Has anyone tried Clomipramine or Fluvoxamine for intrusive thoughts? Im currently on Sertraline 50mg but I dont feel like its working as well as it could. I have tried a range of SSRIs but i never feel quite as well as i should. Have read a lot of mixed reviews, does anyone have any advice?

You aren't a guinea pig and I think often times when we talk to a doctor we think they know everything but just from bad experiences with a few psychiatrists that naive worldview has been crushed for me, aha. I know it is controversial to be against meds but I do think they shouldn't be used if your OCD is not severe. ERP will do more for you than any pill. I'm not a doctor and this is purely my opinion. Either way do always stay critical, antidepressants do work for some people so it might give you a little boost, but if you find that it doesn't work out for you after idk, usually 8 weeks it should take a hold I guess, and you get worse and worse and worse, don't keep going with it for months like I did.

I got a bad skin rash from chlomipramine and fluvoxamine had no effect for me. My doctor, after trying a bunch of SSRIs, decided to try Aripiprazol, an antipsychotic. It's not used to treat ocd, it's used to treat schizophrenia and bipolar disorder but it works against my anxiety... Idk

Fluvoxamine worked well for me. I’m not on it now, but only because I go through a cycle of feeling better, thinking I have control, getting off meds then eventually getting back on when things get worse. But Luvox is always something I know I can have as a good option.

Nope but sertraline was a disaster for me personally. They actually made me suicidal/depressed when I was not. I started those at age 18 though and the younger you are, the more at risk of those types of thoughts as a result of antidepressants I've been told. Hope you find something what works, personally after trying 3 different type of antidepressants and always getting suicidal on them when I was not naturally, I've realised it's not for me. These are all personal decisions though and you should feel free to try it out if you did not react as heavily. I'm not a doctor but from what I've heard the more SSRIs you have tried the lower the chance the next one works.

Thanks for the feedback guys/gals ? I need something that will target the intrusive thoughts and not a basic antidepressant that kind of deals with ocd too on the side, you know? I read that the side effects of Fluvoxamine could include some pretty nasty stuff like irregular heartbeat, but i suppose that they could just be covering their ass. I'll discuss it with my doc tomorrow.

Honestly all of them can have potential nasty side effects, but that's with any type of medicine ever. I don't think there is a specific "best" type of antidepressant against OCD, there is a list of approved ones by the FDA I think it was called? It is a pretty short list from what I can recall. I personally wouldn't do off label prescribed stuff, too little research into it imo and the things I had prescribed off label weren't helpful at all (antipsychotic seroquel in my case). I dunno, be careful with meds, and do not get forced into something you do not want.