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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by rainee on May 15, 2003, at 9:12:25
I have obsessive thinking problems. Prozac seemed to do a better job than the 30mgs of lexapro I'm on for this . Any thoughts on the best SSRI to help with the thinking?
Thanks
Rainee
Posted by Caleb462 on May 15, 2003, at 14:18:05
In reply to SSRI AND OCD, posted by rainee on May 15, 2003, at 9:12:25
> I have obsessive thinking problems. Prozac seemed to do a better job than the 30mgs of lexapro I'm on for this . Any thoughts on the best SSRI to help with the thinking?
> Thanks
> RaineeWhy did you switch to Lexapro if Prozac was working well?
I've been on several SSRIs for OCD - and none worked very well - but I probably didn't do long enough trials. OCD takes up to 12 weeks to respond, but I usually only did 6-8 weeks on each drug (Zoloft, Paxil, Celexa). I've been on Effexor now for about 5 or 6 months, no OCD help yet. However, I've just recently raised the dose to 225 mg, and I may go to 300 mg or more in time. So we'll see. I'd say... if you don't get a response from Lexapro after a full 10-12 weeks, and your response to Prozac was not adequate after a full 10-12 weeks, then it's time to consider something other than an SSRI. Anafranil, a tricyclic, is the OCD drug of choice for many.
There's also the MAOIs Nardil and Parnate.
Plus there are many drugs you can augment an SSRI with if the response is only partial, such as Klonopin or atypical anti-psychotics.
Posted by bookgurl99 on May 15, 2003, at 23:49:39
In reply to Re: SSRI AND OCD, posted by Caleb462 on May 15, 2003, at 14:18:05
my friend takes a relatively high dose of Luvox (i think 300 mgs) for ocd, and it works well for her.
Posted by fairnymph on May 18, 2003, at 21:27:39
In reply to Re: SSRI AND OCD, posted by Caleb462 on May 15, 2003, at 14:18:05
Prozac was the best for me. I could not tolerate Zoloft (bad tremor, and it made my OCD about 10x worse! I couldn't deal with the initial effects and stopped after a month). Effexor helped some, not as much as prozac though which was AWESOME...but Effexor did not start working for me until I hit 300 mg, and I found I needed 400-450 for really noticeable improvement. OCD typically needs higher doses of antidepressants than other disorders, and my dr at the time I was on Effexor told me that my response was normal for an OCD person (i.e. my needing a high dose of Effexor).
So yeah, caleb, try upping your dose a bit more.
Rainee, I'm not totally clear about what you are wondering, but I *personally* found prozac the best.
This is the end of the thread.
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