Posted by yeltom on February 4, 2003, at 22:46:10
In reply to alternatives/augments to ssri's for OCD /anxiety, posted by babs on February 3, 2003, at 18:26:20
Babs, in regard to whether seroquel is weight-neutral, my informal research reveals that it is similar to risperdal in the short-term but better in the long term. Did you ever try to lower your dose of Risperdal? My doctor is under the impression that it can be very effective for OCD at doses as low as .5 mg. I did read, however, that weight gain on risperdal is not particularly dose-dependent, meaning that you can gain as much weight on a low dose as a high dose. That sounds strange, but maybe seroquel is more dose-dependent. By the way, when your doctor said that the next step would be low-dose seroquel, did he give you any idea about what he means by "low dose"? My doctor seems to be in the dark about what the minimal effective dose would be, and I can't find much specific information on the Web about its use for OCD. Definitely let me know when you start the seroquel and how it goes. If it doesn't work for me, I think I'll try risperdal again. I'm worried about the sexual side effects, but it seemed to work so well for you otherwise. In your case, are you sure it was the risperdal that killed your sex drive and not the celexa?
> Hi- I'm in the process of switching from risperdal to geodon to augment the 60mg of celexa I currently take. The Celexa works fine on the depression but did nothing for irritability and obsessions (very serious obsessions). Hoping the geodon will work but not having much luck so far (10 days in- feel worse, not better). I probably need to give it more time, but I want to be one step ahead of the game here. Tried neurontin- didn't work on obsessions. Risperdal worked great but gained 60 pounds. My pdoc suggested low-dose seroquel if the geodon doesn't work out. Anyone? I've also heard Anafranil (clomipramine) works great for OCD and I had a very favorable response to another TCA- imipramine. I was on it for 11 years before the obsessions drove me into a major depression. I'd love some feedback. Oh- I should add that I have ADD and the Celexa has turned it into a problem- there is evidence that SSRI's aggravate ADD and this has been the case for me so I'd be hesitant to try another SSRI (and I tried Prozac- God was I anxious on that stuff- couldn't eat a thing). Thanks.
poster:yeltom
thread:139170
URL: http://www.dr-bob.org/babble/20030204/msgs/139474.html