Hi Carolin - I feel so badly for you, after reading your last post. A few questions. Is a psychiatrist familiar with OCD and other anxiety disorders working with your dosages of Luvox and Lexapro (escitalopram)? Or is this just a GP? I believe both are SSRIs. From what I have learned over the years is that doctors shouldn't prescribe 2 SSRIs at the same time-but maybe this advice has changed, not absolutely sure. Another question. What reason are you stopping Luvox? Luvox is the primary SSRI for OCD but other SSRIs work also, but perhaps not quite as well. You said you have OCD and panic disorder. Which is the most severe/disabling disorder, or are they equally just as disabling. Panic Disorder can have some OCD type qualities if severe enough, but true OCD is really quite a separate disorder with different physiological (brain) malfunctions. You said you've tried other meds.
Have you been tried on Clomipramine (Anafranil) for the OCD? As I said in an earlier post, I knew a woman who had really severe OCD and psychological treatment didn't work - she was finally put on clomipramine with excellent results (it's one of the older tricyclics).
I have worked with so many people on these various drugs, and it sounds odd to me that Lexapro is making you so exhausted, plus increasing your panic attacks. I'm concerned that you're still on 200 mg. Luvox and now on 20 mg. or higher of Lexapro. You could possibly have 'Seratonin Syndrome' from too much of the SSRI (causing too much serotonin) in your body.
Ideally your dr should have taken you off one SSRI completely before starting you on another. For instance, about 4 months ago, my psychiatrist insisted in taking me off Prozac completely before he'd allow my pain dr to start Tramadol, as Tramadol increases serotonin. I don't know about the combination of Luvox with clomipramine - will try to find out for you. You also mention you've had OCD for 15 yrs... when did the panic disorder start? What meds have you been tried on so far, as you said you've been tried on 'several' medications.
Please try to hang on there. I wouldn't go up any more on the Lexapro for now-what is the highest dosage your dr. is aiming for? Can you seek a 2nd opinion? Are you near a university psychiatry clinic? Lexapro just might not work for you, and everyone has different reactions to these meds --- and remember, most of the SSRIs work for OCD and panic. I had good luck with Prozac and clonazepam for panic (but didn't have OCD). Don't give up. So many of us have been thru these horrible symptoms and doctors just don't seem to believe us. So hang in there, get back to me asap. My heart goes out to you, and my prayers are with you. You will get thru this