Forums » Behavior

Clomipramine for Separation Anxiety

    • 143 posts
    May 25, 2016 10:41 PM EDT

    This question was asked by a participant in our recent webinar on Separation Anxiety:

    Q:  I am curious as to whether there is ever an increase in the stress levels in the beginning of use of clomipramine for SA or would that be considered a contrary reaction to the meds?

    • Moderator
    • 60 posts
    May 25, 2016 10:59 PM EDT

    If a patient seems more agitated on ANY medication, I generally discontinue the medication.  In some medications group, such as the benzos, increasing the dose may actually help.  

    In some cases, there can be initial agitation that goes away after a few weeks of treatment.  However, I do not continue the medication in those cases.  Some of my colleagues do.