Is tablet Tegretol and Paxil good for my depression, or do I need a better medication?

Q. What are the best medications to overcome depression, OCD, and bipolar disorder?

Answered by
Dr. Awadhesh P. Singh Solanki
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 18, 2021

Hello doctor,

I am a 57-year-old male with a long-term history of depression with OCD, bipolar disorder, and self-diagnosed with a borderline personality disorder. I am taking tablet Tegretol 400 mg and Paxil 60 mg. I have had remarkable effects with it, so I continued taking Paxil and Tegretol three months ago. I was doing fine, but then had a life event where I had a sexual experience that turned me immensely. It gave me substantial obsessive cycling, and I cannot stop thinking about it. It resulted in constant masturbation. I feel hideous and depressed. I cannot stay focused on my duties due to the ruminating thoughts and feelings. I am a travel nurse, and so I am away from my partner. Should I restart taking tablets Paxil and Tegretol, or is there something newer and better?

Thank you so much for your insight.



Welcome to

I can completely understand your current situation. You are having a relapse of OCD (obsessive-compulsive disorder) triggered by a sexual incident. I would suggest restarting Paxil (Paroxetine) and Tegretol (Carbamazepine). However, doses should be smaller initially and increase gradually after consulting your doctor. Ketamine is a good antidepressant, but the effects will stay only for a week or less. These ruminating thoughts are generally resistant to Ketamine.

I hope my answer has helped you.


Please do not hesitate to contact me again.

Kind regards

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