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Suggest treatment for OCD

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Posted on Fri, 17 Oct 2014
Question: Dear Sir....I am suffering from Obsessive Compulsive Disorder (OCD)------Please help. Thanks
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Answered by Dr. Ashok Kumar (30 minutes later)
Brief Answer:
OCD is treatable

Detailed Answer:
Hello,
Thanks for using healthcaremagic.


Before we proceed it is imperative to have clear picture of your condition. You are requested to post the details of the problem which lead to diagnosis of OCD. It is also essential to know what medicines you tried till date and what was the response with past and current prescription.

You might be knowing that OCD is characterized by a different group of symptoms that include intrusive and unwanted thoughts, rituals, behaviors, preoccupations, and acts. They cause severe distress to the suffering person. They consume lot of the time and interfere with the person's normal life. Many of the patients have only obsession, only compulsion or both.

Once you post the detailed description of your problem a possible treatment plan can be made. Please note that it is chronic and complex disorder and need long term treatment with sincere effort from both patient and clinician.

I look forward to hear more from you with details.
Thanks and regards
Dr Ashok Kumr

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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Follow up: Dr. Ashok Kumar (6 hours later)
In my OCD problem repetitive behavior, cleanliness, doubts and common OCD problem are there. At present in am taking drugs naming RIVOTRIL, UVOX, ALPRAX FORTE AND CLONIL. These are the medicines i am taking since last 10 years but not got cured so far. Please guide and help me. Thanks
doctor
Answered by Dr. Ashok Kumar (18 minutes later)
Brief Answer:
There is need to lower down benzodiazepines

Detailed Answer:
Hello,
Thanks for reverting back to me.

Since you are receiving appropriate medication there is need to do following things at the next consultation with your treating psychiatrist.
1. Ask him to reduce the number of Benzodiazepines. At this moment you are receiving two Benzodiazepines namely alpazolam and clonazepam. It is better to receive one medication at a time. If particular dose is not helpful than the dose of single Benzodiazepines can be increased.
2. Secondly you did not mention about doses of two OCD medicines. In regard to Uvox we can upto 200 mg and in regards to clonil we can go upto 300 mg per day if tolerated. If your current dose is below the maximum dose ask your psychiatrist to increase till there is any problematic side effect.
3. If you already crossed the maximum dose limit or higher dose not tolerable you can ask him to add low dose of anti psychotic. In case of partial response with OCD it is recommended to add low dose of anti psychotics.

Please be aware that OCD can be treated only and there is no permanent cure for this. Most of the patients need long term treatment for control of symptoms.

"If you do not have any clarifications, you can close the discussion and rate the answer.
Wish you good health".


Above answer was peer-reviewed by : Dr. Ashwin Bhandari
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Answered by
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Dr. Ashok Kumar

Psychiatrist

Practicing since :2000

Answered : 3157 Questions

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Suggest treatment for OCD

Brief Answer: OCD is treatable Detailed Answer: Hello, Thanks for using healthcaremagic. Before we proceed it is imperative to have clear picture of your condition. You are requested to post the details of the problem which lead to diagnosis of OCD. It is also essential to know what medicines you tried till date and what was the response with past and current prescription. You might be knowing that OCD is characterized by a different group of symptoms that include intrusive and unwanted thoughts, rituals, behaviors, preoccupations, and acts. They cause severe distress to the suffering person. They consume lot of the time and interfere with the person's normal life. Many of the patients have only obsession, only compulsion or both. Once you post the detailed description of your problem a possible treatment plan can be made. Please note that it is chronic and complex disorder and need long term treatment with sincere effort from both patient and clinician. I look forward to hear more from you with details. Thanks and regards Dr Ashok Kumr