Obsessive-Compulsive Federation of Societies of Biological Psychiatry][6]. Prescribing

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Last updated: September 18, 2019

Obsessive-Compulsive Disorder (OCD) is a  chronic and long-lasting disorder in which aperson has uncontrollable, recurrent thoughts (obsessions) and behaviours (compulsions)that he or she feels the urge to repeat over and over1.Two  measures are the two most widely used :pharmacological and psychological2.Clomipramine was the first  agent found to have efficacy in OCD .The drug has the pharmacological properties of thetricyclic group of antidepressants  3.The antidepressant effectsof clomipramine are believed to be due to reuptake inhibition of serotonin and norepinephrine while serotonin reuptake inhibition onlyis believed to be cause for the efficacy of clomipramine in the treatment ofOCD4. SSRIs are the first line drugs  in treating OCD. The adverse reactions ofSSRIs are less, so improved compliance is observed.

  Available SSRIsinclude fluoxetine, fluvoxamine , paroxetine , citalopram , escitalopram , andsertraline5.Despite the provenefficacy of SSRIs and clomipramine in OCD, many patients show no or just slight symptom improvement to a medication.The combination of the antipsychotics risperidone, haloperidol, olanzapine, orquetiapine along  with an SSRI was foundto be to be more efficacious than SSRI therapy in such cases and is suggestedby the WFSBP World Federation of Societies ofBiological Psychiatry6.

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Prescribing a suitablemedication for a particular patient is done on the basis of many factorsincluding patient’s demographic characteristics, illness history, adversereactions of the medication, co morbidities. So, a study of prescribingpatterns can help in identifying prevalent practices of the use of medications.7.

The concept of QOL is often considered a missingmeasurement in healthcare. Knowledge about QOL was found  to be usefulbecause many studies showed correlations between QOL and distress that oftenleads to worsening of  symptoms such asthose of OCD. Hence, the main objectiveof the present study was to assess  QOL   in patients suffering from OCD8.Today, in  an age where health care is scrutinized, notonly for the quality of that which we provide but also the satisfaction ofthose who receive it.  So, it isnecessary to find out  weaknesses inhealth care systems for  better patientsatisfaction9.

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