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FORUMS > Ask the Psychiatrist
Replying to Topic: CYCLIC OCD
Created On 8/31/17 10:14 AM by his8sm


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his8sm
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8/31/17 10:14 AM
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Every medicine I have taken, and I have been through loads has seen a promising start, and then it hits me again.

What i wanted to ask was... I understand the triggers and the intrusive thought as a result of stress etc, but why when the thoughts fade, and they always do, does my head still feel sore and almost like its caused some damage....and then takes a little time for brain to revert back to normal. This is why i think its a biological condition and a lot of evidence shows it so. Once the biological trigger occurs it can take weeks for it to calm down/

and with it being cyclic, was lamotragine a good choice to see if the cyclic moods may be affecting it? just began 100mg 15 days ago, you think i might get asked to go higher if these cycles cant be broken? because otherwise there is no difference to when I was just on Cymbalta, the good times are fine, but the episodes, can come and go every 3 months etc.



 
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Dr. Price MD
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8/31/17 10:55 AM
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Lamictal may prove useful or another stabilizer like a low dose Lithium.

Rabbi Price, M.D.
www.RabbiMD.com
 
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his8sm
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9/1/17 3:20 AM
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thanks
what doses of lamictal may be beneficial
my doctor does not like Lithium at all, and discouraged it
 
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Dr. Price MD
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9/1/17 3:55 AM
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Lamictal can range from 50mg-600mg depending on effects and side effects-antidepressant versus activation, calming versus sedation. Lithium is a better stabilizer and can augment the serotonin effects of SSRI's, SNRI's to help OCD. Lithium is also available over the counter as Lithium Orotate.

Rabbi Price, M.D.
www.RabbiMD.com
 
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Sara26
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9/10/17 1:23 PM
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why do some doctors use lithium as a last option? it changed my life!
 
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Dr. Price MD
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9/10/17 2:50 PM
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Lithium works, but there is potential for permanent thyroid and kidney damage. Lithium orotate may be a safer option.

Rabbi Price, M.D.
Www.RabbiMD.com
 
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