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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by yeltom on January 31, 2003, at 15:24:40
Still looking for comments from people who have tried a low dose of seroquel in conjunction with an SSRI for OCD. Did it work? What dose was sufficient? Did you have problems with sedation?
Posted by rainbowlight on January 31, 2003, at 20:17:50
In reply to low-dose seroquel for OCD, posted by yeltom on January 31, 2003, at 15:24:40
I have tried this. I think it could help you depending on the type of OCD you have. I was (am) a compulsive cleaner/arranger and it would help me to be able to actually sit down and relax. However, I found it to be too sedating for my taste. It's a pretty sedating med. I have heard from my pdoc that the sedation goes away in time, I never got that far into it to figure that out. I have found Zoloft to be the best for OCD for me.
Posted by yeltom on January 31, 2003, at 20:27:52
In reply to Re: low-dose seroquel for OCD, posted by rainbowlight on January 31, 2003, at 20:17:50
I also can be a compulsive cleaner/arranger. I am definitely aware of the sedation, but I'm hoping that it will help me sleep and that (because of its short half-life) the sedation during the day won't be so bad. (I take trazodone at night now but am hoping that I won't need it if I take seroquel.) What I'm curious about is what dosage you took and what dosage your doctor was aiming for. I can't find much info regarding dosage for Seroquel when used to augment an ssri for ocd. How long did you try it for? Thanks
> I have tried this. I think it could help you depending on the type of OCD you have. I was (am) a compulsive cleaner/arranger and it would help me to be able to actually sit down and relax. However, I found it to be too sedating for my taste. It's a pretty sedating med. I have heard from my pdoc that the sedation goes away in time, I never got that far into it to figure that out. I have found Zoloft to be the best for OCD for me.
Posted by rainbowlight on January 31, 2003, at 21:35:16
In reply to Re: low-dose seroquel for OCD » rainbowlight, posted by yeltom on January 31, 2003, at 20:27:52
I was taking 25 mgs. once a day (which is a small dose). That was about all I could handle. Anymore than that and I wouldn't be able to get out of bed. It will definately put you to sleep if you take it at night. The good thing is that it take effect really fast so you will know if it will help pretty quickly. I only tried it for a few weeks. I didn't really care for it. It made me feel like a zombie, kind of loaded and heavy. I had pretty good luck with a low dose of Risperdal for awhile. I am afraid of the anti-psychotic meds after hearing the different long term problems people have had with them. Have you tried other meds for OCD? Such as Paxil, Luvox, Celexa, etc.? Did you have any luck with any of them?
Posted by yeltom on January 31, 2003, at 21:42:22
In reply to Re: low-dose seroquel for OCD, posted by rainbowlight on January 31, 2003, at 21:35:16
I'm on Celexa, but it doesn't do enough. Have been on Prozac and Luvox, but they killed me sexually. Risperdal seemed to do the same thing. If you think seroquel makes it hard to get out of bed, try zyprexa. That's why I'm trying seroquel. It's a bit discouraging that you were so sedated on only 25 mg. I did read something that said seroquel's sedation is not very dose-dependent, meaning that it doesn't get much worse when you raise the dose, but that seems strange. Did your doctor give you any idea what he thought an effective dose of seroquel might be? I'm assuming you were taking it in addion to an ssri.
> I was taking 25 mgs. once a day (which is a small dose). That was about all I could handle. Anymore than that and I wouldn't be able to get out of bed. It will definately put you to sleep if you take it at night. The good thing is that it take effect really fast so you will know if it will help pretty quickly. I only tried it for a few weeks. I didn't really care for it. It made me feel like a zombie, kind of loaded and heavy. I had pretty good luck with a low dose of Risperdal for awhile. I am afraid of the anti-psychotic meds after hearing the different long term problems people have had with them. Have you tried other meds for OCD? Such as Paxil, Luvox, Celexa, etc.? Did you have any luck with any of them?
Posted by zeugma on February 1, 2003, at 14:42:27
In reply to Re: low-dose seroquel for OCD, posted by rainbowlight on January 31, 2003, at 21:35:16
> I was taking 25 mgs. once a day (which is a small dose). That was about all I could handle. Anymore than that and I wouldn't be able to get out of bed. It will definately put you to sleep if you take it at night. The good thing is that it take effect really fast so you will know if it will help pretty quickly. I only tried it for a few weeks. I didn't really care for it. It made me feel like a zombie, kind of loaded and heavy. I had pretty good luck with a low dose of Risperdal for awhile. I am afraid of the anti-psychotic meds after hearing the different long term problems people have had with them. Have you tried other meds for OCD? Such as Paxil, Luvox, Celexa, etc.? Did you have any luck with any of them?
I think you're absolutely right to be concerned about the long-term effects of even atypical A-P's. As far as I can tell, they should be used with disorders like OCD ONLY when comorbid psychosis is present. Period. I cannot understand why they would be given in any other circumstance.I have heard that clomipramine is extremely effective for OCD.
Posted by rainbowlight on February 1, 2003, at 19:27:18
In reply to Re: low-dose seroquel for OCD » rainbowlight, posted by yeltom on January 31, 2003, at 21:42:22
Yes, I was taking it with an SSRI. I find the SSRI's to be much more effective. Have you tried Paxil or Zoloft? Both seem to work well for OCD. My doctor started me at 25 mgs. Seroquel. I am not sure what her target dose was, I never made it past the 25 mgs. If you try it let me know how it goes.
Posted by babs on February 3, 2003, at 21:26:49
In reply to low-dose seroquel for OCD, posted by yeltom on January 31, 2003, at 15:24:40
yeltom- have you started the seroquel yet? How's it going? I'm curious to know what your experience is as it may be my next shot if the geodon doesn't work out. Hope you're doing well. babs
Posted by babs on February 3, 2003, at 21:30:08
In reply to Re: low-dose seroquel for OCD, posted by babs on February 3, 2003, at 21:26:49
I should have told you I too will be using it to augment Celexa for OCD. How much Celexa are you on? I'm on 60 mg.
Posted by yeltom on February 3, 2003, at 21:59:30
In reply to Re: low-dose seroquel for OCD, posted by babs on February 3, 2003, at 21:30:08
I'm on 40 mg of Celexa. It's my 4th day on Seroquel. I just went up from 25 mg to 50 mg. It's making me pretty damn sleepy. Hard to believe people take 10 times this much, but I guess it will get better. I'm definitely still obsessive. As you can probably tell, I'm obsessing about whether Seroquel is the right drug to be on. Are you not having luck with Geodon? How's the sedation? What does your doctor say about the potential heart problem that Geodon can cause, or is that only an issue at higher doses?
> I should have told you I too will be using it to augment Celexa for OCD. How much Celexa are you on? I'm on 60 mg.
Posted by babs on February 4, 2003, at 6:38:16
In reply to Re: low-dose seroquel for OCD » babs, posted by yeltom on February 3, 2003, at 21:59:30
i'm having real problems with the geodon and i don;t know if it' the switch or the geodon itself but I'm incredibly anxious and I'm having obsessions that weren't there before. We're going to give it to Friday and then try seroquel. As far as the heart problems go, I guess it's very rare and shouldn't be a problem unless you have a prexisting heart condition or combine geodon with something else that prolongs the QT interval. Please keep me posted on how you are doing. I wish you health and happiness, babs
Posted by alibahbah on March 11, 2003, at 14:10:11
In reply to Re: low-dose seroquel for OCD » yeltom, posted by babs on February 4, 2003, at 6:38:16
Digagnosed as bipolar, OCD,w/ paranoid tendancies. I am currently taking Effexor 37.5mgs and 50mgs of Seroquel in the am. Then in the PM taking 100mgs of seroquel. I have been taking the seroquel for about 3 weeks. Prior to that I was taking 75mgs of Effexor XR with Geodon. (Can we say manic.) Backed off of both then started the above. So far so good the Effexor XR gets rid of the sleepiness that the Seroquel produces... mentaly alert... no hang-over... feel good.. helping OCD and psycosis. We shall see if next week when the Effexor XR is up-ed to 75mgs if I go manic. These drugs...Can't live with em' can't live without em'
Posted by dgold on January 7, 2004, at 13:17:08
In reply to Re: low-dose seroquel for OCD, posted by alibahbah on March 11, 2003, at 14:10:11
which is better for OCD??
Which is more sedating??
what has better side effects??Thanks
This is the end of the thread.
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