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I have been diagnosed with obsessive-compulsive disorder (OCD). What medications are typically prescribed for its treatment?

Asked by Male, 50 ยท 3 months ago

Treatment for OCD typically includes selective serotonin reuptake inhibitors (SSRIs) such as fluoxetine, sertraline, or fluvoxamine, often combined with cognitive-behavioural therapy (CBT). In some cases, clomipramine, a tricyclic antidepressant, may be prescribed. The choice of medication, its dosage, and duration should be individualized by a qualified psychiatrist after a thorough evaluation. Self-medication is unsafe and should be avoided.
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  1. Selective Serotonin Reuptake Inhibitors (SSRIs):a. Common SSRIs include Fluoxetine (Prozac), Sertraline (Zoloft), Fluvoxamine (Luvox), Paroxetine (Paxil), and Escitalopram (Lexapro).b. These are the first-line medications for OCD, helping to increase serotonin levels and reduce symptoms.

  2. Tricyclic Antidepressants (TCAs):a. Clomipramine is a TCA effective for OCD, used if SSRIs are not effective.b. Note: It may have more side effects compared to SSRIs.

  3. Dosage and Duration:a. Medications start at a low dose, gradually increasing.b. Significant improvement may take 8-12 weeks.

  4. Monitoring and Side Effects:a. Regular follow-up is crucial to monitor effectiveness and side effects.b. Common side effects include nausea, headache, sleep disturbances, and sexual dysfunction.

  5. Adjunct Treatments:a. Other medications like antipsychotics may be added if symptoms persist.

  6. Consultation with Specialists:a. Treatment is best managed by a psychiatrist or mental health specialist.

  7. Non-Medication Therapies:a. Cognitive Behavioral Therapy (CBT), especially Exposure and Response Prevention (ERP), is highly effective and often combined with medication.

Answered 3 months ago

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