![]() Clomipramine has been found to be more helpful than the other SSRIs but also has more side-effects. Alternatively, you might switch to an older medication called clomipramine. If after 3 months at an appropriate dose the first-choice medication has not worked for you, then your professional might suggest a multidisciplinary review.Īfter this review, your professional might offer you different SSRI medication. SSRIs take several weeks to work to improve your OCD symptoms, and the dose usually needs to be increased gradually to reach an effective level. Sometimes if the medication reduces your anxiety a lot early on in your treatment, it can make it harder to do the CBT-ERP as this relies on your experiencing anxiety and learning to manage it. However this does mean it can be difficult to know which part of your treatment was the most helpful, which your professional might talk to you about when you come to stopping the medication. Unless you do not want CBT-ERP, you should continue with CBT-ERP while taking medication as this is usually more helpful. If you also have depression, your professional might suggest Fluoxetine instead. Your professional might also recommend other SSRIs if they would suit you better, for example if you take other medications.
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