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Re: Prozac Derealization But Improved OCD

Posted by Englishman006! on November 28, 2013, at 22:02:54

In reply to Prozac Derealization But Improved OCD, posted by Exisessentialist on October 28, 2013, at 8:14:41

Hi Exisessentialist, how are you travelling? With regard to your cocktail, wellbutrin may well have been contributing to your anxiety. It can also cause irritability.

Often 20mg prozac is enough to get a slight anti-OCD effect.

As far as the depersonalisation/derealisation is concerned I would recommend Lamotrigine. It must be started at low dose (25mg) and be slowly increased weekly - watch for any rash, if detected STOP immediately. Aim for 200-300mg. You may also experience some relief of your OCD and certainly your depression should improve.

It may be a good idea to streamline your other meds and reduce/come off some of them.

A benzodiazapine for emergencies may be of some comfort until you are stabilised?

Dissociative disorders are more a result of glutamate disregulation than anything else.

I understand that too many opinions can complicate matters but I believe Lamotrigine (Lamictal) is definitely worth considering.






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