Ask Dr. Geller

[Guest guest]

Dear Dr. Geller,

I have a question about Luvox. My 14-year-old son has had anxiety and

mild OCD for a long time. This Spring, his anxiety got bad enough so

that he stopped doing his homework at school, and his psychiatrist

added Luvox to the Seroquel my son was already taking. He started him

at a low dose (12.5 mg) and we've gradually increased it to 100 mg.

The Luvox has actually been activating to my son, so the doctor also

increased his Seroquel at night to 125 mg and 25 mg in the morning.

The problem is that my son's OCD seemed to get much worse for a time

as we gradually increased the Luvox, then got better as we reached

the 100 mg, although it's still much worse than it was before we

started the Luvox. My question is, could the Luvox actually be

triggering the OCD or making it worse? I'm afraid to increase the

Luvox yet again, as my son's doctor is recommending, and the doctor

is of the opinion that if the Luvox doesn't work, we shouldn't try my

son on another SSRI (we tried him on Paxil when he was about 8 years

old, and that was not good--very activating--and Celexa a couple of

years ago, and that made him nauseous). It's a tricky situation.

Thanks in advance,

Meckman37