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Suggest Treatment For OCD

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Posted on Fri, 9 Jan 2015
Question: I am taking buPROPion HCL XL 150 mg Tablet. Comparing Hoarder vs Rat Pack I think I have OCD. Trying to get things straigtened up but seems like this does no good for me. No energy mind knows what I want to get done but I do not physically do it. Wondering if this med does anything for this?? Was on 300 mg and it made bad changes to my mind and personallity so changed back to 150. Thinking I need to ask for Zoloft again. Took this years ago when I was working and seem to be better.



doctor
Answered by Dr. Ravi Soni (31 minutes later)
Brief Answer:
You need psychiatrist consultation

Detailed Answer:
Hi,

Thanks for writing through HCM.

I have read your query and understood your concerns.

First of all, you haven't visited a specialist yet and you think that you have OCD, no doctor has confirmed that.

In the old age, the symptoms of apathy, lack of motivation and initiation, lethargy are common and probably for that purpose, you might have been given the Bupron XL. It is right drug for theses symptomatology but not for OCD.

So before asking for zoloft, prozac or any other SSRI drugs, you need to visit a psychiatrist. Tell him what are your thoughts and feeling? Which symptoms bothers you? He will guide you through the treatment and prescribe the right medication.

If the bupron is causing problems then visit the prescribing doctor and report the issues. Do not make changes on your own.

Yeah, it is right that zoloft is good drug for treatment of OCD. It will help you if you really have OCD.

Hope I have answered your query. If you have further query then I will be happy to help you.

Wish you good health.
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Ravi Soni (16 hours later)
Thank you. I agree with your brief answer. I was seeing a psyt , she ordered this pill and just changed to the 300 mg. The office that she was in 1st cancelled my appt because she had an emergency. Two months later a letter was sent from them saying she was no longer with them and they would refill my rx one time. The change to 150 was done by my Family Practice Doc. I can t find out where she is. I
would not stop taking this without speaking to my GP. Jus
t wanted to get some information to give him. My pharm. said that Paxel is a good med for OCD. Is the med I am on making my systems worse?
Only saw psy three times. I will have my GP find another one for me but I am not in a rush as
tired of losing doctors yaht time they are all retiring.

Can you give me anymore information to tell my GP and any suggestions to get more information on my problem?
Thank you,XXXX
doctor
Answered by Dr. Ravi Soni (7 hours later)
Brief Answer:
Bupron is not expected to make you worse

Detailed Answer:
Hi, thanks for writing again.

The side effects of Bupropion are agitation, dry mouth, insomnia, headache, nausea, constipation, and tremor. Some patients may experience weight loss. Seizures also occur, especially at higher doses. If any of these has happened to you after starting bupron then it must be the side effect of the drug.

OCD is a type of severe anxiety disorder according to DSM IV, but now it has been categorized under the category of OCD spectrum disorder in DSM 5. It consists of obsessions and compulsions. Some of the patient have only obsessions and not compulsions. Compulsion can be the behavioral activity like washing hands repeatedly, or mental acts like repeating name of god etc. Some patients do not know that these symptoms are actually a disorder and then it becomes severe. On your part you know everything about your symptoms, so there are more chances of getting better.

Most effective drugs for OCD are Fluoxetine [prozac], sertraline [zoloft], fluvoxamine [luvox], clomipramine [anafranil]. These are the chosen drugs for OCD. You can have anyone of these, if the symptoms are not controlled with anyone drug then after 3 months another can be added to ongoing treatment, but you need to these all under the observation of doctor.

You can read about the symptoms of OCD, treatment and prognosis of OCD. You can search for diagnostic criteria for OCD. You can take a copy of these search with you when you visit your GP and ask him to have a look. You can suggest these drugs to your GP if he has no knowledge of treatment of OCD. Important thing here is to confirm the diagnosis before going for treatment.

Hope I have answered your query. If you have further query then feel free to ask.

If you do not have further query then close the discussion and rate the answer.
Wish you good health.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
Answered by
Dr.
Dr. Ravi Soni

Psychiatrist

Practicing since :2010

Answered : 538 Questions

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Suggest Treatment For OCD

Brief Answer: You need psychiatrist consultation Detailed Answer: Hi, Thanks for writing through HCM. I have read your query and understood your concerns. First of all, you haven't visited a specialist yet and you think that you have OCD, no doctor has confirmed that. In the old age, the symptoms of apathy, lack of motivation and initiation, lethargy are common and probably for that purpose, you might have been given the Bupron XL. It is right drug for theses symptomatology but not for OCD. So before asking for zoloft, prozac or any other SSRI drugs, you need to visit a psychiatrist. Tell him what are your thoughts and feeling? Which symptoms bothers you? He will guide you through the treatment and prescribe the right medication. If the bupron is causing problems then visit the prescribing doctor and report the issues. Do not make changes on your own. Yeah, it is right that zoloft is good drug for treatment of OCD. It will help you if you really have OCD. Hope I have answered your query. If you have further query then I will be happy to help you. Wish you good health.