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Suggest Treatment For Anxiety And OCD

Posted on Sat, 30 Aug 2014

Question: I am on treatment for anxiety and OCD. I take Keppra as mood stabilizer (1000 mg), Lexapro 2.5.mg, Klonopin 1 mg and Amisulpride 100mg. My psychiatrist changed Keppra to Gabapentine 600 mg. The OCD reappeared with this change, and i don't understand why. Could it be the difference in the dosage between Keppra and Gabapentin?

Answered by Dr. Dr.Raju.A.T (4 hours later)

Brief Answer:
Yes,

Detailed Answer:
Hi,

Thanks for your query.

Keppra (levetiracetam) is considered efficacious than Gabapentin. Do discuss with your treating doctor on the reason why the drug was changed.

The most common reason for such a switch is side effects due to Keppra.

Anyway, Gabapentine also serves the purpose but does take time for its optimum action, say a week or two.

Hope, I answered your query.

Wish you good health.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.Raju.A.T (18 minutes later)

Hi,
Thank you very much for your answer!. The decision was taken because Keppra makes me feel angry and tired.
I would like to know about a good dosage of Gabapentin as mood stabilizer, because my psychiatrist hesitates between 600 mg and 1200 mg. Thanks beforehand,
Regards
XXXX

Answered by Dr. Dr.Raju.A.T (7 minutes later)

Brief Answer:
600 is fine

Detailed Answer:
Hi,

600mg of gabapentine is fine as mood stabilizer.

Regards,

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar