Q. I am taking Celexa and Xanax for OCD without any improvement. Should I change my treatment?

Answered by Dr. Punya Mulky and medically reviewed by iCliniq medical review team.

 

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Hi doctor,

I am a 36-year-old male who has suffered from OCD for the majority of my life. My psychiatrist has changed Celexa to 40 mg, and I am taking this dose for two months now. I have a feeling of mania, anxiety and I am unable to deal with it. I also feel impulsive, and sometimes I feel great, and I can accomplish a lot. I also have a feeling like I have been traveling in a roller coaster for a few months. It happened to me several times in my life. Do I need to seek another psychiatrist's opinion? I also take Xanax 0.5 mg whenever required.


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Dr. Punya Mulky
MBBS., MD., DNB
Psychiatry

Hi,

Welcome to icliniq.com.

Please mention about your OCD (obsessive-compulsive disorder) symptoms. Please say about the type of obsessions and compulsions you have. You can take tablet Prozac (Fluoxetine) 20 mg for a week and gradually increase it to 40 mg. Prozac helps for OCD as well as for impulsivity. Along with it, take tablet Olanzapine 10 mg. It helps for the current mood stability you are experiencing now. Also, consider going to therapy such as exposure and response prevention. It also helps for OCD.

 

Thank you doctor,

My OCD involves checking number patterns, fear of germs, and putting things away. If I break from my usual routine, my anxiety shoots out. Can I have bipolar?

 

Dr. Punya Mulky
MBBS., MD., DNB
Psychiatry

Hi,

Welcome back to icliniq.com.

Depending on your symptoms, it seems that you suffer from both OCD and bipolar disorder. Olanzapine will help you for stabilizing your mood. Fluoxetine helps for both OCD and depression. But do not continue these medicines indefinitely and do consult a psychiatrist. Depending on your obsessions, exposure and response prevention, as well as cognitive behavioral therapy, will help you to find some relief.

 
 
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