Brain issue or medicine side effect?

Hi, The pattern you describe- heaviness and quick fatigue in the right hand, intermittent cheek numbness, and a disconnected/dizzy feeling without true weakness- is less suggestive of a structural neurological disorder and more consistent with medication-related effects or anxiety-related sensory symptoms. Several points support this: A. Your strength and function are preserved, which is reassuring. B. Symptoms began soon after restarting your OCD medications and increasing Zolpidem, which can cause dizziness, muscle fatigue, sensory changes, and dissociation-like feelings, especially at higher or sustained-release doses. C. You’ve had a similar episode in the past with a normal MRI, reducing the likelihood of an acute neurological disease. D. Anxiety can produce limb heaviness, paresthesias (numbness/tingling), and altered body sensation-  especially when medications are changing. However, while this picture is reassuring, any new neurological symptom still deserves a careful review by a clinician.

1. Contact your prescribing psychiatrist to review recent medication changes- dose adjustments, timing, or switching formulations may reduce these sensations. 2. Monitor for red flag symptoms: progressive weakness, facial drooping, slurred speech, difficulty walking, or worsening numbness. If any appear, seek urgent medical attention. 3. If symptoms persist beyond a few days or worsen despite medication review, consider a neurology opinion, but repeat MRI is usually not required unless new deficits appear. 4. Maintain hydration, regular sleep, and avoid over-monitoring the sensations- anxiety feedback loops can intensify physical symptoms. 5. If anxiety is high, grounding or breathing techniques may reduce the “out-of-it” feeling.

For more queries, Reach out for an online or in-person consultation: 📞 NEURONAL FIX CLINIC, RAMPRASTHA COLONY, Ghaziabad, (near Shreshtha Vihar, Delhi)- +91- 74XX52XX97XX67XX61

You need to have another imaging done, if neurological work up is normal, consult an astute psychiatrist for recovery. Good luck