Posted by Ame Sans Vie on July 26, 2003, at 0:01:14
In reply to Severe OCD? Need feedback please, posted by shocker147 on July 25, 2003, at 23:08:48
Sorry I can't really comment much about the OCD--I have a moderate degree of obsessive and compulsive thoughts/behavior that has just recently been treated completely with Ultram (an opioid analgesic with norepinephrine and serotonin reuptake inhibition properties).
I'm mainly posting this because it greatly concerns me that you are on THREE different serotonergic medications--Effexor, Paxil, and Anafranil. And at pretty high doses, nonetheless (especially the Paxil). There is a *very* high risk of developing serotonin syndrome (a potentially life-threatening state of serotonin overload) when combining two serotonergic meds, but you take THREE?? I would very strongly urge you to discuss this with your doctor; that combo of meds is just plain dangerous. FWIW, I highly recommend giving Ultram a try. There have recently been a lot of case reports of Ultram (generic: tramadol) bringing immediate relief to people with treatment-resistant OCD, and I can personally attest to its efficacy. I also take Xanax XR (3mg), which I recently switched to after being on Klonopin for three years. I've tried all the SSRIs, atypical antidepressants, Nardil, stimulants, mood stabilizers, and many of the antipsychotics, barbiturates, not to mention an assortment of other non-psychiatric medications that are occasionally prescribed psychiatrically (i.e. Soma, Inderal). The Ultram + benzodiazepine combination is the only thing that completely rids me of obsessions, compulsions, panic, social anxiety, agoraphobia, and depression.
poster:Ame Sans Vie
thread:245375
URL: http://www.dr-bob.org/babble/20030723/msgs/245385.html