After nearly two decades of suffering from daily pain from grinding and clenching my teeth, my doctor has prescribed me 2mg diazepam and 500mg naproxen to be taken before bed. However, he openly admits that he isn't an expert on TMJ so I am wondering what others have been prescribed and if this is the correct dosage. Thanks.
I also have TMJ and use two different types of mouth guards. One is for night time use and the other is for daytime use and nearly undetectable. The only time I take that one out is when I eat...
I take Ativan however, and not Valium. Valium withdrawal can be rather nasty... my ex-mother-in-law was left with permanent tremors that look a lot like Parkinson. At the age of 65... she couldn't drive any more because of it. This is something you really need to consider because ever "body" is different. But the reality of it is you may have difficulty finding a dentist who will prescribe you something stronger. The adverse side effects are just that bad when you are talking about long-term use...
I was yold to chew gum, too, to keep my mouth busy. My dentist has done a lot of work on my teeth because of all the cracks and chips from my grinding days. Those two types of mouth guards have saved my teeth. I already have $22K invested in my teeth from rooth canals, crowns and other preventative work. I cannot afford to lose that type of investment so I use those guards. They are not like the ones you can get from your pharmacy. The hard type made for nighttime use cost me $1, 200... the daytime guards I have to replace every few years or so because I still clench but my teeth are no worse for wear. That runs me about $750... I do not have dental insurance either.
Give your options some thought, okay?
I was prescribed Xanax (a medication that is similar to diazepam) for panic attacks which resulted in TMJ and I was taking 3 to 4 mgs a day, which is (compared to diazepam) quite a lot. I was taking 1mg tablets 3 to 4 times a day, which really helped. But, I'd guess that 2mgs of diazepam is about 1/2 of a Xanax, just guessing though.
You should do quite well on 2mgs. If not, ask your doc to up it to a five mg tablet, then split it in quarters and take 3/4's of the tablet. That's what I'd do if I were in your shoes.
I wish you the best and NO more clenching that jaw : )
TMJ is tricky to treat diazepam is used as a muscle relaxer aka Valium. Naproxen is used as an antiinflamatory/pain meds. I was started out a 5mg 3 times a day. I have been to a chiropractor and they help. Had to stop chewing gum and lay off chewy good for a couple of weeks. You can also check to see if arthritis has set in since it is a joint. Good luck
Diazepam produces bruxism as I found out when my wife was given it for agitation with her alz. It is listed as a side-effect. Any longer than 4 weeks on it and then you develop agitation and bruxism. She was on it for 14 months! (recommended short term 2-4 weeks). I have researched antipsychotics and benzodiazepines for 15 years (since my wife was diagnosed). She is now only on Aricept (donepezil) and vitamin E and 3 small bananas a day (to prevent strokes) she started with, after stopping 27 different meds over the years, and she is great (though she is blind from the alz -- how she was diagnosed at age 57 in 2000. Her eyes are perfect, the specialists say after each check.
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