On medication for OCD.  No improvement, worsened condition.  Should smoking stopped while on medication?
Patient: Hello sir, I am suffering from OCD since one and half years I'm taking medications as follows Clonil SR 75 mg at bed time, seranata 100 mg tablets three times a day and one riscon forte at bed time. I'm not responding well to this treatment and often conditions some times worsens, is it better to quit smoking while taking these medications. And suggest me the best treatment. Doctor: HiYou are getting a concoction of medicines . Neither of these is in full therapeutic dose so no wonder you have not shown improvement. If I were to treat you, I would taper off Clonil over a period of 2 weeks, then riscon forte over 1 week and see how you feel with 300 mg Sertraline ( your correct dose) . you should wait for 6-8 weeks before expecting any improvement because OCD needs higher doses for very long periods to initiate improvement. if you show some improveement, it can be hiked to 350 -400 mg for another 12 weeks before really thinking of change in medicines. It should be mixed with tab clonazepam as required and ERP DR SAATIISH JHUNTRRAA