The information provided here is meant to give you a general idea about each of the medications listed below. Only the most general side effects are included, so ask your doctor if you need to take any special precautions. Use each of these medications as recommended by your doctor, or according to the instructions provided. If you have further questions about usage or side effects, contact your doctor.
Your doctor may give you medicine to help alleviate your unwanted thoughts and repeated actions. These are often referred to as anti-obsessional medications. They can also help you feel less anxious and afraid. It may take a few weeks before you start to see an improvement
Most of the drugs used to treat OCD are antidepressants. These medications affect brain hormones that are out of balance. If you develop
in association with OCD or as a result of the disability produced by OCD, antidepressants can help with this as well.
In March, 2004, the Food and Drug Administration (FDA) issued a Public Health Advisory that cautions physicians, patients, families, and caregivers of patients with depression to closely monitor both adults and children receiving certain antidepressant medications. The FDA is concerned about the possibility of worsening depression and/or the emergence of suicidal thoughts, especially among children and adolescents at the beginning of treatment, or when there’s an increase or decrease in the dose. The medications of concern—mostly SSRIs (Selective Serotonin Re-uptake Inhibitors)—are: Prozac (fluoxetine), Zoloft (sertraline), Paxil (paroxetine), Luvox (fluvoxamine), Celexa (citalopram), Lexapro (escitalopram), Wellbutrin (bupropion), Effexor (venlafaxine), Serzone (nefazodone), and Remeron (mirtazapine). Of these, only Prozac (fluoxetine) is approved for use in children and adolescents for the treatment of major depressive disorder. Prozac (fluoxetine), Zoloft (sertraline), and Luvox (fluvoxamine) are approved for use in children and adolescents for the treatment of obsessive compulsive disorder. For more information, please visit
Tricyclic antidepressants regulate the neurotransmitters serotonin and/or noradrenalin in the brain. They have been used effectively for the treatment of OCD. Improvement is usually seen in 2-6 weeks after beginning treatment. Tricyclic antidepressants are not addictive.
Selective serotonin reuptake inhibitors (SSRIs) affect the concentration of the neurotransmitter serotonin, which plays a role in
, and OCD. It appears that for most people, high doses of these drugs are required to produce anti-obsessional effects. Improvement is usually seen in 4-6 weeks after beginning treatment. SSRIs are not addictive.
Do not take an SSRI if you have taken a monoamine oxidase inhibitors (MAOI) in the last 2-5 weeks.
Atypical antidepressants affect the concentration of the neurotransmitter serotonin and can be effective in treating OCD. Improvement is usually seen in 4-6 weeks after beginning treatment.
Possible side effects include:
Diminished sex drive
Consultation with a specially trained mental health professional is recommended if you do not respond to treatment with medications. A mental health professional can help clarify the diagnosis and determine if another psychiatric disorder is present. He can also make recommendations about psychotherapy and changes in medications.
Whenever you are taking a prescription medication, take the following precautions:
Take them as directed—not more, not less, not at a different time.
Do not stop taking them without consulting your doctor.
Don’t share them with anyone else.
Know what effects and side effects to expect, and report them to your doctor.
If you are taking more than one drug, even if it is over-the-counter, be sure to check with a physician or pharmacist about drug interactions.
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a