![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by chinaboy on February 3, 2014, at 21:53:49
Is Clomipramine better than SSRI in treating OCD?
I've tried all the SSRIs for OCD, but none of them worked for me.
Now I'm on Clomipramine. Is it bad for one's heart?
Posted by jono_in_adelaide on February 4, 2014, at 4:36:06
In reply to Is Clomipramine better than SSRI in treating OCD?, posted by chinaboy on February 3, 2014, at 21:53:49
It certainly can be better than the SSRI's in OCD, because it hits more receptors
It is only "bad for the heart" in overdse, if yiu took thew whole pack at once
Dont give up on it until you have reached 150mg per day and stayed there for a good amount of time
Posted by SLS on February 4, 2014, at 5:37:06
In reply to Re: Is Clomipramine better than SSRI in treating OCD?, posted by jono_in_adelaide on February 4, 2014, at 4:36:06
> It certainly can be better than the SSRI's in OCD, because it hits more receptors
>
> It is only "bad for the heart" in overdse, if yiu took thew whole pack at once
>
> Dont give up on it until you have reached 150mg per day and stayed there for a good amount of timeYes. I agree.
It is important to note that when treating OCD, higher dosages of standard antidepressants are often needed when compared to treating depression. It also takes longer for treatment to begin working. For instance, it often takes a minimum of 60 mg/day of Prozac taken for several months to obtain meaningful results. Hopefully, clomipramine will work faster for you. This drug is probably the most potent anti-obsessional available, and not to be overlooked in cases refractory to SSRIs.
- Scott
Posted by Phillipa on February 4, 2014, at 9:18:32
In reply to Re: Is Clomipramine better than SSRI in treating OCD?, posted by SLS on February 4, 2014, at 5:37:06
Why is it that higher doses of ad's are needed for OCD? Phillipa
Posted by Christ_empowered on February 4, 2014, at 10:12:55
In reply to Re: Is Clomipramine better than SSRI in treating OCD?, posted by Phillipa on February 4, 2014, at 9:18:32
I read that high dose ADs reduce frontal lobe activity, so they use higher doses to reduce OCD-ish stuff.That's particularly true of the SRI drugs (Zoloft=Soul Off). The TCA drugs generally don't cause as much hypofrontality.
Posted by jpa on February 8, 2014, at 12:47:42
In reply to Is Clomipramine better than SSRI in treating OCD?, posted by chinaboy on February 3, 2014, at 21:53:49
Without a doubt, clomipramine is far more effective than SSRIs. SSRIs are like drinking American beer after having Canadian beer for a year - no offence to my American friends.
JPA
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.