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Fluoxetine vs Escitalopram/Sertaline
Does Fluoxetine work better for OCD in general as compared to Escitalopram /Sertaline ? I am not asking about the exceptional case. Just asking about the response of Fluoxetine in most of the OCD cases.
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Interindividual variation are a lot but fluoxetine works for many.
OCD is a complex illness, it is not so simple to break it down to fluoxetine.
Every illness has social and psychological factors which has a impact on how medicine works.
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The best evidence base for OCD are tricycles like clomipramine followed by SSRI’s like paroxetine, fluvoxamine and fluoxetine. Evidence to support efficacy of sertraline and escitalopram is weaker.
Generally higher doses are warranted for longer durations in OCD.
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Yes most of the studies have been done with Fluuoxetine and it is better for OCD in general.
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Dr. L C Sunda
Psychiatrist
42 yrs exp
Delhi
Hi there,
A detailed medical and psychiatric history is always needed for every case.
Your question is related to the drug Fluoxetine for OCD .
From time to time , the medications may change. Before Fluoxetine, other drug like Cloimipramine was being written.There are other drugs also available.But remember, every drug has its own advantages and side effects profiles.
Well Fluoxetine is also good but the dosage depend on the severity of the symptoms too. And the side effects profile will differ.
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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.