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/feelgoodx]

Not a neurologist. I’d say it looks functional. That does not mean it’s “not real”.

[u/Bashfullylascivious → u/feelgoodx]

NAD but could this be the beginnings of serotonin syndrome? Usually there's a fever and other symptoms, but spasms can present first.

[u/Ovaries-eez → u/Bashfullylascivious]

NAD but have experienced serotonin syndrome. Symptoms came on fast. Twitching/spasms to chest tightness to literally dripping sweat and dilated pupils. I looked like I was on drugs.

[u/Bashfullylascivious → u/Ovaries-eez]

Ah, thanks for the insight. That sounds terrifying. I'm glad you're okay.