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18 Apr 2006

Equinorm vs. SRIs
My doctor has just diagnosed me with OCD. At first he thought it was Schizophrenia and when I didn't take well to that medication I was put on ametripeline. Now he has put me on Equinorm for about the last three weeks, which doesn't seem to be working yet. I'm wondering why he would put me on this instead of SRI medication?
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Expert
CyberShrink
cybershrink

01 Jan 0001

Amitriptyline is an old, tricyclic antidepressant ( old in the sense of having been around for many years now, and available in cheaper generic forms ). Equinorm is another old antidepressant, the chemical name of which is Clomipramine. Maybe your doctor did his psychiatry trainign some time ago, when these were around the best alternatives available for treating OCD. Nowadays, I would have thought that SSRI's would be a more obvious choice, especially now that there are cheaper generic forms available of many of them. COuld you perhaps tactfully ask for a referal to a good local psychiatrist for a second opinion, as to the diagnosis and treatment that might be best to try at this stage ?
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