Posted by Phidippus on December 25, 2009, at 15:16:58
In reply to Re: advice needed, posted by willey on December 22, 2009, at 16:47:32
>Please share ur ideas on ocd treatment if u have any.
Hmmm...I am diagnosed with ADHD, BIPOLAR II and OCD. To treat my mood problems I take 1200 mg of Lithium. To treat my ADHD I use Vyvanse 70 mg, which also helps treat my OCD. I am currently using Prozac as my main OCD treatment. I augment my OCD treatment with Keppra.
The APA treatment algorithm for OCD indicates that SSRIs be used as first line treatment of OCD. If the SSRIs don't work, Anafranil is recommended, followed by SNRIs (Effexor) and Mirtazapine. If the antidepressants don't work well enough, there are a bunch of augmentation strategies, such treatment with Buspirone, Pindolol, Morphine Sulfate, Inositol, or a glutamate antagonist (Camprel would qualify). If nothing else works, monotherapy with Tramadol, Odensatron, d-Amphetamine or an MAOI is recommended.
If medications just don't work, things like Transcranial MAgnetic Stimulation, Deep Brain Stimulation and neurosurgery are other options.
P
poster:Phidippus
thread:929840
URL: http://www.dr-bob.org/babble/20091217/msgs/930870.html