concerned that her jaw pain may have been related to her SSRI, revealing that her symptoms started soon after she began this medicine 2 years prior. A total of 46 patients were included in this analysis. Twitter Facebook-f Youtube Vimeo-v. Bruxism may develop as an adverse reaction to antidepressant therapy, and is most likely to develop within 2—3 weeks of medication introduction or dose titration. Recent clinical evidence points to a significant association between selective serotonin reuptake inhibitor SSRI antidepressant drugs and jaw clenching.
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