Hi,
Iv been taking Sertraline for 14 weeks now for depression and ocd, I'm up to 200mg per day which is apparently the treatment dose for ocd but I haven't noticed it improved my ocd at all. Anyone else have any experience of this? I'm not sure if I just have to wait a bit longer for the higher dose to work? Thanks
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That is a high dosage , i suggest that you get in touch with your doctor or psychiatrist , maybe you need another med , as after 3 months it should be working .
I can't say if the sertraline isn't working, but usually it kicks in after about a month. Occasionally higher doses can be prescribed, though 200 mg a day is normally the highest. I'm on 300 mg a day.
If the 200 mg a day dose is fairly recent, give it a bit longer. But something that medication rarely does it take away the OCD altogether. Medication is most helpful if used alongside CBT. It can only help a little without CBT.
So ask about CBT if you're not getting it already. There are also plenty of self help books that can get you started, or supplement a course of CBT from a professional therapist.
Here is an official link from the NHS which explains about sertraline.
google.com/search?q=sertali...
If it doesnt work for you, ask for Fluoxetina or some of the others, its your right.
be well
Max
If multiple SSRI's don't work you may want to consider clomipramine. It's meant to be very effective in resistant ones, especially when augmented.
However, with it I got weight gain, high cholesterol, and a few other problems. You might be able to have observations done whilst on it to monitor whether you get those issues
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My OCD is too much to handle right now!
Fluoxetine for contamination ocd
Zoloft for OCD 
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