Good info! I have a pt who failed fluvoxamine, and came to me on clomipramine. Working to titrate from 25 mg, but they c/o heart burn or restless legs at 50 mg
2026-05-30 22:49:11
0
Mao :
not hot take, your pupils are always super small, must be nice being on opioids all day
2026-05-31 14:00:25
0
ProfessorXL :
thats what im on now, paxil. all the other ssris failed. ocd is a pain
2026-05-31 17:20:59
3
Amymv74 :
It’s so hard finding that perfect cocktail. My son’s OCD’s are so bad. We finally got to 40mg of Prozac but not much improvement. He’s also on Wellbutrin 150mg XL
2026-05-31 01:47:51
1
Souhaila :
Atomoxetine- literally takes away ruminations. Downside is it requires 6 weeks to work and the dizziness sucks at first
2026-05-31 00:50:59
1
Kate :
RFK can pull my Paxil from my cold, dead hands. You say it’s not a great med, but I hard disagree. It’s my ride or die. Been a groupie since 2006.
2026-05-31 03:22:32
4
J.J.J. Matthews :
Disgusting medication. Withdrawals were terrible
2026-06-03 16:57:33
1
Absent :
We can’t all take clomipramine, though. If I did I’d be in status in a hot minute. Fluvoxamine kind of works but I can’t take the top range therapeutic dose because of refractory epilepsy
2026-06-02 05:25:56
2
user4279802832882 :
I was on clomipramine for i think 5 years. started having some high liver enzymes. switched to sertraline. aside from the transition phase, I say sertraline is working just as well
2026-05-31 02:27:33
5
CourtneyGabriella :
What about Luvox compared to these two?
2026-06-01 18:00:42
3
aybike :
i have ocd and have been on paroxetine for 4 years, it has completely changed my life for the better
2026-05-31 20:12:41
1
Charmalene Schneck R :
Paxil worked for me son
2026-05-31 04:48:29
1
MentalMidwife :
I admit I actively avoid Paxil so I fully appreciate this take
2026-05-31 00:57:26
1
Lauren :
This! Ive had success with Paxil CR in several of my OCD patients
2026-05-31 00:20:10
1
slavenais :
I have tried all SSRIs for my OCD, MDD, and anxiety. I found that (for me) Paxil was the best for anxiety, and it didn’t cause as much insomnia as other SSRIs. The side effects were not much worse than other SSRIs. I guess I liked that mild sedation for my extreme anxiety.
2026-05-31 06:35:48
1
TooChroo :
Do you think the muscarinic effect of Paxil can serve as an advantage over other SSRIs for anxious depression?
2026-06-07 02:20:37
1
Actually Anne 🫶🏻 :
What about mirtazipine? For some reason my OCD loooooves mirt.
2026-05-31 22:32:14
4
Hansen :
what about lexapro vs paxil? using nac for ocd/mdd where lexapro was ineffective due to sexual sides vs paxil?
2026-05-31 05:19:27
1
user6174743638546 :
What about meprobamate
2026-06-01 12:49:13
1
theborisabramsgroupltd :
Would this work if you have the ss variant SLC6A4 gene (5-HTTLPR)? I have trialed 3 SSRIs and am about to move away completely from them. (I like my Wellbutrin too much to give it up for clomipramine :(
2026-05-30 23:03:48
4
Angie | Gen❌ PsychNP :
I always forget about clomipramine
2026-05-31 12:58:33
1
DaniFF :
The combo or Paxil & mirtazipine ha saved my life. Can you discuss the side effects of both?
2026-06-04 15:52:31
0
Joslyn Modica :
Thoughts on trintellix for ocd
2026-06-09 20:12:24
0
ghoff28008 :
@k
2026-06-11 13:27:46
0
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