Citalopram plus reboxetine in treatment-resistant obsessive-compulsive disorder
Leonardo F. Fontenelle, Mauro V. Mendlowicz, Eurı́pedes Constantino Miguel, Márcio Versiani
Abstract
Leonardo F. Fontenelle, Mauro V. Mendlowicz, Eurı́pedes Constantino Miguel, Márcio Versiani
Abstract
While serotonin reuptake inhibitors (SRIs) are the first-line treatment of obsessive compulsive disorder (OCD), as many as 40-60% of patients fail to respond to adequate trials with these drugs. In this study, we describe the case of a patient with an SRI-resistant OCD who was successfully treated with a combination of citalopram (a selective SRI) and reboxetine (a selective noradrenaline reuptake inhibitor (SNRI)). This report suggests that future studies accessing the efficacy of the SRI SNRI combination in treatment resistant OCD are needed.
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While serotonin reuptake inhibitors (SRIs) are the first-line treatment of obsessive compulsive disorder (OCD), as many as 40-60% of patients fail to respond to adequate trials with these drugs. In this study, we describe the case of a patient with an SRI-resistant OCD who was successfully treated with a combination of citalopram (a selective SRI) and reboxetine (a selective noradrenaline reuptake inhibitor (SNRI)). This report suggests that future studies accessing the efficacy of the SRI SNRI combination in treatment resistant OCD are needed.
Key concepts: Reboxetine, Citalopram, Serotonin Uptake Inhibitors, Reuptake inhibitor, Serotonin reuptake inhibitor, Medicine, Obsessive compulsive, Pharmacology