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He scored 32 on the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) and 26 on the 17-item Hamilton Rating Scale for Depression (HAM-D 17 ). During a 2-week period, clomipramine was gradually titrated to 225 mgday, then maintained at that dose with adequate serum levels over the next 8 weeks. In conjunction with clomipramine, clonazepam 1ndash;3 mgday as needed was viagra price in jeddah given over the first 3 weeks. The depression responded, with a decline in HAM-D 17 score to 12. However, amla better than viagra pdf OCD persisted, with the Y-BOCS score remaining at 30ndash;32. Aripiprazole 15 mgday was added to the clomipramine then maintained over the next 16 weeks. All treatments were well tolerated. With aripiprazole augmentation, mean Y-BOCS scores and percent reductions in score viarga baseline were 27 (10 decrease) at week 1; 21 (30 decrease) at week 2; 16 (46.

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Sackeim HA, Brannan SK, Rush AJ, et al. Durability of antidepressant response to vagus nerve stimulation (VNSTM).

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