Hi,I am Dr. Alexander H. Sheppe (Psychiatrist). I will be looking into your question and guiding you through the process. Please write your question below.
Hello sir, My sister is suffering from OCD and taking medicine olimets 10mg from 2013 and in between she also have problem of rechecking etc. and doc. prescribe fluvoxin-100 mg and now recents visit doc. change her medicine from olimelt to Arpizol 10 mg on request of sister that with olimelt she gained weight and feel sleepy. Is Arpizol is better than olimelt. She is 26 yr. old .Please let me know whether OCD patients accepts pregnancy becoz i seen in sites that olimelt or arpizol are unsafe during pregnant. please reply sir.
I can understand your concern. She is suffering from OCD. OCD is an anxiety disorder and is relatively difficult to treat. The SSRI drugs like Fluoxetine, Fluvoxamine are drugs of choice for OCD. These drugs should be used in high doses to get relief from persistent OCD symptoms.
She is on 100 mg Fluvoxamine and the dose should be increased in order to achieve remission.
Coming to your doubts. Olanzapine is associated with side effects of sedation and weight gain and if she is not in mood to take Olanzapine then Aripiprazole can be added. The drug has good efficacy and is not associated with side effects of weight gain. Arpizole should be used cautiously in pregnancy. You should report the pregnancy status to your psychiatrist.
Thanks and Take care
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Is Arpizol Advisable Over Olimelt For OCD?
Hello thanks for asking from health care magic I can understand your concern. She is suffering from OCD. OCD is an anxiety disorder and is relatively difficult to treat. The SSRI drugs like Fluoxetine, Fluvoxamine are drugs of choice for OCD. These drugs should be used in high doses to get relief from persistent OCD symptoms. She is on 100 mg Fluvoxamine and the dose should be increased in order to achieve remission. Coming to your doubts. Olanzapine is associated with side effects of sedation and weight gain and if she is not in mood to take Olanzapine then Aripiprazole can be added. The drug has good efficacy and is not associated with side effects of weight gain. Arpizole should be used cautiously in pregnancy. You should report the pregnancy status to your psychiatrist. Thanks and Take care