Hello doctor,I am a 42-year-old female, in good health aside from anxiety (currently taking 5 mg Citalopram). A month ago, I suddenly experienced muscle twitching all over both legs and this went on for two weeks. I took magnesium and it subsided and has not really returned except for an occasional twitch here or there. I am extremely concerned because over the course of the month, I have had three episodes where I forgot how to swallow for a second. It was scary and now I am afraid I have the onset of ALS. I do also have a long time habit of throat clearing. Although I have not experienced any muscle weakness, are those symptoms indicative of ALS?
Hi, Welcome to Chat Doctor forum. Twitching of muscles can be due to anxiety as well as Citalopram. What is important is that you mention having them before initiating Citalopram. So it is unlikely to be due to the  ChatDoctor.  If it is occasional then you should rather not bother yourself because twitching intermittently is there even in an otherwise healthy individuals. What is important is your sensation of forgetting to swallow. This is 