Posted by linkadge on September 9, 2005, at 7:24:25
In reply to Re: linkage, SLS, Curt ,brainy people, posted by SLS on September 9, 2005, at 1:07:05
The only problem I see, is that effexor is not approved for OCD, neither is remeron or seroquel.
Mixed results have been noted for OCD and this SNRI. I would think that a pure SSRI would be much more efficatious.
I also think that remeron may worsen OCD symptomology.
"He said that his OCD will tell him to keep getting up and doing more (anxiety wise)"This could be related to the strong noradrenergic effect of the combination. In OCD serotonin seems to be the key chemical, boosting noradrenaline to such an extent could lead to anxiety, insomnia, anger, etc.
I think that replacing the remeron with trazedone would be a positive change.
Linkadge
poster:linkadge
thread:552017
URL: http://www.dr-bob.org/babble/20050909/msgs/552650.html