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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Flunil, Clonil And Ciplar Be Taken For Being Afraid And Phobic For Everything?

Hello Doctor,
My brother in law was getting afraid of almost everything, a sort of OCD. Few days ago he was he went to Psychiatrist on which doc prescribed Depsert. Later on, he experienced certain side effects and again visited Dr., on that Doc suggested to continue it for a week. After continuing it, he is feeling nice and continuing his work properly. After taking the dose of medicines (doc prescribed for the first time), he again visited doc. This time doc prescribed him with Flunil - 10 mg, Clonil - 25 mg and Ciplar - 10 mg to take for long duration. Could you please suggest me should we continue them as I guess there will be problem due to continuous consumption of Flunil and Clonil?
His condition gos like this -
He speaks very slowly...seems like he thinks lot before speaking
Takes more time for bathing and getting ready
As such he seems very normal but few days ago he told me that he is afraid of almost everything
Thinks lot about many thinks
Not able to concentrate on studies
Kindly suggest what to do and whether to continue with medications prescribed by doc as mentioned above.

Thanks and Regards
Kailash

Mon, 13 Jan 2014
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Psychiatrist 's  Response
Dear kailash,
Lets first discuss about diagnosis as your history is confusing.
OCD- Repetitive intrusive thought leading to increased washing, checking, slowness in daily activities .
Getting afraid always- might be symptoms of Gen anxiety Dis, Secondary to suspiciousness ( Delusion of persecution)
Treament of OCD- clomipramin (clonil ) and fluexetin ( Flunil ). Both are good choices. Flunil can be prescribed upto 60mg and clomipramine-150 mg. If U gradually increase the dose , side effect chance is low. so it's better , you leave it to your psychiatrist regarding diagnosis and dosage of medication, but u focus on symptoms- remitting/relapse, A/E if any to drugs and report to your psychiatrist.
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Can Flunil, Clonil And Ciplar Be Taken For Being Afraid And Phobic For Everything?

Dear kailash, Lets first discuss about diagnosis as your history is confusing. OCD- Repetitive intrusive thought leading to increased washing, checking, slowness in daily activities . Getting afraid always- might be symptoms of Gen anxiety Dis, Secondary to suspiciousness ( Delusion of persecution) Treament of OCD- clomipramin (clonil ) and fluexetin ( Flunil ). Both are good choices. Flunil can be prescribed upto 60mg and clomipramine-150 mg. If U gradually increase the dose , side effect chance is low. so it s better , you leave it to your psychiatrist regarding diagnosis and dosage of medication, but u focus on symptoms- remitting/relapse, A/E if any to drugs and report to your psychiatrist.