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Welcome to Just answer !
I am sorry to learn about your condition and I empathize with you.
Kindly please tell me what all drugs other than Zoloft are you taking right now ? Also please mention the dose of Zoloft that you are currently taking and also the doses of other drugs if at all they are being used ?
I am currently taking 200 mg of Zoloft per day. And I am prescribed Trazadone to sleep - 100 mg per day at night as needed - although I sometimes only take 50 mg (the psychiatrist said this is okay). I also have klonopin 0.5 mg once daily as needed. I haven't been taking that at all but last night I took 1 mg because I was anxious and it helped me fall asleep. Feeling very anxious now.
Sorry i didnt mention the other meds previously. I think that maybe because they are just as needed that i didnt think of them as being that important, but they are.
After having a look at your drug regime i will like to suggest some basic changes which go well with effective management of OCD symptoms.
-- It will be a good ploy to introduce an antipsychotic drug such as either abilify ( aripiprazole ) at dose of 10-15 mg / day or zyprexa ( olanzapine) at dose of 10-20 mg / day to your current drug , the reasons being :-
1) Your obsessional thinking and compulsive rituals ( if at all present ) will be effectively curtailed by the antipsychotic chosen form the above options.
2) Your diagnosis is still inconclusive owing to 2 different diagnoses coming from two different professionals but one cannot rule out the fact that you had paranoid / delusional beliefs in the past which keep the diagnosis of psychosis in contention , so the use of anti psychotic will prevent development of psychosis if at all it tries to develop in the first place but the addition of this drug will provide you a more rounded and complete drug regime to manage your symptoms.
3) Both anti psychotics mentioned above have an additional sedative action , so whichever out of them when chosen shall be used at night time so that it can bypass the need for use of trazodone to induce sleep since the antipsychotic drug will do the job for you in addition to it's main actions. And if at all trazodone has to be used in addition then it's dose shall be reduced to minimum possible dose of 25 mg / day which will only help your compliance.
So to summarize the below mentioned drug regime shall suit you most--
-- Continue use of Zoloft and klonopin in their respective doses as they are being used right now.
-- Add 1 of the above mentioned anti psychotic drugs for managing ocd and prevention of psychosis and helping in sleep problem.
-- Trazodone to be withdrawn completely or reduced to minimum dose after introduction of anti psychotic drug.
Kindly discuss this with your doctor.
I hope this helps.
Wish you all the best.
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