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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by Sheilac on October 2, 2007, at 13:29:25
I told my doctor I stopped the Lamictal because it made me depressed and I am using Klonopin or Xanax as needed.
But, a big problem I have been having is severe muscle rigidity in my neck, shoulders and left arm. She said it is probably an NMS reaction. She said now that I am stable, I should reduce the dose. She didn't say anything else about it.
I've been going crazy with this muscle stiffness which has been causing a lot of pain.
Could the Xanax or Klonpin add to the possibility of getting NMS with Emsam - or is it just from the Emsam?
Will cutting my patch in half get rid of these awful symptoms or do I have to stop the patch?
I haven't had any other problems with Emsam - but I am worried and in pain!
Posted by Phillipa on October 2, 2007, at 13:33:02
In reply to NMS with Emsam?, posted by Sheilac on October 2, 2007, at 13:29:25
Are you saying neuro malignant syndrome? Phillipa
Posted by Sheilac on October 2, 2007, at 14:05:22
In reply to Re: NMS with Emsam? » Sheilac, posted by Phillipa on October 2, 2007, at 13:33:02
> Are you saying neuro malignant syndrome? Phillipa
Yes sorry about that. I am now wondering if it could be a reaction with some of the supplements I take such as Fish Oil and Emsam?
Posted by cumulative on October 2, 2007, at 15:41:04
In reply to NMS with Emsam?, posted by Sheilac on October 2, 2007, at 13:29:25
"Probably" neuromalignant syndrome? That's incredibly rare, and you get it from antipsychotics. Were you taking an antipsychotic? Your pdoc sounds kind of nutty.
NMS Signs and symptoms
• Muscle rigidity, increased salivation, dyskinesia (difficulty in performing vol. movements), orbiculogyric crisis (uncontrollable upward movement of eyes) and dysphagia.
• Hyperthermia (can be as high as 108 degree F but rarely goes this high), fluctuating blood pressure, increased heart rate, rapid breathing and confusion.EMSAM can cause neck and shoulder tension on its own. Possibly this is related to the peripherally acting amphetamine metabolites. In my experience this problem faded in a few weeks. Sleeping on my side and fixing my posture at the computer seat helped a great deal.
Posted by medweirdo on October 2, 2007, at 15:54:38
In reply to NMS with Emsam?, posted by Sheilac on October 2, 2007, at 13:29:25
It's surely from the EMSAM the stiffness is caused by reduction in Dopamine levels very fast.
maybe you just tapered it off very quickly.
If you want to relieve it just take benzo as needed.
The stiffness will go away by itself...By the way I have the same problem whenever i take SSRI's and it freaks me out. the first time I took it I thought "it must be relieved in the end" and I have cuntinued taking it and it almost killed me(felt it in the whole body and couldn't breath).
so just take benzo and after few days it'll back to normal. in very severe cases people take anti-parkinsonian drugs but you far from this case ...
Posted by Phillipa on October 2, 2007, at 21:32:52
In reply to NMS with Emsam?, posted by Sheilac on October 2, 2007, at 13:29:25
Shelac what a relief for you. One mg of klonopin seems to work well with EMSAM don't know why but it does. Phillipa
This is the end of the thread.
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