Dr. Sadaf Mustafa
Internal Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
I would like to ask about my symptoms. It started with aweful headache for two days. The following week had pain in muscles and bones. Then that went followed by extreme anxiety attacks, burning on neck, tingling in head and face. I was in and out of hospital for three days. Started on Lexapro and Rivotril. Three weeks after having the medicines had muscle pain and twitchingsome muscle weekness. It is been five weeks now, and the anxiety is better but still have muscle twitching and some muscle discomfort.
Hello,
Welcome to icliniq.com.
I will be happy to help you out here, and I need a little more history.
1. Do you have any flu-like symptoms?
2. Any nausea, vomiting, or diarrhea?
3. Have you been taking any over-the-counter supplements?
Patient's Query
Thank you doctor,
No symptoms for flu, vomiting, diarrhea, and nausea. Yes, I was taking vitamin D, Omega-3, iron, and vitamins B supplements.
Hello,
Welcome back to icliniq.com.
My recommendation would be at least get the myosotis panel to make sure that you do not have myopathy. I would also suggest getting a thyroid panel to rule out hypothyroidism. I want you to get tested for vitamin D and B12. Please do not take B12 anymore, if your level is more than 1000 mcg/dl it can trigger panic attacks.
If you have pure anxiety, Lexapro (Escitalopram) will help at low doses however using medication like Buspirone will be the drug of choice. You may have suffered from a viral myopathy. I am not sure what was the extent of testing performed, but if your symptoms are not improving. Getting EMG (electromyography) or NCS (nerve conduction study) of muscles bothering you the most could be considered.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Internal Medicine
Related Questions
Do I need a drug other than Clonazepam to control non-stop panic attacks?
Mirap and Clonazepam prescribed for anxiety and depression, Is it fine to take?
Does Lexapro take a long time to start working?
Can ALS cause muscle twitching?
Though I am on Stalopam, I am not getting sleep. What to do?
Can vitamin deficiency cause muscle twitching?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
