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Re: Do you need a serotonergic AD when you have OCD? kilo8

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.


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.





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