Posted by yxibow on January 31, 2006, at 1:25:15
In reply to med to augment luvox? any suggestions?, posted by krybrahaha78 on January 31, 2006, at 0:23:55
> i take 250 mgs luvox daily and it is just not working like it use to. I increased it to 300 but it made my ocd worse, so i went back down. It is somewhat tolerable now, but just not the same. Anyone have any ideas would i could use to augment it? Maybe small dose risperdal (.5 mgs) or lithium? Suggestions needed...
>
> would a regular M.D prescribe stuff like this or would i need a p-doc?I would always suggest a psychopharmacologist to be dealing with psychiatric medications, personally. They are well advised of P450 interactions.
Its curious you had a paradoxical reaction to Luvox, as it is a very good medication for OCD. I have taken it before up to 400mg.
You can augment it with a small dose of neuroleptic for severe OCD, I dont know from what kind you suffer, but I wouldn't start at the upper end of things... I would go more for low dose Seroquel or something. Risperdal carries more risk for TD. But that's just my personal opinion. Also very low dose Risperdal actually can increase psychosis and D2 activity from what I recall.
tidings
-- J
poster:yxibow
thread:604714
URL: http://www.dr-bob.org/babble/20060129/msgs/604732.html