Which is the drug of choice to treat a patient with obsessive compulsive disorder (OCD)?
a. Lorazepam (Ativan)
b. Buspirone (BuSpar)
c. Fluvoxamine (Luvox)
d. Hydroxyzine (Vistaril)
ANS: C
Fluvoxamine inhibits the reuptake of serotonin at the nerve endings, thus prolonging serotonin activity. Fluvoxamine is used for the treatment of OCD when the obsessions or compulsions cause marked distress or interfere substantially with social or occupational responsibilities. Fluvoxamine does not prevent the obsessions or compulsions; the therapeutic outcome of this drug is to assist the patient in his or her management. Lorazepam, buspirone, and hydroxyzine do not treat the symptoms of OCD.
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