Hello, can you list your medication?
Are you aware of the movements?
Can you make the movements stop if you concentrate?
effexor XR 75mg
Combivent 14.7g 2x2
Flovent 220mcg 2x2
Nasacort HQ 1500mg
I am very aware of the movements, as well as anyone around me. If I hold a cigarette in my mouth, it bounces like crazy.
I haven't tried simply concentrating - clenching my teeth seems to help, but I still feel it
Involuntary mouth movements are called dyskinesia and are a common side effect in some drugs used for mental health issues. This problem can be long term even after the drugs have stopped. So you need to consider if you have ever been prescribed clompramine or risperidone for example.
Effexor has rarely been associated with a restlessness syndrome, but that affects the whole body rather than just the mouth.
However the provigil has been associated with unwanted movements and this is the most likely cause of your symptoms. You need to make an appointment with the doctor that prescribed this so that you can discuss the side effect and whether you need to review the medication.
Dependence is certainly a problem with Provigil and your current symptoms do suggest a withdrawal phase. I do not think that B12 will help, although an anxiolytic such as clonazepam should help you feel more relaxed.
Swelling of the ankles is possibly a separate problem and there are a few possible reasons for this symptom and a full examination from your doctor is needed, as well as some blood tests to look at kidney function.
I am already taking clonazepam which is obviously not helping the problem and also has many side effects. I am very worried about what the side effects are telling me about what this drug may be doing to me neurologically or mentally and that the withdrawal syptoms, themselves, may be creating damage. I have now taken the provigil again for 2 days, along with B12 but I still feel very sluggish, no energy, and the shocks in my head have only decreased slightly - in fact, I now feel them down into my shoulders, also.
This is a portion of an on line post about B 12 deficiency - This one is concerning halucinations, but the rest is relative ...............Provigil affects the neurotransmitters. some methylb12 sublingual might stop the hallucinations, it does under some other circumstances. A lack of methylb12 causes neurotransmitter changes that causes hallucinations. The two five star effective brands are Jarrow Formulas 5mg and 1mg and Enzymatic Therapy 1mg. Let them linger under tongue or upper lip for 45 minutes or longer for best effectiveness. No guarentees but these vitamins can't hurt and might help. They also can cure the underlying sleep disorder for which people take provigil in the first place. Sleep disorders are a b12 deficiency symptom.
My clinical references dicuss confusion, forgetfulness and poor concentration as some of the vitamin B12 deficiency symptoms but do not mention sleep disorder.
However a simple blood test can confirm if you have vitamin B12 deficiency and your family doctor can order that for you.
In the meantime, I would avoid adding new drugs to your list until they have been confirmed by your doctor as that may just confuse matters further, If you eat a healthy varied diet with meat then you are less likley to be B12 deficient.