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Hello Doctor, I have been taking Fluoxetine 40 mg (Fluni) for OCD for the last 12 months. Currently I am unable to get Fluni 40 mg, but I have Fludac 60 mg / Flunil 60 mg available.
I am not able to afford a paid consultation please help me I am poor boy🙏, so I am requesting guidance here.
Can I safely switch to 60 mg dose for 1 month, or should I continue 40 mg with another brand? Please guide me regarding dose adjustment and safety.
Also, OCD symptoms include intrusive unwanted sexual ashlil obscene/inappropriate thoughts and mental images involving my mother, which cause significant distress.
Answers (2)
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Dr. Bojja Sarada Sireesha
Neuropsychiatrist
8 yrs exp
Puducherry
Hii.. I can completely understand what you're going through. Understand that OCD is treatable with proper management and therapy. The symptoms like unwanted sexual urges regarding fms is really distressing. If there is persistence of symptoms then dose adjustment might be required with proper guidance.
Next Steps
You may continue the same dose (40 mg) using available brands if possible.
Increasing to 60 mg should only be done under medical supervision, as dose changes need monitoring for side effects and response.
If affordability is an issue, consider government hospitals or low-cost psychiatric services for proper guidance.
Health Tips
Do not try to suppress or fight the thoughts—they tend to increase
• Remind yourself “these are OCD thoughts, not reality”
• Keep yourself engaged in activities
• Practice relaxation techniques
• CBT with ERP is very effective for OCD and can help significantly
OCD is a treatable condition, and with the right dose and therapy, these distressing thoughts can be brought under good control.
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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.