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Antidepressants For Tmj?

I've heard that antidepressants can help with TMJ, I would say my TMJ is in remission at this point but I'd like to try this as I've had some really low points over the past couple of years and I think part of it was definitely related to TMj. I'm wondering what antidepressants people have used for TMJ, just so I have an idea going in as I don't even know if the person who would be prescribing them would have much knowledge of TMJ. Thanks
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replied September 10th, 2007
Extremely eHealthy
Hey
if you are getting them from a tmj doctor then you should be ok. however if you go to a general practitioner they more than likely wont have knowlege of tmd---my gp conviently lost the info i gave him so he woulnt have to deal with it. you dont want to be on anti depressants if you arent depressed.
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replied September 11th, 2007
Experienced User
Antidepressants?
Hi its cindy. i can tell you my experience with them. HORRIBLE, they gave me one called amitriptyline, and i had awful side effects. they made me nervous, more depressed, all kinds of eye symptoms, you name it.they prescribed it for pain. anyway , after years of staying on a low dose, i assummed that i could get off the junk. I went into severe withdrawal, and ended up SICK, and i was only on 2o mgs once a day. antidepressants have been labeled BLACK BOX. that is a warning to all doctors who prescribe them. be careful!!!!! i know that they help some people, but that is my experience. cindy
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replied September 11th, 2007
Supporter
I have been helped a lot by taking Prozac. It started out for depression but strangely and wonderfully, it made a huge difference with my TMJ. The pain was practically controlled with only minor flare-ups. Later on when my TMJ flared-up really bad because of big-time stress, it seemed to stop working but whenever I would wean off of it, the pain would be even worse. I then read that SSRI anti-depressants (Prozac is one) can cause night-time clenching. The solution was to change to a different type of anti-d or to add a small dose of Buspar to the Prozac. I opted for that and take 7.5 mg per day with the Prozac. It wasn't too long afterwards that my TMJ did settle down and has been since. I also made many other changes, but I do think this helped.

There are many different classifications of anti-depressants. Some have shown to help relieve pain, but not all. Zoloft and Prozac are both SSRIs but Zoloft did nothing for me. It can be quite difficult to find the "right" one from the "right" classification. I know I can't take Wellbutrin as it makes me irritable and hyper (not good for the jaw).

Do a lot of research before deciding on which kind(s) to try. The type that Cindy mentioned is a Tricyclic, then there are SSRIs, SNRIs, MAOIs, NDRIs, the list goes on. Here is a good website to start your research - http://www.mayoclinic.com/health/antidepre ssants/HQ01069

I will say it can be quite difficult to find the perfect anti-d. We are all so different and so alike all at the same time, but if you think they will help - try it (with lots of patience).

God bless...
Carol
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