Headaches and Side Effects: Is Your SSRI Medication to Blame? - Neurology

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It sounds like you are experiencing some concerning symptoms after starting escitalopram, an SSRI (selective serotonin reuptake inhibitor) used to treat depression and anxiety. The symptoms you describe—headaches, neck tightness, and occasional nausea—can indeed be related to the medication, especially since you mentioned that these symptoms began after increasing your dosage.
SSRIs, including escitalopram, can have a range of side effects, particularly when you first start taking them or when you adjust the dosage. Common side effects include headaches, gastrointestinal disturbances (like nausea), and muscle tension. The tightness in your neck and the headaches could be manifestations of muscle tension, which is not uncommon in individuals experiencing anxiety or stress. Additionally, the nausea you experienced after flying could be related to motion sickness, which can be exacerbated by anxiety or stress, or it could be a side effect of the medication itself.

It's important to note that while SSRIs can be beneficial for many individuals, they can also cause side effects that may vary from person to person. In some cases, these side effects can diminish over time as your body adjusts to the medication. However, if the symptoms persist or worsen, it is crucial to consult with your prescribing physician. They can assess whether the symptoms are indeed related to the medication and determine if a dosage adjustment or a different treatment approach is necessary.

In addition to medication-related side effects, other factors could contribute to your symptoms. For instance, stress and anxiety can lead to physical symptoms such as tension headaches and nausea. If you have been under increased stress recently, this could also be a contributing factor. Furthermore, if you have a history of migraines or tension-type headaches, these could be triggered by the changes in your medication or by other stressors in your life.

Given that you have been experiencing these symptoms for a couple of weeks, it would be wise to keep a detailed record of when the symptoms occur, their intensity, and any potential triggers you notice. This information can be very helpful for your healthcare provider in determining the best course of action.

In summary, while your symptoms could be related to the escitalopram, they could also stem from other factors such as stress or anxiety. It is essential to communicate openly with your healthcare provider about your experiences, as they can help you navigate these side effects and adjust your treatment plan as needed. Remember, managing mental health often requires a comprehensive approach that includes medication, therapy, and lifestyle adjustments. Don't hesitate to reach out for support, as addressing these symptoms early can lead to better overall outcomes.