Luvox PLUS Clomipramine for OCD

[@jessicachristine310]

I was prescribed this drug long ago and had a serious adverse reaction to it. Psychiatrists who prescribe this medication to their patients need to advise them that it has the potential to trigger convulsing status elepticus and irregular heartbeat including sudden cardiac death so they’re able to make informed choices.

[@nirmanshrestha2038]

What dose did U take both of them .I had serotonin syndrome while taking 100 mg fluvoxamine+ 175mg clomipramine

[@Хтоя-б1б]

Hello. To be honest, I don't know who I can turn to. Maybe you can tell me something. I am 19 years old. Two months ago I was prescribed carbomazepine and sonopax (anxiety, depression, intrusive thoughts). The dosage was low. These medications were helping me. But then a traumatic event occurred and the medications became less effective. The doctor decided to prescribe clofranil 25 mg 3 times a day. On the second day of taking it, after sleeping: I got out of bed and just fell over, because I couldn't feel my legs, I had a burning sensation in my head, a terribly fast heartbeat and sweating. My mother and I called the attending physician and she cancelled all the medications. The first three days the condition was just awful, it was like everything was changing in my head. My blood pressure was jumping from 85 over 50 to 150 over 100. Now it's been 14 days since I've taken anything. The burning has gone, but what remains is a strange condition: impaired tactile sensations, sleep disturbance, a strange feeling in my head, a feeling of weakness in my limbs and their remoteness (as if I do not feel them periodically or feel them remotely), drowsiness, etc. Before taking clofranil my condition was very good: I went to the gym, studied, did voluntary work. I can't understand what could have happened in my head that now I have this condition. And I don't know if it will go away or not. Can you please tell me what it could be? Is there any way to fix what has been disturbed in my head?

[@mo87m]

What happens if you abruptly stop clomipramine?

[@nirmanshrestha2038]

Heloo doctor .i have mixed anxiety ocd and depression.when i am on monotherapy 200 mg clomipramine i get 40 % releif only but when i combine 175mg clomipramine with 100 mg fluvoxamine i get 80 % releif but it gave me unbearable full.hot flushes over the body and my payc said its serotonin syndrome .so what to do now doctor plz help .

[@MelissaBeal-cw7yb]

What are your thoughts on Viibryd for ocd

[@kvkarthik123]

I tried but it didn't help. It's more helpful in depression

[@RittenhousePsych]

Thank you for your question. Viibryd is only approved for Major Depressive Disorder, but some patients do find improvement in their anxiety or anxiety disorders, with this medication. However, it is not a first line medication for anxiety or OCD. I could never know what would be best for an individual without evaluating them directly, but it may be helpful to discuss all of this with your provider. Best, - Dr. Pagnani

[@pohankhalid988]

I have been in Ocd for about 7 years. Nothing helped better except for prothiaden and paroxitine. But after taking them for four years the affects now kinda lost its real help which then I increased to 75 but still nothing changed with it. Now I am prescribed velafaxine which has worsen the case and now I have stopped taking it. I have decided to take fluvoxamine and prothiaden in this regard your advice is needed

[@RittenhousePsych]

Thank you for sharing and your question. Prothiaden (Dosulepin) is not available in the US (although it has a long history of use in Europe, New Zealand, India, South Africa and others. With that said, tricyclic antidepressants such as Dosulepin can be combined with SSRI's or SNRI's by the experienced clinician, but there are possible side effects to discuss with them. It may also be helpful to discuss fluvoxamine (luvox) with clomipramine (although Prothiaden is similar to clomipramine). I hope that your symptoms are effectively treated with whichever treatment you move forward with, and again, be sure to discuss all of this with your provider. Best, - Dr. Pagnani

[@pohankhalid988]

I badly need your advice if you are available

[@RittenhousePsych]

Please see my response to your other post. Please remember to discuss all of this with your provider. I cannot give someone medical advice directly, as I have not completed a full evaluation or discussed full risks and benefits of the various options.