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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Will The Use Of Sertraline Help To Control Her OCD? Would Homeopathic Medicine Help?

Hi, My sister aged 53 yrs is suffering from OCD since childhood which seems to be getting worse as she is growing older. She is currently on Olimet 2.5mg (Once a day) for the past 3 -4 years. However there does not seem to be any improvement in her OCD. The doc here has now asked me to start her on Sertraline 25mg (twice a day). Will this help control her OCD t some extent ? Would homeopathic medicine help her ?
Tue, 1 Apr 2014
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Psychiatrist 's  Response
Hello,
Thanks for choosing health care magic for posting your query.
I have gone through your question in detail and I can understand what you are going through.
olimelt 2.5 mg and sertraline 25 mg will not help her with OCD. The treatment of OCd essentially requires the medications in high dosages. Lower dosage wont help. OCD is a very common illness and effects many. It can be mild and some times unrecognizable and sometimes it can be severe. You certainly need to be treated for OCD. Although there are plenty of options available like clonil, fluoxetine, escitalopram, fluvoxamine, sertraline etc all in high dosage my best option for my patients is fluoxetine in higher dosages. If at all sertraline is used , it has to be used above 200mg.
Also there is an option of cognitive behavioural therapy. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness.

Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
In future if you wish to contact me directly, you can use the below mentioned link:
bit.ly/dr-srikanth-reddy
                                        
Wish you good health,
Kind regards
Dr. Srikanth Reddy M.D.
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Will The Use Of Sertraline Help To Control Her OCD? Would Homeopathic Medicine Help?

Hello, Thanks for choosing health care magic for posting your query. I have gone through your question in detail and I can understand what you are going through. olimelt 2.5 mg and sertraline 25 mg will not help her with OCD. The treatment of OCd essentially requires the medications in high dosages. Lower dosage wont help. OCD is a very common illness and effects many. It can be mild and some times unrecognizable and sometimes it can be severe. You certainly need to be treated for OCD. Although there are plenty of options available like clonil, fluoxetine, escitalopram, fluvoxamine, sertraline etc all in high dosage my best option for my patients is fluoxetine in higher dosages. If at all sertraline is used , it has to be used above 200mg. Also there is an option of cognitive behavioural therapy. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Kind regards Dr. Srikanth Reddy M.D.