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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by babs on February 16, 2003, at 19:11:18
My OCD doesn't respond to celexa (which works fine for my depression) and I am currently on risperdal to augment it but looking to get off (the risperdal) due to side-effects. Would like to hear people's experiences using klonopin and the like for OCD. Thanks, babs
Posted by ace on February 16, 2003, at 21:41:31
In reply to anyone use a benzo for OCD?, posted by babs on February 16, 2003, at 19:11:18
> My OCD doesn't respond to celexa (which works fine for my depression) and I am currently on risperdal to augment it but looking to get off (the risperdal) due to side-effects. Would like to hear people's experiences using klonopin and the like for OCD. Thanks, babs
Hey!,
How does the Resperidal for the OCD?
Honestly, I don't think many benzos would do much for OCD (or anything at all. Diazepam does nothing for my atypical OCD. If you get very anxious about the wierd thoughts they'll calm you, but they won't stop the wierd thoughts I'd think. But Klonopin would be your best bet out of all of them.
Ace.
What have you tried for the OCD?
Posted by babs on February 17, 2003, at 8:28:30
In reply to Re: anyone use a benzo for OCD? » babs, posted by ace on February 16, 2003, at 21:41:31
Thanks Ace- the risperdal has worked great for the OCD in the past (I think it may be pooping out on me though)but I gained 60 pounds on it. Several people on this board suggested trying a benzo for OCD so I wanted to investigate it. I'm not sure a benzo would do much for my obsessive thoughts though. Thanks for your response.
Posted by michael73 on February 17, 2003, at 19:07:46
In reply to Re: anyone use a benzo for OCD? » babs, posted by babs on February 17, 2003, at 8:28:30
I took Klonopin for five years. It helped with anxiety but I don't think it did anything for OCD. Michael73
Posted by ace on February 17, 2003, at 20:14:18
In reply to Re: anyone use a benzo for OCD?, posted by michael73 on February 17, 2003, at 19:07:46
> I took Klonopin for five years. It helped with anxiety but I don't think it did anything for OCD. Michael73
How did you go on withdrawal from Klonopin Mike?
BTW, my Anafranil qstns to you are in last weeks posts. Can I ask some more on Anafranil?
Posted by freedom2001 on February 17, 2003, at 20:57:15
In reply to anyone use a benzo for OCD?, posted by babs on February 16, 2003, at 19:11:18
> My OCD doesn't respond to celexa (which works fine for my depression) and I am currently on risperdal to augment it but looking to get off (the risperdal) due to side-effects. Would like to hear people's experiences using klonopin and the like for OCD. Thanks, babs
As of 1994 there are reports of six adults for whom clonazepam successfully treated their OCD. In five of these cases clonazepam was used alone. In the sixth it was used as an augmentation agent. In 1987 Cohen and Rosenbaum reported a patient with OCD, and no other anxiety disorder, who responded partially to imipramine. This patient improved significantly with clonazepam augmentation. This response discontinued after the clonazepam was stopped, and returned once the augmentation had begun again. A second patient, with both OCD and panic disorder, experienced a total remission of symptoms while on clonazepam, according to Bodkin and White in 1989. In 1990 Bacher reported the successful use of clonazepam in a 60-year old man for whom other benzodiazepines had been ineffective. Hewlett studied 3 OCD patients who responded to clonazepam in 1990. When two of these patients discontinued the drug treatment they experienced significant relapse of the OCD symptoms.In 1993 Ross and Piggott reported using clonazepam in the successful treatment of a 14-year old male OCD patient. The boy had previously failed trials of clomipramine, thioridazine, diazepam, and fluoxetine. "To our knowledge, this current case study represents the youngest individual to receive clonazepam augmentation of serotonin reuptake blocking medications. It is also the first report of the long-term outcome of a patient receiving such augmentation. In addition, the patient in this study had complete remission of his obsessive-compulsive symptoms after an overdose of fluoxetine, which raises interesting questions about therapeutic mechanisms.(Allen, p.793.)" He was symptom free for 1 month after the overdose but slowly his OCD symptoms began to return to their previous severity. This patient was then started on fluoxetine therapy, then on fluvoxamine, and finally concurrently with fluoxetine and buspirone. None of these medication regiments were successful in effectively alleviating his OCD symptoms. At the age of 20 the patient's buspirone was discontinued, and clonazepam was instituted as the augmenting agent. Within 1 month he noticed a 75% reduction in the severity of his symptoms. The results of this case indicate that clonazepam may be considered as an augmentation agent to the serotonin reuptake inhibitor medications for treating OCD.
http://lynx.dac.neu.edu/e/ekrenzel/OCDtreatments.htm
Posted by michael73 on February 18, 2003, at 19:38:40
In reply to Re: anyone use a benzo for OCD? » michael73, posted by ace on February 17, 2003, at 20:14:18
Hi, I had no problems with withdrawal for the Konopin. I think I had a hypersense of smell for a few days or maybe that was the Anafranil withdrawal. I took 2mg a day Klonopin. Anafranil was more of a problem with withdrawal. Nothing serious, just a rush back of emotions and the ability to dream and relax. Michael73
Posted by indirect00 on February 18, 2003, at 20:18:10
In reply to anyone use a benzo for OCD?, posted by babs on February 16, 2003, at 19:11:18
I used to have OCD. I find that celexa helped me keep it from coming back, but I went through hell getting rid of it. I became extremely frustrated one day when I couldn't leave the house and couldn't explain to my mother why I was late. I made a promise to myself that I would not fulfill any compulsions the next day. The next day was very miserable, but I made it through. After that first week of cutting off my OCD cold turkey, I found that it was virtually non-existent.
Based on my experience: to get rid of OCD, you have to attack it head-on.
BTW: I know someone who takes klonopin for his OCD; it doesn't help him very much.
Posted by freedom2001 on February 18, 2003, at 21:33:50
In reply to Re: anyone use a benzo for OCD?, posted by indirect00 on February 18, 2003, at 20:18:10
> I used to have OCD. I find that celexa helped me keep it from coming back, but I went through hell getting rid of it. I became extremely frustrated one day when I couldn't leave the house and couldn't explain to my mother why I was late. I made a promise to myself that I would not fulfill any compulsions the next day. The next day was very miserable, but I made it through. After that first week of cutting off my OCD cold turkey, I found that it was virtually non-existent.
>
> Based on my experience: to get rid of OCD, you have to attack it head-on.
>
> BTW: I know someone who takes klonopin for his OCD; it doesn't help him very much.Can I know what doses of klonopin he's taking?
Also, is he taking it alone or as an augmentation to any SSRI? What brand and doses of SSRI is he on?Would appreciate your reply.
Thanks.
Posted by HIBA on February 18, 2003, at 22:51:46
In reply to Re: anyone use a benzo for OCD? » indirect00, posted by freedom2001 on February 18, 2003, at 21:33:50
Hi,
Klonopin monotherapy was very much helpful for me to overcome my OCD. A dose as little as 1.5 mg a day made the difference in me, and six months later I was able to cut down the dosage to 1 mg per day, still maintaining the efficacy. I am no longer taking it, not because I don't like it, but my pdoc doesn't like it.
HIBA
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