Brain zaps
Also called: Brain shivers · Brain shocks · Electrical shock sensations
A brief feeling like a small electric shock inside the head, often set off by moving the eyes. It is most common when stopping or lowering an antidepressant. It is unpleasant but not dangerous.
How common
Does this happen to you?
These are answers from visitors, not a study.
How it works
A zap lasts less than a second. It feels like a short electric jolt or buzz that starts in the head and sometimes runs down into the body1. Moving the eyes from side to side is a common trigger1. Some people hear a brief “whoosh” or feel a moment of dizziness with it1.
There is no formal medical name for the feeling. Doctors list it as one symptom of antidepressant discontinuation syndrome, the group of effects that can follow stopping an antidepressant2. It is most common with medicines that leave the body quickly, such as venlafaxine and paroxetine2. More than 50% of people who stop an antidepressant get some withdrawal symptoms, and brain zaps are among the most reported2. People also report them during benzodiazepine withdrawal, and during anxiety, stress, or lost sleep1.
The cause is not known. The leading idea is that a sudden change in the level of a brain chemical, most likely serotonin, makes some nerve circuits fire out of turn1. Eye movement may be a trigger because the nerves that steer the eyes run close to those circuits. No study has confirmed this1.
Is it a problem?
No. Brain zaps do not damage the brain. They are not seizures. They fade, usually within days to a few weeks, as the body adjusts2.
If you get them after changing, lowering, or missing a dose of a medicine, tell the doctor who prescribed it. Do not stop a medicine on your own. Lowering the dose slowly reduces or removes the zaps2. See a doctor if the zaps come with fainting, confusion, or jerking of the limbs.
History and culture
The name “brain zaps” was coined by patients describing the feeling to each other online, not by doctors1. The medical literature adopted it later.
Sources and further material
- Encyclopedia Brain zaps