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Neurology (Expert Forum)
Occipital Nerve Block
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Occipital Nerve Block
by Maggie 39, Apr 26, 2003 12:00AM
On Thursday I had 2 Occipital nerve block injections with 80 mg. depo-medrol. On Friday evening I was tired, listless, and my legs felt crampy. I am also on Armour 60mg, Wellbrutin 150 mg. twice daily and Vicoprophen 7.5(for chronic pain). Would these injections make you feel like this or would the combination of drugs cause this?
Doctor's Answer
by CCF-Neuro-M.D.-JT, Apr 27, 2003 12:00AM
There are a number of things that can cause these relatively nonspecific symptoms by themselves or in combination with other drugs. Theoretically, the occipital injections are local, meaning they shouldn't be affecting you systemically because it was injected directly into a trigger point in the neck, but it's a possibility that the depomedrol got into the the systemic vascular system and caused your symptoms. Steroids can certainly cause a feeling of tension, restlessness, or anxiety. I've had a number of patients tell me that they feel like climbing the walls when they're on oral or IV steroids.
Thyroid disease (you mention Armour and I'm assuming you mean armour thyroid) in itself is another possiblity as is Wellbutryn. Too much vicoprophen or an acute withdrawal can also cause these symptoms. ANd finally, your thoughts about the combination of meds are also a viable explanation. If your symptoms progress or are accompanies by change in cognition, protracted headache with nausea and vomiting or other neurological deficits, then call your doctor ASAP or go to the local ER. Otherwise, it will probably subside within the next day or two. Give your doctor a call on Monday just to let them know what you experienced. Good luck.
Thyroid disease (you mention Armour and I'm assuming you mean armour thyroid) in itself is another possiblity as is Wellbutryn. Too much vicoprophen or an acute withdrawal can also cause these symptoms. ANd finally, your thoughts about the combination of meds are also a viable explanation. If your symptoms progress or are accompanies by change in cognition, protracted headache with nausea and vomiting or other neurological deficits, then call your doctor ASAP or go to the local ER. Otherwise, it will probably subside within the next day or two. Give your doctor a call on Monday just to let them know what you experienced. Good luck.
