Should I wait for the full 3 months for Luvox to work or switch to another antidepressant?
Question posted by empire5sb on 15 Nov 2011
Last updated on 10 June 2022
To anyone who knows about these meds (especially those who know Luvox/fluvoxamine), 29 year old male here w/ severe and chronic anxiety & OCD. Been taking 200mg of luvox for 8 weeks (started on a low dose of course). 8 weeks and Im still depressed, anxious, my OCD hasn't improved, fustrated and impatient. Generally it takes 12+ weeks for a SSRI to work on your OCD but nothing seems to be happening, by now i should have seen some improvement in my mood. Luvox has been "proven to be the best med for OCD" by crazymeds.com. Maybe it doesnt work well on depression but it might have some future benefit on anxiety & OCD which makes me feel i should wait more. Should i continue to wait an extra 4-5 weeks? Or should talk to my psych doc about a new medication? already have taken Zoloft which was the first and only med to have worked for me-it was a miraculous drug but after 2 years on 50 mg it stopped working-my dose was increased to 100mg and didnt work either. i was switched to celexa then prozac-neither didnt do crap even at very high doses. and now im on luvox. Ive also been taking Buspar for a few weeks at 5mg (3x a day), it relaxes my mood a bit. the only one i havent tried is Paxil or i might just consider going back to zoloft; this time at a higher dose. would zoloft work the 2nd time if i choose to take it? Is there anyone out there who can give me there most valued opinion, i'd greatly appreciate it.
My wife finally overcame her OCD after getting to dosage up to 300 mg and staying with that dosage for about 5 weeks. 300 is considered the therapeutic dose by the experts in this field. But her depression is still there. Her Therapest, who is an expert in treating OCD says this- "She really needs long term help to do some serious cognitive work in this area. Meds just go so far and you can't keep upping the dose..She is on a lot right now. Most folks recommend combined therapy when using drugs. Also it is important for long term stability to attribute change in thinking to your own work not a chemical."
Votes: +0
ZY
zydecomolly
26 Feb 2012
Hey Empire, I dont know if you have already switched, but I too am on Luvox... only 100mg as of a week ago... been on a total of 4 weeks, it seems to be helping ocd some, but nada on depression do far... as you say it takes a long time for ocd effects they say. I think it wise you give it a bit more time and you can increase to 300 with luvox which is max. dosage im sure you know, ask doc if you can augment another drug for depression, I have heard Prozack is safe w/it.. at least when you look it up on drugs.com and do the interactions checker those two seem fine together. let me know if you progress, im curious as I too am looking for more ocd and definatly depression relief from luvox
Votes: +0
IN
Inactive
15 Nov 2011
Hello empire5sb. You've a fair amount of choices. I'm not going to suggest try this or a combination of these two and so on and so on. You might want to wait and see, in regards to the luvox and if it doesn't seem to be of help, go on back to the zoloft. Your dose on zoloft wasn't high, so you've room in that area to have it increased. I was on zoloft (300mg) for anxiety and ocd. I had to stop taking it because of the fatique, left my tired. My current meds are paroxetine (paxil) and mirtazapine (remeron). I'm holding my own at present, no deteriation, no improvement. Very best of wishes,
Votes: +1
PR
Praisemaker60
10 June 2022
May I ask a question, what about mirtazapine and weight? Like 7mg for sleep?thank u
DE
Delila
15 Nov 2011
Hi i would advise you to discuss this with your psychiatrist, he/she may decide to increase your dose, even though you have been on it for 8 weeks and not 12. It is possible to try this and i know in cases i've heard of that it can work. Whether this is an option for you or not, i would generally say that you should try to wait out another 4 weeks, because any new med will take this time or longer to work, so you won't be any better off in the short term. If you find that Luvox isn't the medication for you, you could try Mirtazipine. A friend of mine takes this for her OCD. I hope you get some relief very soon.
Votes: +0
EM
empire5sb
15 Nov 2011
Should i increase the dose as soon as possible or wait another 4 weeks?
Thanks
DE
Delila
15 Nov 2011
I would suggest the dose is increased now but obviously you need to clarify this with your doctor. When starting an anti-depressant 2 or 3 years ago my dose was increased before the recommended 4 week period & I felt a lot better! I know you are taking your medication for OCD but you can still benefit as I did. Goodluck