Posted by psychobot5000 on February 11, 2009, at 16:18:22
In reply to Re: Muscarinic antagonists for OCD?, posted by SLS on February 11, 2009, at 7:22:58
Clomipramine--good thought--awfully messy drug, though--so many S/E from all the other targets it hits... If we are going this direction, I suppose we might add in amitriptyline as well--allegedly more anticholinergic than atropine...
It's too bad anticholinergics always seem to hit other targets...
> If you are looking for a muscarinic antagonist, you might not have to look any further than clomipramine (Anafranil). It is pretty potent in this regard, plus, well, might be the best OCD medication out there. Perhaps it is the anti-muscarinic effects that make it particularly effective. I don't know about M4.
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> - Scott
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> > So, some researcher or other seems to claim that blocking muscarinic receptors (specifically m4) is possibly helpful for OCD (could this explain why paxil was used preferentially for OCD for a while?). And I know one patient (me), whose OC symptoms partly remit during a dose of benadryl, which is quite an anticholinergic.
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> > Are there other anticholinergic (antimuscarinic, really) drugs out there, that one such as I might use to combat OCD? Preferably something relatively 'clean' in terms of its other effects (i.e. less sedating and antihistaminic than benadryl)? I would be a willing guinea pig to see if any such thing works.
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> > Anticholinergic drugs--which are your favorites?
> >
> > Thanks for any input,
> > Psychbot
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poster:psychobot5000
thread:879355
URL: http://www.dr-bob.org/babble/20090203/msgs/879488.html