Posted by desolationrower on October 8, 2008, at 13:23:50
In reply to Re: Non-SSRI OCD Medications - Help Needed, posted by umberto on October 8, 2008, at 11:40:49
Lithium has some effects on serotonin, but different from the ssris. I think it affects the 1b autoreceptors and maybe some other things.
Inositol is a secondary messanger is some neurons. It can affects the sensitivty of some serotonin receptors. It has been effective for some of the same things as ssri are.
Personally, for trying antispychotics, especially if you feel you might need to be on it permanently once you find one that works, i would start with the ones with fewer side effects like aripiprazole and ziprasidone and work my way from there. I don't think i've seen anything show one to work better than another.
Some other options are opiods, MAOIs, stimulants, and some glutamatergic drugs, like memantine and n-acetyl cysteine.
If you gave the noradrenergic drugs enough time to work, as they seem to take longer for anxiety to be effective, a beta blocker might help you with anxiety, and i'd recommend pindolol since it has effects on serotonin as well.
-d/r
poster:desolationrower
thread:856191
URL: http://www.dr-bob.org/babble/20081006/msgs/856418.html