View Full Version : Help with a side effect - constantly rubbing the tongue on the back of the teeth


SpasticCalliope
06-28-08, 04:17 PM
I just found this forum, so hello everyone. If this has already been asked, I'm sorry. I scanned through the threads and didn't see it, so here goes.

I'm ADD (obviously - why else would I be here?) and I'm currently taking adderall. For the most part I don't mind it. I like it better than concerta, anyway. Here's the thing, though. When I'm on it (it happened on concerta too - I'm guessing that any similar drug will do this) I seem to develop a nervous habit/nervous tic/something. I constantly rub the tip of my tongue against the back of my bottom teeth. That might not sound so bad, except that I do it non-stop for hours. Even if I notice I'm doing it and stop myself I start right back up the instant I start paying attention to something else. After I do this long enough, my tongue starts to really hurt. I've even ended up with a cut that took forever to heal.

So basically I'm wandering if anyone else has experienced this kind of side effect, and if they've discovered a way to deal with it. Does gum help? I've noticed that smoking does not help. Has anyone gotten this side effect on adderall but not another medicine?

bobC
06-28-08, 09:24 PM
I talked to my doctor about a month after starting adderall and added 20mg of celexa per day. The celexa reduced my anxiety tremendously.

More recently I've been taking clonidine to furthur reduce the physical anxiety from amphetamines. Clonidine has also decreased the amount I chew on my fingernails.

BobC

centsster
06-28-08, 09:47 PM
I noticed that I was biting my lips all the time, which I wasn't sure where it came from, but the doctor said it was a side effect of adderall. It went on for a few weeks. But since I lowered my dose, it's gone.

dalek
06-30-08, 07:05 PM
I am so glad that I saw your post. I thought that I was kind of crazy because I do exactly the same thing as you. I constantly rub the tip of my tongue against the back of my lower teeth, but one tooth specifically. Constantly rubbing the back of the tooth up and down. I have done it so often that I have created cuts into the tip of the tongue and caused infections to take hold.

I was prescribed Adderall at 60 mg for approximately eight years. I think that this behavior is definitely a tic and it developed after about four to five years.

I am no longer taking Adderall (now on Provigil and starting Vyvanse) and the tic is very slowly diminishing after less than six months off Adderall. Hopefully, it will disappear someday.

The best thing about your post is now I now that I am not alone with this tic. I never brought it up with my doctor becuase I thought that he would think that I was "crazy" and/or stopping prescribing the Adderall.

I have Googled Adderall and amphetamine-related tics and never found anything relevant to my situation.

Nocturnal
07-03-08, 02:05 PM
Happens to me as well. I pick at my finger nails and any rough skin patches on my finger nails. Like you, I tell myself to stop then immediately once my mind is occupied by something else it starts up again. Very irritating. Unfortunately it hasn't really stopped over time.

ttjc
07-03-08, 10:51 PM
Do you have a chipped filling/tooth? Or perhaps a rough edge on one of your teeth?

butterflywolfe
07-04-08, 03:15 AM
It causes "Tics" or Torette like symptoms. I move my nose a lot on it and I still do it off of it just not as much so I guess once the problem is there it doesn't go away. It's on the side effects on the paper the pharmacy gives you when you fill your script.

theta
07-04-08, 03:25 AM
Could be a stimulant stereotypic motor behavior. The thread below could be the samething.

http://www.addforums.com/forums/showthread.php?t=54270

dalek
07-04-08, 08:32 AM
Do you have a chipped filling/tooth? Or perhaps a rough edge on one of your teeth?


I do have a rough edge on one of my bottom teeth. It is really bizarre because I rub the back of that tooth with the the tip of my tongue for the very fact that it is rough. I ignore the other smooth teeth.


Chewing gum does help me stop the tic temporally.

curseandablessi
07-04-08, 08:49 AM
The add meds may be making you notice it more. The dentist can file it smooth if it's minor. I have always chewed my nails, the inside of my lip, etc.

ttjc
07-04-08, 01:52 PM
I do have a rough edge on one of my bottom teeth. It is really bizarre because I rub the back of that tooth with the the tip of my tongue for the very fact that it is rough. I ignore the other smooth teeth.


Chewing gum does help me stop the tic temporally.

The reason I asked that is because before I started taking meds, I had a tooth that had a rough edge and I would constantly find the need to do exactly what you are doing. After I went to the dentist for a cleaning a couple of months ago and he filed it down, I stopped!

I'm just learning about the tics that come with the meds now. It could be just a tic.

edge of reason
07-06-08, 07:46 AM
i have noticed i do this sometimes. Shrugs. No big deal. i also catch myself chewing when im not eating anything. It isnt like it's a really noticeable movement, so i dont worry about anyone pointing it out. Compared to the possible side effects one can have, i prefer to have something as harmless as this.

Nocturnal
07-07-08, 02:40 PM
Yeah I also get random muscle tics. Like I'll twitch. Sometimes my arm will move, my chest muscle will twitch, etc. It's weird but I kind of have gotten used to it although it still annoys me at times.

Bethanne
08-25-08, 10:53 AM
OMG...this is a HUGE issue for me. I do this too and my tongue always has one or two sores on the tip because of it. It is soooo painful! I'm in constant pain and I don't know what to do.

I currently take 30mg of adderall once a day.

merlin8015
08-25-08, 03:21 PM
I'm on Focalin and I do this once and a while

karlore210
08-26-08, 12:04 AM
for me i know for a fact its adderall because all summer long i didnt do it well for some reason when im on adderall i have this strange urge to play with my bangs i dont know why but sometimes i catch myself doing it and not even realize it and if im sitting down for a long period of time and get up my arms and hands start to tingle

shortbus
08-29-08, 09:08 PM
Stimulants cause oral motions- if you've ever seen anyone on too much of any kind of stimulant they are normally clicking or grinding their teeth or some kind of mouth activity. If you are experiencing that I would suggest you lower your dose, at least sightly, and if the dose you are at is the only one that works best for you then lower it and move slowly up to the dose that works for you (going up only 5 mg a week till you reach optimum dose).
I personally am a very twitchy person (due to my ADHD) when I am NOT on meds, and I had/have a mouth twitch that often bothers anyone around me when I am not medicated (I void the air from my mouth and bite down, often biting on my cheeks and the outsides of my tongue, then I breath in air and do it again, over and over and over) and try as I might I cannot stop this action when I am not medicated- it's as natural and subconcious a my leg twitching and my fingerdrumming (and everything else I do that irritates my cubicle neighbors).
When I have my appropriate Adderall dose (I don't use XR, I metabolize it too fast and it does't work, plus there's no generic so it's more expensive) I have less if any occurrance of this activity (as well as limited to no leg shaking or fingerdrumming). SO just work with your dose till it works for you and you should be fine.

Good luck!

NowIKnowWhy!
08-30-08, 04:22 PM
Do any of you that do this worry that you might cause permanent damage to your mouth? As well as rubbing my tongue against my bottom teeth, I also find myself kind of sucking on my teeth, creating a suction pull between my tongue and the spaces between the teeth. I am anxious that I might actually be slowly pulling my teeth out. I asked my dentist and he just seemed kind of weirded out and didn't really answer my question.

I guess I am worried partly because I know that people who abuse stimulants sometimes have no teeth, and I am worried that this might be why. But maybe it's just because they have poor nutrition?

Anyone know if you can actually lose a tooth doing this?

Such a bizarre side-effect! All I want to eat on Adderall are my own teeth! :o

KatInOuterSpace
11-17-08, 01:38 AM
I do this too! I rub my tongue against my bottom teeth (I have a permanent retainer on the bottom teeth so I rub it against that). I always have sores on my tongue and inner mouth. They are very painful!!

I also pick at my fingers and toes - it's like the insides of my pointer fingers right against my fingernails and the insides of my big toes against the toenails always itch or something - it's weird. But I always have to somehow touch them or rub them.

I wish I could stop :(

searchin4answer
11-17-08, 11:47 AM
I apologize if i posted in the wrong area... This is my first time even viewing this site.

Before i start... I just want to say i am VERY sorry to have abused this drug... beyond the fact that i am very scared right now (and getting what i deserve) i know now that there are MANY of you out there who TRULY need this medication to help you live normally. I apologize for abusing your drug, i truly feel sorry for this. I am NOT a druggie, i have never even smoked anything a day in my life, i am not on prescription meds... i simply made a very VERY bad mistake and am desperately seeking help!!

Background Info: I do NOT have add or adhd, i have chronic depression and ocd, but have never been treated for them.

Yesterday... about 6:00 pm, i took two Adderall XR, the bottle is marked 15mg. I didnt feel anything, i was told i was supposed to feel "high", i felt NOTHING, so about an hour later, i took 3 more. An hour later... still nothing, four more.

Around 10:00pm last night, i began to feel very hyper. I am a VERY calm, quiet, sleepy person. This was extremely weird to me. I did not feel "high" but i felt hyper and i was talking alot and very FAST!

The hours begin to run together after that... sometime between 10-2 i got up to use the restroom and blacked out...for about four seconds, and then i was fine.

During the night, until about 9am, (im guessing) my heart started beating very rapidly, and very HARD. breathing became VERY difficult, i was really hot (and AC was on) , my thoughts were running together at a million miles a minute, everytime i get up to use restroom i experience four second blackout. My OCD was increased dramatically, i cannot focus on anything, but for some reason, i can focus intently on my rituals from OCD.


As the morning progressed, i began to feel better. Still very sick, but MUCH better. I've been up all night and all morning with anxiety. Thankfully, my heart has calmed down. Breathing is a TAD bit easier (still very hard and unnormal) , but i still feel sick to my stomach (very, VERY, very nauseous).

I have been reading overdose stories about seizures and migranes and comas and death when it finally wears off (WHENEVER THAT WILL BE!), as well as fainting and other things.

My symptoms are still very bad, but ARE getting better. I CANNOT (CANNOT) go to the doctors.

Is there ANYTHING, i can do right now? Any idea at ALL when it will wear off?? When i can FINALLY sleep? Not feel nauseous? Am i REALLY going to DIE, or was this just the worst mistake of my life, and something to NEVER, NEVER do again?

I am already EXTREMELY scared, understand the seriousness and LEARNED MY LESSON, so please dont be too harsh. I am really looking for help... We all make mistakes... Please dont be too harsh.

crashbang
11-17-08, 11:49 AM
Glad this was posted as I was getting concerned the first week and a half I started on Adderall. I already knew that I would probably have oral motions but was unprepared for how much I grinded my teeth during that first week and a half. It was a large problem and I almost stopped taking Addies. I couldn't stop grinding, during the day. Jaw was so tight, couldn't talk correctly at work. Thankfully it seemed to die down around the 2/3 week.

ikgbixcal
11-18-08, 07:32 AM
its just anxiety. try asking for klonopin. it works really well for has a half life of over 24hours

drewM65
11-18-08, 08:06 AM
Odd here since I've had ticks and twitches on again and off most my life and they went away when I stopped drinking so many caffiene laden beverages. Might seem trivial but jsut try to stop drinking coffe for ten days and you'll see the difference, you'll be miserable for those 10 then after that alls good. I'll have maybe one or two cups a day now and can feel the effect of the caffine immediately.

And as far as the compulsive mannerisims, I've had plenty over the years, differentones, I ten d to stop doing one only to replace it with wnother, but this is when I wasn't doing any meds. Seem pretty good so far with all the above except for a little added anxiety..taking 150 mg lamotrigine for mood stabilazer and 25 mg adderall. Thinking of upping my lamotrigine and see if it takes the hard edge off of the adderall. Feeling pretty good over all..slightly more focused but just started the adderal..we'll see.

agirlandherdogs
11-19-08, 09:39 PM
Yes, I do the same thing -- it seems also that I do it moreso when the meds are wearing off -- I also get dry mouth -- the best products are Biotene -- they have mouthwash, toothpaste, mouth gel and gum. The gum is sometimes behind the pharmacy counter -- not sure why. It's been a lifesaver. When I do get the sores the mouthwash helps a lot. It's actually the best tasting mouthwash I've ever tried!

richarja
12-15-09, 12:25 PM
Wow! Glad I saw this! I've been doing this for sometime now. Maybe I should talk to the doctor about my dosage....

tarasmsh
12-18-09, 12:17 AM
Thanks for posting this, it's been driving me crazy, so at least I know it's not just me. I always have to tell people I bit my tongue or something to explain why I'm wincing when I talk. . .this is seriously painful, more or less constantly . . .however, I feel like my med dosage is about right in every other respect, so I was wondering, has anyone found anything other than adjusting dosage that works at all?

river09
12-24-09, 06:19 AM
I hate that I can't stop rubbing on bottom tooth that moved a bit after I got off my retainer. I fear I may have to get braces again on the bottom just for that one tooth. it bugs me so.

jvtiger
04-20-12, 02:29 AM
I recently just started taking adderall for adult adhd and i have noticed that i do the exact same thing, and i legit thought i was crazy and i just didn't know that this was a more popular side effect of the meds. I am only on 15 mg extended release but i am also overweight, i was not a gum chewer before but now that i am on this, i go thru almost a pack of gum a day, and when i take my adderall i become a chain smoker, and i hate it. while i love the weight loss associated with me taking adderall i hate how sore my tongue is at the end of the day. what sucks is that i have to either deal with a sore tongue or not losing as much weight with out it.

psuedopam
03-14-13, 11:06 PM
I've recently been diagnosed with adult adhd and started adderall, although i've been diagnosed and currently treated for panic, anxiety,depression and bi-polar disorder... i do the same thing... i also feel like i've almost lost the feeling in the tip of my tongue... i sometimes get the occasional enlarged papillae (inflamed or enlarged taste bud).....i just try to make myself aware... and just stop myself from doing it..... just gotta break the habit i guess... or stop drinking so many beverage with caffeine!

starscream613
03-15-13, 02:46 AM
I've had a kind of nervous "tic" for a while. Nothing too serious but it definitely annoys me. I had it before I started Adderall about 2 weeks ago but the Adderall has kinda made it worse. Is the only real way to get rid of a "tic" is to stop medication use?

tambourine-man
03-15-13, 05:30 PM
This is actually an important and seldom discusses subject. I have permanent finger tics that do not go away with the removal of stimulants. They don't bother me that much but they never stop. I just pick and pick and the sides of my fingers. I've concluded that this effect is permanent.

Ivy0202
05-30-13, 07:08 PM
ADDForums delivers AGAIN! Some of these posts are close to word-for-word how I've been describing this bizarro side effect.

I'm not on Adderall, though. I just started a second attempt with Focalin XR and have been having the same problems. I initially thought that all the playing with my tongue was making it sore. I even had to take out my tongue piercing (after 12 years :( ) because it was getting irritated. I rub my tongue over my teeth so much that I wondered if I was removing the enamel.

The dry mouth varies and seems to be getting better over time. Besides the Focalin drying me out, BOTH the lithium and the Wellbutrin each cause dry mouth. It's like an unholy trinity of peripheral side effects. I drink liters of water and my pockets are full of sugar-free cough drops which have helped tremendously.

My suspicion is that the dry mouth + messing around with my tongue too much is what's causing the sore spots on my tongue. I only get them on the sides and the tip and they go away pretty quickly. My tongue feels kind of swollen but I'm not sure if that's real of just my perception.

I get more side effects when increasing the Focalin dose but if they don't get better within a week or so, it usually means it's too high.

About tics: I also have some repetitive, "flappy" hand movements that have been with me since I can remember. I spent a lot of time hiding or suppressing them as a child but am more comfortable with them now. They're precisely correlated with how happy or excited I am. None of the meds I'm currently taking seem to affect them.

Jwolf78
06-05-13, 07:56 PM
There was a period in my life from 2000 to 2001 where I was constantly clenching, gritting or running my tongue across my front teeth. I was given a 1 month sample of Zoloft and I never renewed it because it basically cured me. (This was prior to me taking any kind of ADD medication)

librariari
06-06-13, 08:49 PM
Conversely, I do this (and suck a gap in my teeth) when my meds are wearing off or when I'm unmedicated. It's one of the things my body does for stimulation, and Adderall was the only thing that fixed it.

kelchi
12-25-13, 01:02 PM
This is so frustrating, I'm glad i found this. My dose is right for me and i'm not feeling euphoric or energetic at all but functioning 'normally' for once in my life but my tongue and inner cheeks and jaw clenching is awful. I'm scared my teeth will fall out!
Anyone found relief?
Lolz @NowIKnowWhy! - haha "All I want to eat on Adderall are my own teeth!" - This just about sums me up right now!

blah_blah_blah
04-16-14, 11:18 PM
I am so glad that I saw your post. I thought that I was kind of crazy because I do exactly the same thing as you. I constantly rub the tip of my tongue against the back of my lower teeth, but one tooth specifically. Constantly rubbing the back of the tooth up and down. I have done it so often that I have created cuts into the tip of the tongue and caused infections to take hold.

I was prescribed Adderall at 60 mg for approximately eight years. I think that this behavior is definitely a tic and it developed after about four to five years.

I am no longer taking Adderall (now on Provigil and starting Vyvanse) and the tic is very slowly diminishing after less than six months off Adderall. Hopefully, it will disappear someday.

The best thing about your post is now I now that I am not alone with this tic. I never brought it up with my doctor becuase I thought that he would think that I was "crazy" and/or stopping prescribing the Adderall.

I have Googled Adderall and amphetamine-related tics and never found anything relevant to my situation.


Totally happens to me too! I actually googled my problem with the teeth rubbing of my back lower teeth with my tongue, to the point I have sores that develop on the tip of my tongue. I took Adderall for 1 mo. Now I'm on the generic brand, but I am still doing it. you are right, nothing in the side effects. So many people are talking about this phenonmnon