Doctor insights on:
Topamax For Ocd
Is indicated to treat epilepsy, but mainly a second line or adjunctive agent, and also useful to prevent migraine headaches. Has several adverse effects including: kidney stones, narrow angle glaucoma, metabolic acidosis, heatstroke in kids, paresthesias, slowing of speech and cognition, drowsiness. ...Read more
Useful: Studies show SSRI's such as Celexa (citalopram) and Zoloft (sertraline) are effective with 70% of OCD patients. Venlafaxine (a SNRI) has been found to help in some cases of nonresponse to SSRIs. When possible, a combination of medication and effective psychological treatment is desirable. However, pharmacological treatment is often more accessible and is a cost efficient approach. ...Read more
It's effective: Studies indicate SSRIs including fluvoxamine (Luvos) sertraline (Zoloft), fluoxetine (Prozac), citalopram (Celexa) and paroxetine (Paxil) can reduce OCD symptoms by 40-60%. SSRIs may also be used in combination with two empirically validated psychotherapies, Exposure plus Response Prevention and Cognitive Therapy. Ask your doctor for more information about your options. ...Read more
OCD and ADHD may: occur together or be mistaken for the other. Ritalin (methylphenidate) may worsen OCD symptoms. SSRIs (fluoxetine, sertraline) help OCD but may not be enough and one study suggests that adding Topamax (topiramate) may help 60-70% of individuals. Cognitive Behavior Therapy (CBT) is the only scientifically-supported behavioral treatment for OCD. Skilled evaluation and treatment is necessary for OCD. Best regards. ...Read more
Paxil (paroxetine): Quite effective, if dosed right & is tolerated at higher dose. ...Read more
It's effective: Studies indicate SSRIs including sertraline, fluoxetine (Prozac), citalopram (Celexa) and paroxetine (Paxil) can reduce OCD symptoms by 40-60%. SSRIs may also be used in combination with two empirically validated psychotherapies, Exposure plus Response Prevention and Cognitive Therapy. Ask your doctor for more information about your options. ...Read more
Bipolar II and anxiety disorders. Take klonopin for the anxiety, Neurontin (gabapentin) for mood stability. Recommendation for antidepressants for the depression?
Your doctor: is the best person to answer this question. The answer requires detailed knowledge of your situation, no two are alike, and your struggles with depression. The medications you are taking may, over time, work on your depression as well as your other symptoms. Ask at your next visit or schedule one. If at any time you feel you may harm yourself, have any thoughts of suicide, go right to ER ...Read more
It is possible but..: Yes they both work in the body differently so in some cases it can be a good combination with Luvox (fluvoxamine) being effective for ocd and depression and Wellbutrin being an antidepressant that works differently than the Luvox (fluvoxamine). However, they both can cause side effects and it is possible that in some cases they could magnify each others side effects. So you need to go slowly with the guidance of your doctor ...Read more
Topamax (topiramate): It can. Many of the meds used for bipolar disorder can affect sleep patterns. Hopefully they will help normalize your sleep/ wake cycle, which is critical for this condition. Sleep deprivation is a major trigger for a manic episode. If topamax (topiramate) is helpful for your mood cycling, i would ask your md about taking it in the am only. ...Read more
Only if depressed: Wellbutrin (bupropion) is an antidepressant, and is also used to help people stop smoking (reduces craving). It has no direct effect on anxiety. However, anxiety is a common symptom of depression. If a person takes Wellbutrin for depression, their anxiety may decrease along with other depressive symptoms. ...Read more
Hostile,bitter,mood swings,rage,deep depression.on Trileptal for bipolar,tried everything else.wondering about zonegran?any recommendations for it?
Take a look at: Suzanne Somers's book "I'm too young for this." It's about perimenapause and may be a least part of the cause. It's not appropriate to blame everything on women's hormones but you age suggests this possibility. Peace and good health. ...Read more
Not by itself: Risperdal is an antipsychotic medication, usually used for people with hallucinations, delusions, paranoia, thought disorder, etc. When someone's depression has psychotic features like these, medications like Risperdal can be added to an antidepressant. In some cases, it can also be used to "augment" antidepressant treatment in non-psychotic depression with anxiety -- but usually not by itself. ...Read more