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Suggest Treatment For Refractory OCD

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Posted on Fri, 20 Feb 2015
Question: sir i am dr XXXX from XXXXXXX i have taken fluoxetine 80 mg daily for refractory ocd for 6 years now i have stopped it the problem is that sometimes i feel mania like symptoms i become more talkative i talk to myself which medicine i should take help me can i take aripiprazole 10 mg daily
doctor
Answered by Dr. Seikhoo Bishnoi (39 minutes later)
Brief Answer:
Yes the drug can be taken for the symptoms you have mentioned

Detailed Answer:
Hello thanks for asking from HCM for your queries

I can understand your problem. You were taking Fluoxetine 80 mg daily for your OCD, and you took the medicine for about 6 years and then stopped it. Now you have some mania like symptoms and have some symptoms of talkativeness and also muttering for which there is need for detailed evaluation and yes anti-psychotics can prove useful.

Aripiprazole is a second generation antipsychotic drug and is metabolically safe antipsychotic drug. The drug will help in mood stabilisation as you have some mania like symptoms and also muttering. As per my opinion the drug can be taken for your symptoms. As you have mentioned that you are a medico so please take the drug with proper prescription only. It will be safe for you. But the medicine will not affect in your OCD symptoms.

If you can provide me more details of your symptoms then it will be more easier to provide opinion with more certainity.

Thanks, hope this helps you. Please don't hesitate to ask again for more doubts.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Seikhoo Bishnoi (1 hour later)
sir i have some sedation also i feel sleepy in daytime there is decrease in appetite also please help which medicine should i take
doctor
Answered by Dr. Seikhoo Bishnoi (20 minutes later)
Brief Answer:
Instead of Aripiprazole other anti psychotic medicines can prove useful

Detailed Answer:
Hello again, thanks for asking a follow up

If you have normal weight and have normal health then instead of Aripiprazole other anti psychotic drug like Olanzapine or Risperidone can be used. Both these medicines are also good mood stabilisers and can prove useful in your case. These medicines will help in improving appetite. These medicines will improve sleep in night and will result in reduction of day time drowsiness.

If day time sleepiness persist then medicines like Armodafinil, Modafinil can prove useful. But take these medicines only if strongly needed.

Thanks
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
Dr.
Dr. Seikhoo Bishnoi

Psychiatrist

Practicing since :2007

Answered : 5193 Questions

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Suggest Treatment For Refractory OCD

Brief Answer: Yes the drug can be taken for the symptoms you have mentioned Detailed Answer: Hello thanks for asking from HCM for your queries I can understand your problem. You were taking Fluoxetine 80 mg daily for your OCD, and you took the medicine for about 6 years and then stopped it. Now you have some mania like symptoms and have some symptoms of talkativeness and also muttering for which there is need for detailed evaluation and yes anti-psychotics can prove useful. Aripiprazole is a second generation antipsychotic drug and is metabolically safe antipsychotic drug. The drug will help in mood stabilisation as you have some mania like symptoms and also muttering. As per my opinion the drug can be taken for your symptoms. As you have mentioned that you are a medico so please take the drug with proper prescription only. It will be safe for you. But the medicine will not affect in your OCD symptoms. If you can provide me more details of your symptoms then it will be more easier to provide opinion with more certainity. Thanks, hope this helps you. Please don't hesitate to ask again for more doubts.