Posted by petters on February 5, 2002, at 11:17:45
In reply to Re: How do I safely augment SSRIs with anafranil? » petters, posted by Peter Jay on February 5, 2002, at 5:48:08
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> > Hi...
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> > I can only say what I have been seeing from other refractary OCD. Start with Anafranil, up to 150 mg and then add ssri. The best ssri is to combo Anafranil with is fluvoxamin. Next best is citalopram. These two have the least risk to interact with clomipramine.
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> Least risk in what sense? Can you explain this a bit more please?
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> She is reluctant to try fluvoxamine because of its reputation (shared with paroxetine) of having a more side effects than the other SSRIs.
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> Strangely, she had side-effect trouble with citalopram and this is often considered to have the least side effects of all the SSRIs.
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> Thank you for any more info.Hi...
Why are she reluctant to use fluvoxamine?
Last risk for these two ssri in combo with clomipramine is serotonin syndrom. You are right with Citalopram. It has often fewer side effect than other ssri. But everyone is different, and a few can react as she did.
Sertralin is also possible to use in these case, as an add on to clomipramine.
Best Wishes...//Petters
poster:petters
thread:92851
URL: http://www.dr-bob.org/babble/20020131/msgs/92956.html