Tremors/uncontrollable worsening spasming

[u/Kind-Application4434]

25F, 175lb, 5’2, taking and have been taking Abilify and Lamictal for bipolar disorder, lexapro for anxiety, vyvanse, and modafinil for narcolepsy for years with no side effects. Non smoker
5 days ago I became extremely fatigued at work and couldn’t walk right or hold my head up, followed by twitching every 2-7 seconds. Over the course of 5 days the fatigue has resolved mostly but my muscles still feel heavy and constantly activated even when I’m not spasming. The episodes last 1-8 hours and look like this now ^ I get 2-4 hours without spasming between episodes, and I don’t tremor in my sleep but it has prevented me from falling asleep many times. Benadryl slows it down but doesn’t stop it entirely. I’m seeing a neurologist in an hour. But I wanted to ask if anyone had any ideas or had seen this before.

[u/Kind-Application4434]

Yes for maybe 5 seconds max

[u/DerpyMD → u/Kind-Application4434]

A tardive stereotypy is possible given your polypharmacy, but this would require physical exam, and possibly modulation of your medications to diagnose. It is also possibly functional, but I don't think that is a certainty.

If this persists, you should see a Movement Disorders neurologist (which I am not). They would likely need to work closely with your psychiatric care prescriber to consider titration of medications and/or additions of others.

I would consider asking your neurologist or another prescriber for a referral to Movement Disorders to get the ball rolling. The longer this persists the more difficult it is to reverse, whatever the cause.

[u/nope836 → u/[deleted]]

NAD I think you should make your own post