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Suggest Remedy For Manic OCD While On Prozac
Question: i was diagnosed with harm ocd i have constant thoughts of calling the police shooting stabbing urges and images all day long. I currently take 60mg of prozac and 80 mg of latuda i have been on prozac for one month exactly today and have not noticed a decrease in my thoughts should i start to feeel the proxzac working soon it always feels like im gonna act on my urges
Brief Answer:
we should wait for 1month before we plan to raise the dose
Detailed Answer:
Hello,
Welcome to health care magic!
Thanks for writing back.
I have read your query and can see that despite a month of taking 60mg prozac you have no relief from OCD symptoms.
I would like to tell you that you need not be dishearten by this as I have seen the similar scenario with my patients of ocd...they take more time compared to cases of depressive or anxiety disorder, in getting better.
In general we allow the medicine to continue for 8-10 weeks to have a response in OCD.
OCD is slow to show improvement. Even the dosage needed by an OCD patient is slightly on the higher side...
Had you been under my treatment I would have waited for another month before increasing the dosage further.
Please have faith in the medication...and dont take stress...the urges of harm are there but you will not act on them. They are troublesome but you dont have the compulsive component in you.
I wish you good health!
Please feel free to ask more queries for clarification.
Dr. Manisha Gopal
MD Neuropsychiatry
we should wait for 1month before we plan to raise the dose
Detailed Answer:
Hello,
Welcome to health care magic!
Thanks for writing back.
I have read your query and can see that despite a month of taking 60mg prozac you have no relief from OCD symptoms.
I would like to tell you that you need not be dishearten by this as I have seen the similar scenario with my patients of ocd...they take more time compared to cases of depressive or anxiety disorder, in getting better.
In general we allow the medicine to continue for 8-10 weeks to have a response in OCD.
OCD is slow to show improvement. Even the dosage needed by an OCD patient is slightly on the higher side...
Had you been under my treatment I would have waited for another month before increasing the dosage further.
Please have faith in the medication...and dont take stress...the urges of harm are there but you will not act on them. They are troublesome but you dont have the compulsive component in you.
I wish you good health!
Please feel free to ask more queries for clarification.
Dr. Manisha Gopal
MD Neuropsychiatry
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
when would you think i would see improvement and would the urges stop with the harm thoughts i always feeel like im going to harm myself or soemone else and calling the police i also take latuda 80mg which i dont notice helps do you think prozac is a good choice for harm ocd
Brief Answer:
prozac is amongst the drugs of choice for ocd & latuda is right for you
Detailed Answer:
Hello,
I can understand your concerns. It is indeed tiresome to feel on the nerves all time. But this will get better...dont worry.
As far as my clinical knowedge is concerned, I hope that you should feel improvement in a month more.
Till then if the stress disturbes you a lot- you may take etizolam 0.5mg on pnr basis. This molecule is very helpful in controlling anxiety and is not sedative at the same time. I have been using it in my clinic with my ocd patients quite regularly, with good response.
Prozac is a recommended drug for managing ocd- so, its just the matter of time you & you will start getting relieved.
Please have faith. Try to be busy with somework and be with people ..dont be alone.
Keeping company and and doing some work always helps in recovery.
If there is limited scope of socialisation in your area, then pursuing a hobby like gardening or just watering plants or cooking or even painting would help.
So, it will be wise to wait for a month more before increasing the dosage of prozac.
Wish you a speedy recovery .
Please ask if there is any clarification needed.
Dr. Manisha Gopal
MD Neuropsychiatry
prozac is amongst the drugs of choice for ocd & latuda is right for you
Detailed Answer:
Hello,
I can understand your concerns. It is indeed tiresome to feel on the nerves all time. But this will get better...dont worry.
As far as my clinical knowedge is concerned, I hope that you should feel improvement in a month more.
Till then if the stress disturbes you a lot- you may take etizolam 0.5mg on pnr basis. This molecule is very helpful in controlling anxiety and is not sedative at the same time. I have been using it in my clinic with my ocd patients quite regularly, with good response.
Prozac is a recommended drug for managing ocd- so, its just the matter of time you & you will start getting relieved.
Please have faith. Try to be busy with somework and be with people ..dont be alone.
Keeping company and and doing some work always helps in recovery.
If there is limited scope of socialisation in your area, then pursuing a hobby like gardening or just watering plants or cooking or even painting would help.
So, it will be wise to wait for a month more before increasing the dosage of prozac.
Wish you a speedy recovery .
Please ask if there is any clarification needed.
Dr. Manisha Gopal
MD Neuropsychiatry
Above answer was peer-reviewed by :
Dr. Prasad
Would it also help with the urges and harm thoughts or just decrease them it is very disturbing to not know if it will work why is it that i feeel no relief with the latuda but i have been taking since september 24
Brief Answer:
yes, the urges will reduce and stop and latuda may be increased or changed
Detailed Answer:
Hello,
I know it is disturbing for the patient...and even the treating team is concerned till there is no relief..but please wait..the medication will work, we need to give it another 4 weeks before we hike it further.
The medicine usually reduces the intensity of urges and then the frequency is decreased and finally the urges dissolve completely. Sometimes the sequence may change and the frequency if the urges is decreased from the start.
So, dont worry.. in any case, the response will be there.
You may ask your doctor to either hike latuda or change it . The role of antipsychotic in ocd is for potentiation of anti anxiety drug...if I am treating a similar case and there is hardly any benefit, then I usually go for increasing the dosage or shift to another molecule.
Something like resperidone or quiteapine have been researched to give good response. Even I have seen very good results with them in my ocd patients.
So, you may discuss the points with your team there and see if something can be done. The doctor will do whatever he thinks will be best for you. Please trust and have patience. You will get well.
Wish you good health.
Dr. Manisha Gopal
MD Neuropsychiatry
yes, the urges will reduce and stop and latuda may be increased or changed
Detailed Answer:
Hello,
I know it is disturbing for the patient...and even the treating team is concerned till there is no relief..but please wait..the medication will work, we need to give it another 4 weeks before we hike it further.
The medicine usually reduces the intensity of urges and then the frequency is decreased and finally the urges dissolve completely. Sometimes the sequence may change and the frequency if the urges is decreased from the start.
So, dont worry.. in any case, the response will be there.
You may ask your doctor to either hike latuda or change it . The role of antipsychotic in ocd is for potentiation of anti anxiety drug...if I am treating a similar case and there is hardly any benefit, then I usually go for increasing the dosage or shift to another molecule.
Something like resperidone or quiteapine have been researched to give good response. Even I have seen very good results with them in my ocd patients.
So, you may discuss the points with your team there and see if something can be done. The doctor will do whatever he thinks will be best for you. Please trust and have patience. You will get well.
Wish you good health.
Dr. Manisha Gopal
MD Neuropsychiatry
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
can the ocd give me false memories like i believed that i threw my kids out the window like i have delusions can you have that with harm ocd
Brief Answer:
yes, these false images or memories can be seen& it gets fine with medicine
Detailed Answer:
Hello,
Yes, in ocd there can be false imaginary images or scenes which are disturbing for the patient. Like, one might feel that he killed someone while driving or in your case as if you threw your kids ....but they arent true...those are just false or rather obsessive thoughts / imgaes which one might have in ocd.
They are repetitive in mind and person keeps on checking if he did so or not..
So, even your "false memories" are part of the illness and not delusions. I have seen them in many patients and I can understand how crippling they can be. But the medication helps them too.
I hope the reply is useful for you.
Please feel free to ask more questions for clarification.
Dr. Manisha Gopal
MD Neuropsychiatry
yes, these false images or memories can be seen& it gets fine with medicine
Detailed Answer:
Hello,
Yes, in ocd there can be false imaginary images or scenes which are disturbing for the patient. Like, one might feel that he killed someone while driving or in your case as if you threw your kids ....but they arent true...those are just false or rather obsessive thoughts / imgaes which one might have in ocd.
They are repetitive in mind and person keeps on checking if he did so or not..
So, even your "false memories" are part of the illness and not delusions. I have seen them in many patients and I can understand how crippling they can be. But the medication helps them too.
I hope the reply is useful for you.
Please feel free to ask more questions for clarification.
Dr. Manisha Gopal
MD Neuropsychiatry
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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