Doctor, I was taking Flunil 40 mg for ocd under a psychiatrist for about 1.2 years. Later, I was also taking Escitalopram 5 mg under a psychiatrist, and my symptoms reduced but were not completely controlled. So I started taking Fludac 60 mg on my own because Flunil 60 mg was not available. After switching from Escitalopram 5 mg to Fludac 60 mg, I am not experiencing any noticeable side effects and I am feeling better.
Please guide me whether it is okay to continue this dose or if any adjustment is needed. I currently do not have money for a consultation, so I would be very grateful if you could please advise me out of humanity.
Answers (6)
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Flunil and Fludac both contain the same medicine — Fluoxetine — so switching between these brands is usually not a major issue if the dose is equivalent.
In OCD, higher doses of SSRIs are commonly required compared to depression, and 60 mg fluoxetine is a dose that psychiatrists do use in some OCD patients when symptoms are only partially controlled at lower doses. The fact that you are tolerating it well and feeling improvement is reassuring.
However, from a standard psychiatric perspective, dose changes ideally should not be done without supervision because doctors also monitor for:
• Anxiety/agitation increase
• Sleep disturbance
• Emotional blunting
• Sexual side effects
• Rare activation or mood changes
• Drug interactions or serotonin-related side effects
If you are currently stable, sleeping well, functioning better, and not having concerning side effects, suddenly stopping or frequently changing medicines on your own would not be advisable. Usually, OCD treatment is continued consistently for many months after improvement because symptoms often relapse with irregular treatment.
Along with medication, Exposure and Response Prevention (ERP)-based CBT remains one of the most effective long-term treatments for OCD. Even self-help ERP strategies can help reduce dependence on reassurance and compulsions over time.
When financially possible, try to at least do a follow-up consultation once, even at a government hospital psychiatry OPD, because long-term OCD management benefits from periodic monitoring.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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