Title: Fluvoxamine (Luvox) and Clomipramine (Anafranil) -- When One Treats Depression and the Other OCD are We Seeing a New Psychodynamic Environment or Different Pharmacologic Targets? Journal of Clinical Neurosciences

Some challenging patients suffer with both Major Depression and Obsessive Compulsive Disorder. Some are very hard to completely treat.

Here we discuss a complex and delicate successful treatment of a man who had failed many previous treatments. If you dislike blood levels (even if you are sedated) this is probably not a treatment option for you. It requires a number of blood tests and EKGs in the first month.

The case report discusses complex antidepressant interactions, liver enzymes, and creating optimal metabolites. It is dense academic reading.