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Re: Sam -- Continuous music, mild epilepsy & Tegretol

Posted by Zeke on December 30, 1999, at 3:01:37

In reply to Re: Sam -- Continuous music, mild epilepsy & Tegretol, posted by Cindy W on December 27, 1999, at 9:05:37

> Sam, I agree with peter that continuous music may be OCD. I've been replaying Christmas carols in my head for weeks now (for hours and hours at a time), and I have OCD.--Cindy W

It could be OCD but what strikes me is that you had said it is THE SAME SONG. Now I hear you perhaps saying otherwise. With OCD this song would tend to vary, at least a bit. But in epilepsy, it tends to be the same.

But since subclinical epilepsy is a real possibility -- look at the literature -- get an EEG which could at least confirm it. (Though a negative EEG would not rule it out necessarily.)

I can understand the clozaril in as much as that seems to help with auditory hallucinations (such as in schizophrenia). However note that Clozaril can precipitate dose-related seizure disorders*. (Indeed Depakote is often prescribed to offset this risk.)

So consider an EEG. If you have a seizure disorder then Clozaril should be reconsidered, or at least a temporal lobe anticonvulsant other than Tegretol added.

Personally, I'm freightened by the side effect profiles of the neuroleptics, even the newer ones (though this may be acceptable relative to severe OCD). And I appreciate what you mean about SSRIs too. As an alternative consider the reported antiOCD effects of stimulants also (Do a PubMed search on amphetamine and OCD).

Lastly, consider the EEG because this isn't simply an OCD vs. epilepsy debate -- obsessional disorders can be a consequence of limbic seizure activity and this can occur without clinical seizures.


Also be aware of the contraversy about Clozaril (clozapine) and OCD:

* see:




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