Understanding OCD Medications: A Patient's Guide to Treatment

A comprehensive overview of medication options for managing Obsessive-Compulsive Disorder

Psychiatry

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Last updated: Mar 24, 2025

Introduction

Medication plays a crucial role in managing Obsessive-Compulsive Disorder (OCD) symptoms. This guide explores common medications, their effects, and what to expect during treatment.

First-Line Medications

SSRIs (Selective Serotonin Reuptake Inhibitors)

  • Fluoxetine (Prozac®)
  • Sertraline (Zoloft®)
  • Paroxetine (Paxil®)
  • Fluvoxamine (Luvox®)

Typically prescribed first due to their effectiveness and tolerability.

Second-Line Options

SNRIs and Other Medications

  • Venlafaxine (Effexor®)
  • Clomipramine (Anafranil®)

Treatment Timeline

  1. Initial Phase (1-2 weeks)

    • Starting at lower doses
    • Monitoring for side effects
  2. Adjustment Period (4-8 weeks)

    • Gradual dose increases
    • Assessment of effectiveness
  3. Maintenance Phase

    • Regular monitoring
    • Dose adjustments as needed

Important Considerations

  • Side Effects Management
  • Medication Compliance
  • Regular Follow-up
  • Combination with CBT

When to Contact Your Healthcare Provider

  • Severe side effects
  • No improvement after 8-12 weeks
  • Worsening symptoms

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