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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Best Medicine For Ocd, Anxiety And Depression ?

what s the best antidepressant for ocd/ bad anxiety and depression i am currently on Remeron 45mg 1 at bedtime and Klonopin 1mg 1 in the morning and 1 at bedtime. but my doctor also wants me to start taking Celexa 10 1 at bedtime, but is that okay to be on both antidepressant s at the same time? and how can i get my psychiatrist to up my Klonopin dose upped to 2 mg or should i get on a different antianxiety medicine?
Wed, 4 Apr 2012
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Psychiatrist 's  Response
Hi,

It is usual for psychiatrists to combine two anti-depressants when one medication is not effective. However, it is advisable to put in place an individualized plan of management (especially for OCD and anxiety) which includes not only medicines, but also non-pharmacological methods like behaviour therapy and relaxation techniques.

Continuing Klonopin at high doses for long duartion should be avoided as it can cause dependence. Discuss with your psychiatrist about your preferences and the most bothersome symptoms which you want him to target first. This will help in setting up priorities after which problems can be dealt with accordingly.
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What Is The Best Medicine For Ocd, Anxiety And Depression ?

Hi, It is usual for psychiatrists to combine two anti-depressants when one medication is not effective. However, it is advisable to put in place an individualized plan of management (especially for OCD and anxiety) which includes not only medicines, but also non-pharmacological methods like behaviour therapy and relaxation techniques. Continuing Klonopin at high doses for long duartion should be avoided as it can cause dependence. Discuss with your psychiatrist about your preferences and the most bothersome symptoms which you want him to target first. This will help in setting up priorities after which problems can be dealt with accordingly.