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What causes tooth grinding and nervousness despite taking Celexa for bipolar disorder?
human
I am bipolar, age 84,, having recurrent symptoms of teeth grinding, edginess, jittery feeling. My MD at diagnosis prescribed Celexa 40 mg AMand zolpidem 10 mg, nortriptylene 100 mg PM. I also take thyroid AM. I saw MD and he is not even interested in changing anything. Any ideas?  I think I should take another 5o Celexa PM as I seem to stay ok for about 12 hours and then I realize I've broken another bit of tooth and am nervous feeling. My son said I should tell MD of symptoms, he said I'm taking maximum allowable dose of meds and dismissed me.  I could just spit I feel so upset.
gpt
Hello thanks for asking from HCM I can understand your concern. If you have bipolar disorder then a mood stabiliser drug should be added to your prescription. Mood stabiliser drug will help to boost the action of Celexa and will make you relaxed. You are on Celexa 40 mg, Zolpidem 10 mg, Nortriptyline 100 mg and these are high doses if we consider your age. So if even on high doses your symptoms are persisting then another drug should be added in order to make the drugs work.Low dose antipsychotics like Olanzapine or Risperidone can be used. The drugs will help to reduce anxiety and will provide sustained mood stabilisation. So please take another opinion ask for reevaluation.Thanks and Take care