Brief Answer: Meet me personally Detailed Answer: Hello, Thanks for your query. I appreciate your efforts for medical consultation in so much distress. Important aspects of your query are: • 28 year old medico • Known case of OCD • History of good response to Fluoxetine 80mg • Complaints of: Mood fluctuation and somnolence with aripiprazole. Aripiprazole is an antipsychotic medicine. From your history reason of its use is not clear (mood fluctuation is a vague symptom and can occur in anxiety, depression and psychosis). Somnolence may be side effects of aripiprazole in your case. If it is started by psychiatrist in your case, then there is no problem as psychotic symptoms can occur in any person with past history of OCD. But if you have started it by yourself or some non psychiatrist friend advice, then you need opinion from psychiatrist. As you are medico and preparing for PG then you should be great mental help to give best in exam. I would recommend you to meet me in Gurgaon or some nearby good psychiatrist for assessment and advice. Bharatpur is only 200km far from Gurgaon. My root origin is also from nearby Fatehpur Sikri and I already have many patient from Bharatpur. I do not charge from medicos, so you can meet me in my personal clinic: Address: Dr Mittal Clinic (Confidence Clinic), The Sapphire Mall, 248 (Second Floor), Opposite Omaxe city centre/ Orchid Petals, Sohna Road, Sector 49, Gurgaon (Haryana) Consultation Time: Friday (5-8 PM) and Sunday (3PM-5PM) I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups. Wish you good health. Regards,

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Brief Answer: Hi Detailed Answer: Hello again, Thanks for follow up. I can understand your concern, but same time it my responsibility to avail you best treatment. You had history of OCD and now you are on aripiprazole 20mg for mood fluctuation (which can occur in ocd, anxiety, depression and psychosis). There is need to understand your case by in person evaluation before changing or starting new medication. You live far and preparing for PG, but it is not more important than psychological health. Even better mental health will give you more strength to clear pg exam, and I had witnessed this by treating junior doctors. You can take leave, if cant, then you should meet nearby psychiatrist. Meantime you can start modalert 100mg after informing your current psychiatrist to overcome sleepiness. Please accept my answer and give feedback in case there is no further query and you found reply helpful. In case of doubt, I am here to help you. Wish you good health. Regards

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Brief Answer: better to continue arip Detailed Answer: Hi. It is better to continue arip mt as advised by your psychiatrist, as change in medicine doses require examination. Regards, Dr Ashish Mittal

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