HappyHeartLove

Swallowing and throat problems

95 posts in this topic

Hi,

 

I've been taking Teva generic fluoxotine and for 3 months now have had problems feeling like there's a lump in my throat, inability to cry, dry mouth and neck pains. I was thinking it had more to do with a possible Epstein Barr infection - could these though be the side-effects of this drug? And if so, is there an antidote that I could use now? I'm ready to get off this drug any second if it's causing this much havoc with my glands.

 

Thanks for any insight!

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Hello, HHL.

 

Those sure are side effects of fluoxetine (Prozac). From official FDA info at http://www.drugs.com/pro/prozac-capsules.html:

 

Anaphylactoid reactions, including bronchospasm, angioedema, laryngospasm, and urticaria alone and in combination, have been reported....Upon the appearance of rash or of other possibly allergic phenomena for which an alternative etiology cannot be identified, PROZAC should be discontinued.

Table 3: Most Common Treatment-Emergent Adverse Reactions: Incidence in Major Depressive Disorder, OCD, Bulimia, and Panic Disorder Placebo-Controlled Clinical Trials1,2

Dry mouth

I'm not a doctor, but it sounds to me like you're having an allergic reaction. If I were you, I'd immediately do a fast taper off Prozac. How much are you taking?

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To be quite honest, 20mgs every other day or even less frequently ever since I started feeling poorly. Any ideas how to antidote this?

 

 

 

 

Hello, HHL.

 

Those sure are side effects of fluoxetine (Prozac). From official FDA info at http://www.drugs.com/pro/prozac-capsules.html:

 

Anaphylactoid reactions, including bronchospasm, angioedema, laryngospasm, and urticaria alone and in combination, have been reported....Upon the appearance of rash or of other possibly allergic phenomena for which an alternative etiology cannot be identified, PROZAC should be discontinued.

Table 3: Most Common Treatment-Emergent Adverse Reactions: Incidence in Major Depressive Disorder, OCD, Bulimia, and Panic Disorder Placebo-Controlled Clinical Trials1,2

Dry mouth

I'm not a doctor, but it sounds to me like you're having an allergic reaction. If I were you, I'd immediately do a fast taper off Prozac. How much are you taking?

 

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An adverse reaction justifies a fast taper:

 

Then next time you're due to take a dose, take 10mg per day for a week, then 5mg a day for a week, then zero.

 

You can open the capsule or use a liquid, see Tips for tapering off Prozac (fluoxetine)

 

If you told your doctor you are having this reaction and he or she did nothing, you have the basis for a complaint to your state medical board. Do not take this person's advice about psychiatric drugs ever again.

 

If I were you, I'd stay far away from antidepressants in the future.

Edited by Altostrata
clarification

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Hi Happy...

 

EBV is what led me to take A/D'S. EBV generally starts out with a sore throat (difficulty swallowing) and then the real fun begins. Severe anxiety, depression with tons of crying.

Migratory aches/pains. Extreme fatigue and a feeling/urgency to lay down. As tired as we may feel, there really isn't a good night's sleep. Complete loss of appetite. The aches/pains can be very severe.

 

There are more symptoms. The EBV lives in the B Cells from our heads down to out toes and it can be reactivated by stress, illness and withdrawal. It is debilitating.

 

Like Alto said,from what you described, sounds like an allergic reaction.

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Hi Nikki,

 

Could be an allergic reaction but did do an ultrasound last week and they found a lump in my lymph gland so I don't know now what's what. The EBV definitely sucks big time, can't remember when I last felt like myself. I think the worst part of this whole saga is wanting to cry and not being able to do that. Going to get everything checked out and finally understand what's going on. In the meantime, did stop the Prozac.

 

Happy

 

 

 

Hi Happy...

 

EBV is what led me to take A/D'S. EBV generally starts out with a sore throat (difficulty swallowing) and then the real fun begins. Severe anxiety, depression with tons of crying.

Migratory aches/pains. Extreme fatigue and a feeling/urgency to lay down. As tired as we may feel, there really isn't a good night's sleep. Complete loss of appetite. The aches/pains can be very severe.

 

There are more symptoms. The EBV lives in the B Cells from our heads down to out toes and it can be reactivated by stress, illness and withdrawal. It is debilitating.

 

Like Alto said,from what you described, sounds like an allergic reaction.

 

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Did you ever have mononucleosis? This is caused by EBV and diagnosed by a blood test.

 

If your symptoms arose shortly after you started taking fluoxetine, that suggests it was the fluoxetine. Now that you've stopped, have the symptoms decreased at all?

 

It is possible you had both an adverse reaction to fluoxetine and EBV or some other kind of infection.

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Hi,

 

I think I just got through a bout of mono. Just had blood work done and it's all very confusing with still no clear-cut answers forthcoming from doctors. I hope this week I'll be clearer on what's going on. It all seems to be in the neck area - and the blocked emotions. I don't see that the symptoms from Prozac abated. Hoping for some good news - or at least to be in the know about what's going on. Will update.

 

Happy

 

 

 

Did you ever have mononucleosis? This is caused by EBV and diagnosed by a blood test.

 

If your symptoms arose shortly after you started taking fluoxetine, that suggests it was the fluoxetine. Now that you've stopped, have the symptoms decreased at all?

 

It is possible you had both an adverse reaction to fluoxetine and EBV or some other kind of infection.

 

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Is it the fluoxetine i taking that chausing it?

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Do you have a sore throat or a rash in your mouth? Do you have a rash anywhere on your body?

 

Do you have trouble swallowing because of a lack of appetite?

 

Trouble swallowing -- dysphagia -- is listed as an infrequent adverse effect of fluoxetine. It's possible this is affecting you.

 

http://www.drugs.com/pro/fluoxetine.html

Altered Appetite and Weight

 

Significant weight loss, especially in underweight depressed or bulimic patients, may be an undesirable result of treatment with Fluoxetine.

 

In U.S. placebo-controlled clinical trials for MDD, 11% of patients treated with Fluoxetine and 2% of patients treated with placebo reported anorexia (decreased appetite). Weight loss was reported in 1.4% of patients treated with Fluoxetine and in 0.5% of patients treated with placebo. However, only rarely have patients discontinued treatment with Fluoxetine because of anorexia or weight loss [see Use in Specific Populations (8.4)].

 

In U.S. placebo-controlled clinical trials for OCD, 17% of patients treated with Fluoxetine and 10% of patients treated with placebo reported anorexia (decreased appetite). One patient discontinued treatment with Fluoxetine because of anorexia [see Use in Specific Populations (8.4)].

 

In U.S. placebo-controlled clinical trials for Bulimia Nervosa, 8% of patients treated with Fluoxetine 60 mg and 4% of patients treated with placebo reported anorexia (decreased appetite). Patients treated with Fluoxetine 60 mg on average lost 0.45 kg compared with a gain of 0.16 kg by patients treated with placebo in the 16 week double-blind trial. Weight change should be monitored during therapy.

 

....

Adverse Reactions

Digestive System — Infrequent: dysphagia, gastritis, gastroenteritis, melena, stomach ulcer; Rare: bloody diarrhea, duodenal ulcer, esophageal ulcer, gastrointestinal hemorrhage, hematemesis, hepatitis, peptic ulcer, stomach ulcer hemorrhage.

 

monjanse -- Are you taking fluoxetine now? Please let us know how you are doing in your Intro topic http://survivingantidepressants.org/index.php?/topic/3350-monjanse-stopping-take-cipralex/

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I dont have a sore throat or mouth. I not have rash.

 

I have a good appetite, its a feeling of the swollowing reflex failure.

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It sounds like the adverse effect of fluoxetine called dysphagia.

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Sorry to create another subject. Does anybody have problems with swallowing? I read that this is esctalopram's side effect? It has started when I started taking it...

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Hi ikam,

 

Do you mean trouble swallowing?  I had a bizarre issue where sometimes I would swallow without even willing it to happen, it would happen on its own.  This was in severe withdrawal while tapering another drug.  It hasn't happened in years.

 

If you mean difficulty swallowing though, WiggleIt is having a big issue with that. 

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Hi Ikam,

 

I'm very sorry this is happening to you. Sky is right. I'm in the same boat.

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It is such a strange sensation, as if something was there, I have to clear up my throat regularly, when I take some pill, I feel as if it got stuck there...

I keep worrying that I may have a cancer...

I will have gastro appointment in june, and then endoscopy...

Don't know how to deal with this...

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I've never had problems swallowing, but several years ago I started getting the sensation that there was something stuck in my throat, I was still on escitalopram (lexapro) at the time.  I went to my doctor and had an x-ray to see if there was anything there, but it was fine.  It was more annoying than anything and would get worse in certain situations like when I ate some foods or drove in the car or was around chemicals.  It was a feeling like I always needed to be clearing my throat, but it didn't work.  My doctor told me it was acid reflux and put me on a PPI, which didn't help, but I took it for a while anyway.

 

It got much worse when I came off lexapro, but as I'm recovering from withdrawal, its getting better and I hardly even notice it now.

 

You could go and get it checked to put your mind at rest, but it could be a drug side effect, in my case I think it was.

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Hi ikam. I also had wierd pain swallowing, throat burning and throat spasms. Its a very troubling symptoms. Im happy to tell u though that it has gone away and not come back some time around the year mark. In fact i had really bad muscle aches and sensations all over that have gone away. I was sure it was a goiter or thyroid cancer but luckily I was wrong. Peace love and healing

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just a precaution: none of this is professional medical advice, just my personal readings and experiences as a layperson:

 

feeling like things wont 'go down', being stuck in the back of the throat or itching/scratching burning usually, in my experience, indicate either neurological dysfunction (from withdrawal/dosing) that makes the esophagus unable to fluidly flex and relax to bring food and items down into your stomach---a surprisingly complex process requiring a lot of timed muscle cooperation, OR (and its basically an "and/or") gastritis/inflammation, spasm, reflux, or whatever else you want to call it---your esophagus is not closing properly at the bottom and acid is able to creep upwards, which often produces one or more symptoms like a tickle, burn, bad taste, cough, sore throat, lost voice, or feeling of being unable to get things down from swallowing, which is referred to, in part, as 'reflux' (at least, over here in the US).  acid overproduction, mucus underproduction (or abnormal thinning of the stomach or esophageal lining), and muscular dysfunction are all neurologically based processes that can be impacted by taking or withdrawing from psychotropic medications.  further, sometimes undersalivation can be a side effect of medications and create a new difficulty in swallowing or getting your esophagus to 'catch' and carry things down into your stomach.

 

alternatively, having involuntary swallowing, gagging, biting, etc is more of a tardive dyskinesia, from the 'extrapyramidal symptoms/side effects' branch of psychotropic issues.  (scratch the 'tardive' if its concurrent with taking the drug---it just means 'delayed onset'.)  this is much more specifically and commonly attributable to psychotropic usage, barring the presence of other adverse conditions.

 

i have had GERD (gastroesphageal reflux disorder) for like 15 years, and withdrawing from psychotropics has caused far worse dyskinesia than i ever experienced on them---many bouts, for years, of involuntary salivation, swallowing, vocalizations, mouth and tongue movements, etc.  definitely not fun, and one of the scarier side effects, overall, because its so obvious, difficult to explain to yourself without reassurance, and can make being around other people even more frightening or complicated than it may already have been.

 

 

since PPI (proton-pump inhibitors) and endoscopies were mentioned, i feel i should further clarify: the neurological effects on muscles of antidepressants (and other psychotropics) CANNOT be fixed through heartburn/reflux medicating.  PPI drugs seek to lesson the amount of acid you produce, which can cut down on inflammation and soreness, but do not, to my knowledge, help your esophagus function with normal and coherent rhythm.  only getting used to your psych med (which may or may not happen), changing to one that has different side effects for you, or removing the influence of the medication in question will help with that, i would figure.

 

fears about cancer are one of the primary complaints of many people who are subsequently diagnosed with GERD or situational gastritis (and no trouble with cancer).  not knowing just whats going on can be truly harrowing, but there are some symptoms that are much more liable to produce worry from a doctor in these situations (like the presence of blood in your excretions---stomach acid or digested matter, which can indicate ulcerations in your digestive tract or tumor trouble, among other things, or, even more importantly, a significant change in your mental status or weight in addition to the swallowing problems).

 

ive tried about 10 different PPIs and GERD medications, and have had two endoscopies (and a barium swallow/x-ray video session) in the past decade, and this, like the psych situation, is another place where doctors have no curative measures, or even any diagnostic success with me...they just throw meds at it and monitor for heartburn-induced cancer.

 

i hope the doctors can help you with decisiveness and expedience, its rough having those kinds of fears and struggles.  (also to note, though---if they thought there were obvious warning signs of cancer, i dont think theyd make you wait so long for those tests, unless the healthcare system is so backed up or poorly funded that they just leave people out in the cold---not a notion i can discount, in my own experiences here.  esophageal and stomach cancers are relatively quick to produce a grim diagnosis and do not end well for most people if they are not caught pretty early, which is not always a common thing since being symptomatic is often meaning you are past the beginning.  BUT, these thoughts are not to scare you, but rather encourage you that competent doctors would not put off these exams/procedures unless they thought youd be ok in the meanwhile.)

 

sorry if this is an information overload---things that make me wonder if im dying is a forte of mine, with respect to my medical experiences.

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Petunia and strongereachday...

It means a lot that you guys posted here, because I am 4.5 months after leaving tricyclic and I still have to purée and blend 95% of my foods. It's terrifying and I'm hungry all the time.

 

You guys promise it gets better?

 

Invisible... The info was great. Thank you.

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Petunia and strongereachday...

It means a lot that you guys posted here, because I am 4.5 months after leaving tricyclic and I still have to purée and blend 95% of my foods. It's terrifying and I'm hungry all the time.

You guys promise it gets better?

Invisible... The info was great. Thank you.

((((you))))

you will be able to eat normally at some point...

 

There is a good web-page on blended food, maybe it would be helpful for you?https://www.facebook.com/thenutribullet?fref=nf

 

I cannot eat most of veg and fruit, so I cannot make most of their receipes, but some of them just look yummy, and some are very helthy...

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After stopping citalopram i have trouble swalloing , it come and goes. Sometimes it feels like i have to try really hard to swallow, like the reflex is messed up or something and sometimes it feels like it gets stucked in my throat

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I have been a bit better with this after antibiotics.

I have also started using Permavite and probiotic VSL#3. Also slippery elm...

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Thank you all. I will look at these resources.

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For the past month, I have had the sensation that I have to swallow twice (as in, two "gulp" actions) in order to swallow anything, like it would get stuck in my throat if I didn't do the second swallowing action.

 

My swallowing muscles (the front of my neck) are also sore a lot.

 

It's a sensation that I vaguely remember having over the years, with regards anxiety and Lexapro. 

 

@WiggleIt, wow it sounds like you are having a terrible time with this symptom. I wish you all the best!

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About three months after I took my last Lexapro (after a year of tapering off 10mg) my throat area (behind my adams apple) lost sensation. So it's been like this for a month now. It feels like my tongue all the way down to my adams apple has lost sensation. I have to put effort in to swallowing, and when I have to cough something up, I have to try extra hard. And it feels like my yawning muscles have lost sensation. As this is my windpipe area, it's scaring me. Has anyone else experienced this? It's starting to concern me.

 

(I don't know if it's relevant but I recently had a brain MRI and a C-spine (neck) MRI and they both came back clear.)

 

Anyway it's quite alarming to be honest. Had anyone experienced anything similar?

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I have swallowing difficulty. It feels like my tongue just slumps to the back of my throat and obstructs my airway. It's also made swallowing a bit hard. Feels like I've always got something stuck at the back of my throat. The right side of my throat feels numb and paralyzed at times and sometimes my right cheek feels a little numb too. Do you still have difficulty swallowing?

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Sorry to hear about your symptoms, jac. I hope they improve for you soon.

 

Regarding swallowing, for me, when I swallow it feels like I have to manually swallow twice to get whatever I'm trying to swallow to go down. 

 

Besides that, it feels like the whole area behind my Adam's apple is numb, all the way up to my tongue, which also feels numb sometimes, and into my nose and sinuses. It feels like I've lost sensation in my swallowing muscles. It's alarming me.

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Yes this whole swallowing problem is alarming for me also. I also notice i have difficulty breathing at night when I'm trying to go to bed because my tongue just slumps to the back of my throat. It's like ive got sleep apnea. I've even woken up a few times gaping for air.don't know if you have the same issue but it's scary!

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Hello dears,

 

I do not have the numbness, but I have the trouble swallowing and the tongue slumping AND the nighttime breathing troubles.  While none of it has recovered completely, there has been improvement.  I hope for more improvement, of course, but just wanted to let you know I have seen some improvement, so you do not stay so scared. ((( ))) 

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WiggleIt, I'm so glad to hear that you see improvement. It's really hard to get a full nights sleep when you're gasping for air every night. Hopefully we'll all recover from this problem soon. .

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Ive been dealing with this symptom for 2 weeks and its driving me insane. My throat muscles feel all tensed up, not like a lump in the throat, its a strange feeling i cant describe well.

 

Im thinking its anxiety relaxed, but now im scared its here to stay. Its extremely uncomfortable and my throat muscles are feeling very fatigued almost from the tension.

 

Anyone know how to fix this and if it will go away?

 

I also have mucous in my throat which gets worse when i eat. I have to swollow like a billion times a minute and my throat feels exhausted. I eventually feel to tired to swallow

 

Whats wrong with me

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Maybe Acid reflux? I know when my TMJ acts up, my symptoms mimic acid reflux and sinus issues.

 

I get mucus in my throat and its hard to swallow. My lymph nodes get swollen but it's my TMJ.

 

Just a guess and sorry you are suffering.

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Try getting your dentist to fit you with a mouthguard to relieve the tension in your neck muscles . Will also ease TMJ scalp and shoulder tension

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Hey,

 

I can relate to this one. I took Lexapro 10mg and when I came off it (too quickly) one of the first symptoms I had was that the muscles under my chin & near my throat kind of tangled and wouldn't work properly. I found swallowing difficult. It is very hard to describe and very unpleasant...and scary.

 

I also got bruxism and jaw stiffness and a lack of saliva at times.  I got the symptoms intermittently and they didn't last that long but I remember it well because it was so strange and I couldn't work out what was happening like you..

 

Please report it on the www.rxisk.org website as a symptom of escitalopram withdrawal.  It will help other sufferers to recognise this bizarre symptom.

 

If you look up jaw dyskinesia you might find a description that helps you a bit.

Hang in there...it does go away. I used to have to just relax and try not to tense and then it would ease.

 

 You can get something from the dentist to help with a lack of saliva if you get that symptom.

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