Posted by OldSchool on January 25, 2002, at 11:40:54
In reply to Re: what med is best for ocd? » Tammy, posted by jimmygold70 on January 25, 2002, at 1:55:14
> The best combination for OCD is high dose SSRI (Paxil/Prozac/Celexa 80mg,Zoloft/Luvox 200mg / day) + A low dose atypical antipsychotic (Risperdal 2-4mg/day, Zyprexa 5-10mg/day)
>
> JimmyI dont agree with this. Atypical anti-psychotics are rarely needed for OCD particularly in the mediumish dosages you recommend. Atypicals decrease serotonin levels which is generally bad for OCD. I have read of atypicals being used in severe, REFRACTORY cases of OCD. But for general OCD SSRIs or Anafranil should be sufficient.
I have also read of Risperdal actually inducing OCD, due to its serotonin decreasing properties.
Also, OCD is not considered to be very responsive to ECT.
Eric
poster:OldSchool
thread:91433
URL: http://www.dr-bob.org/babble/20020124/msgs/91553.html