TMJ Relief: Some medications cause jaw clenching

I have recently become aware that some widely used pharmaceutical medications cause jaw clenching and grinding as side effects.

The best known are in a class called SSRIs, selective serotonin reuptake inhibitors, commonly prescribed for depression. I’m sure you’ve heard of Prozac (fluoxetine). Here are some other SSRIs:

  • Zoloft (sertraline)
  • Celexa (citalopram)
  • Lexapro (escitalopram)
  • Paxil and Pexeva (paroxetine and paroxetine CR)
  • Viibryd (vilazodone)
  • Luvox (fluvoxamine and fluvoxamine CR)

In addition, antipsychotics like Haldol are said to cause bruxism. Symbyax, which is Prozac plus the antipsychotic Zyprexa (fluoxetine + olanzapine), is also on the list.

In general, if you take any medications in these categories and you are clenching or grinding your teeth, talk to your doctor about alternatives: psychotropics, dopamine agonists, antihistaminergics, and psychostimulants.

Cigarette smoking, caffeine, alcohol, and recreational drugs all may increase the risk of bruxism, studies have found. 

I recently learned that there’s an alternative to pharmaceuticals for treating depression and other mental disorders. It’s called TMS (transcranial magnetic stimulation) and it works with your brain waves (rather than the chemical approach using particles).

I know one integrative MD in Austin who offers it, and your insurance may cover it for depression. To learn more, please connect with Oak Hill Wellness Center. They even offer a free TMS consultation.

It’s been approved by the FDA to treat depression and migraines, and it’s also being used to treat anxiety, OCD, PTSD, Asperger syndrome, TBI, ADHD, and more.

One more bit of info: I had a new TMJ Relief patient who was taking an SSRI for depression. I treated her and gave her the info above, but unlike others I’ve treated, she didn’t notice a difference at the end of the session.

However, she emailed me the next day to tell me that for the first time in a while, she woke up without severe jaw pain and headache.

So even if you are taking an SSRI and have jaw pain, one of my TMJ Relief sessions (or even better, the 5-sessions-in-4-weeks program) can help, and meanwhile you can be investigating alternatives.