system
Suggest medication for chronic obsession
human
hello i am a chronic obssessed patient since 6years..and i am taking SSRIS since 6years like fluvoxamine(100mg) and clomipramine (25mg)..but still i dont find much effective in controlling my obssessions...only 50% is effective..s can you tell me which medicine is bes to control chronic obscessions..
gpt
hi... thanks for writing..i have understood your concerns..so you were diagnose as a OCD patient before 6 years..what i feel here is the dosage of fluvoxamine and clomipramine is very low and ineffective...so you shud consult your psychiatrist and ask for increasing the dose of both these medications..with increase in dosage you will find further improvement..clomipramine can be increased to 225 to 300 mg in a day and fluvoxamine to 200 to 300 mg a day...another option is to continue fluvoxamine and add fluoxetine, which is very effective in OCD.. fluoxetine also shud be taken in higher dosage like 80 mg in a day..in my opinion, tell your concerns to your treating psychiatrist and ask for increase in the dosage..i hope this advice will be helpful to you..best luck...