Conversation: The conversation between human and AI assistant.
[|Human|] I am wondering what may cause a person to get figity when the sight of a pointy pencil or comb with w the point at the end makes me want bang my nose into it. Ive been to a neurologist and had many test which are alk negative. I am currently taking the generic version of paxill which was working at first to control my muscle fits, but it doesnt seem to be working anymore.
[|AI|]  Hi and thanks for the query, Paxil generally works under such circumstances. But you must careful evaluate for the appropriate dose, side effects and the duration for which the Chat Doctor.  Results might take up to weeks to be obtained. Persistence of symptoms should not therefore be equated to treatment failure. Other commonest causes of these muscle problems should be evaluated for. What I suggest is tests for particular ions in the blood (Calcium, Magnesium and Potassium). Disturbances in the concentrations of these minerals could cause serious similar muscle fits as such. Thanks and kind regards. Bain LE, MD