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Clomipramine has also been used experimentally to treat dogs with severe anxiety disorders (separation anxiety, etc.), OCD, or cognitive dysfunction syndrome.[citation needed]
It may take two to three weeks before the full effects of this medication are noticed in most indications and two months or more in OCD.
Along with SSRIs, clomipramine is a frequently prescribed drug for the treatment of OCD. As is typical with the older tricyclic antidepressants (the tertiary amines), it has more side effects than SSRIs, so some authorities regard it as a second-line treatment to be used if treatment with SSRIs fails. However, disregarding side effects, it may be slightly more effective in combating the symptoms of OCD. It is not commonly used for treating depression, and usually another tricyclic (or drug from a different class) would be used. Clomipramine and the SSRIs (specifically paroxetine) have also been used to treat premature ejaculation.
Switching to an SSRI, done correctly, would likely be comparatively beneficial.
When discussing medication, a Psychologist or Psychotherapist will be better than a Psychiatrist (whom focuses more on pharmacological treatment), but all are better than a GP.
Fluoxetine (Prozac) is more for panic disorder than general anxiety or OCD. By comparison, Fluvoxamine CR (
Luvox) if available, may help better with OCD and Anxiety Disorder, but you have to limit or avoid alcohol, caffeine and tobacco. Also consider
Zoloft and the compound
Picamilon.
Herbal extracts of
Brahmi,
Valerian and
St John's Wort are worth considering if you want a non-pharmacological alternative. They need several months to take effect, you will need to limit alcohol and consult a doctor if taking with other medications. They are very easy to come off compared to Pharmacy medicine.
Keep in mind that Psychotherapeutic treatment is more effective than medication, especially long term.
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