ringing in ears, muscle twitiching, involuntary muscle jerking, and crackle in neck

Three months ago I was diagnosed with anxiety. During those three months I have been on three different antidepressants (Poraxetine, Zoloft, and Citalopram). Presently, I am on citalopram 10 mil. I started out on the 20 mil but my body could not take it, my anxiety increased ten fold. I was put on the 10 mil for 7 to 10 days and then tried the 20 mil. But again the anxiety increased, and I had muscle twitching and involuntary muscle jerking while seated and in bed at night. I also have this continuous ringing in my ears and my neck crackles (nerves) all the time. My back aches and my joints sometimes ache. I have been having these symptoms since I started with the poraxetine in late March. I have told the psychiatrist about these symptoms but she says it is from my anxiety. Do you think I need a neurology test.              

[NicoleWyo]

Have you ever heard of tardive dyskenisia? I read that long term use of antidepressants can cause it and sometimes it is permanent and sometimes it will go away when the meds stop. I'm obviously not a doctor, but I have experienced leg jerking right when I'm about to fall asleep. My hands also shake often, and sometimes I get twitching around my eyes. I'm not sure if that fits your history though. I have heard that ringing in your ears can be a side effect. I know you are seeing a professional but it always makes me mad when they just think everything is the anxiety. I think if it is keeping you up at night that you should get a second opinion.

[29sillygirl]

Maybe.  Or another psychiatrist.

[ILADVOCATE]

I have tardive dyskinesia but generally if a psychiatrist notes any abnormal motions they will do a movement disorders test (which they did with me and most people on medications that can potentially cause this at regular intervals to make sure). If they believe it to be temporary movement disorders those can be treated with a side effect pill. If they in anyway note signs of tardive dyskinesia (for more information google "Patient Education Tardive Dyskinesia" note as the site itself says "some of those medications may be medically necessary") they would (as they did with me and other people I know) refer the person to a neurologist who is a movement disorders specialist first but first they generally would rule out temporary movement disorders such as akathesia and dystonia (which create stiffness and motor restlessness) which are common and are easily treatable with a side effect pill. All of this information would be on the medication website itself and you could discuss that with your psychiatrist as to what is going on and how it could be treated. Anxiety disorders can contribute to physical stress as well but they should be willing to discuss this specific concern.

[lovescandy]

No it is definitively not anxiety ( i signed up literally just to tell you this) !!!! I have had a similar situation when I was on Celexa- ringing ears/ear would twitch (it occurred when I was extremely anxious- exam situations). It stopped when I stopped the medication (definitively not normal) at least from my experience