Posted by phidippus on July 14, 2015, at 20:04:41
In reply to Re: Do you need a serotonergic AD when you have OCD?, posted by kilo8 on June 12, 2015, at 20:18:13
>I was on cymbalta up to 120mg, did nothing for me!
Not a high enough dose. Try 320 mg
>I was on lexapro 20mg for 4 months didn't work but caused HUGE withdrawals.
Not long enough on it and not a high enough dose. Try 40 mg for 8 weeks for response.
>I was on anafranil 75mg for 1 month the side effects were too strong my heart was racing all the time so I had to get off it.
I was on 300 mg to treat my OCD effectively.
>I feel like SSRI/SNRI are not going to work for me.
You're not on them long enough and you aren't taking an adequate dose. Try the rest of the SSRIs/SNRIs.
>I read NAC can also increase glutamate maybe this is bad for me.
NAC is a glutamate inhibitor. Glutamate inhibition proves therapeutic for OCD.
Try Luvox, it can be very effective in treating OCD. Titrate up to 300 mg for 8 weeks.
ADD
An atypical antipsychotic if you don't have enough response to the Luvox.
If still no response add a glutamate inhibitor such as: Keppra, Lyrica, Neurontin, Riluzole, Zonegran, Lamictal, Topomax.
Eric
poster:phidippus
thread:1079669
URL: http://www.dr-bob.org/babble/20150629/msgs/1080498.html