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MDD + OCD + SAD
For MDD + OCD + SAD
If SSRI is giving partial results (for a hypertensive and pre-diabetic) and all SSRIs are tried with maximum doses and still having partial results for OCD
If I cannot tolerate SNRI or NDRI augmentation because of risk of hypertension
If the patient had an episode of schizophrenia 20years ago.
What can I argument with?
Antipsychotics? Is this a long term tolerable option? Is Respiridone a good choice?
Clomipramine another option?
Thank you
Answers (1)
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Dr. Rayees Ahmad Wani
Neuropsychiatrist
13 yrs exp
Srinagar
You can augment SSRIs with psychotherapy ( CBT). If antipsychotic drugs are to be used you should use one with least metabolic side effects like aripiprazole. Also not to forget about lifestyle modifications, which are going to prevent you from landing into diabetic state.
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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.