How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Phil, MD Your Own Question

Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 54157
Experience:  GP in the United States
55099014
Type Your Medical Question Here...
Dr. Phil, MD is online now

I am a lady with mild/moderate spastic diplegia, which also

Customer Question

Hi I am a lady with mild/moderate spastic diplegia, which also makes me clench my jaw at night. I also have anxiety and depression and have been prescribed 10mg of escitalopram, which I have been on for 4 weeks. However the medication is making me have lots of very vivid dreams, where it feels like I am living another life at night. This is making me exhausted during the day and suffer from severe brain fog and lack of concentration. It is also making me clench my teeth even more than usual and I have been bedridden with the severe headaches, jaw, neck, shoulder pain. The tightness in these areas also cause me to feel very nauseous and off balance. The tiredness and bruxism symptoms is severely debilitating.
Is there another drug that would help my anxiety and depression, but not affect my sleep structure so much? Due to my limited mobility I would also not want to go on a drug that caused weight gain.
I have previously tried Veneflaxine 75mg, which caused the same side effects as above and recently Moclobemide, which did nothing for my anxiety and depression symptoms. Any advice would be really helpful.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Phil, MD replied 1 year ago.
any other medical issues?
Customer: replied 1 year ago.
No other medical issues apart from the spastic diplegia cerebral palsy, which I have already mentioned.
Expert:  Dr. Phil, MD replied 1 year ago.
what other meds do you take right now if any?
Customer: replied 1 year ago.
6mg diazepam at night for 4-5 days at a time when the night time Bruxism is really bad.
Expert:  Dr. Phil, MD replied 1 year ago.
Okay. I would advise trying amitryptiline or trazodone at night.This would have a better anti bruxism effect
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 54157
Experience: GP in the United States
Dr. Phil, MD and 3 other Medical Specialists are ready to help you
Customer: replied 1 year ago.
Is it ok to take the 10mg of escitalopram as well as trazodone at night?
I couldn't tolerate amitryptiline, as it gave my very bad nightmares which involved guns and blood.
How much trazodone should I take at night?
Would there be a better antidepressant other than escitalopram, that dosen't affect my sleep structure so much?
i.e the many vivid dreams I have on this medication, leaves me exhausted during the day, with severe brain fog. Also because I am having many vivid dreams, this is then making my bruxism more intense, which leaves me with severe morning headaches, jaw, neck, shoulder pain and nausea.
Expert:  Dr. Phil, MD replied 1 year ago.
Yes, you could do low doses together. It is a potential interaction but okay if your doctor monitors itI would do 50 mg of trazodone max

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions