I was diagnosed with OCD back in 1995 and was put on clomipramine (Anafrinal). I took this for several years (maybe 2 decades) and liked it well enough. Around 2015, Teva, the manufacturer for the generic clomipramine, raised the price tremendously (my cost went from about $60/month to about $780/month). I called Teva and complained and about a month later I received a letter from them that was no more than BS. My psychiatrist put me on amitriptyline (Elavil) which was cheap and close in chemical makeup to my old drug. I have been OK with that but would like to return to my old friend clomipramine which is cheaper in Canada but still too expensive. I haven't tapered off from an OCD med and don't intend to do so unless I start having memory issues. The transition from clomipramine to amitriptyline was a tad iffy (I think I got seratonin syndrome one night) but overall wasn't too bad.

My doctor suggested it, just in terms of where I was in my life as well as some of the long term affects it could have on other aspects of my physical health. It was working but I do feel that when I started taking it life was hectic(still hectic) and I didn't really look at any other supports to compliment the meds ie therapy. It was a quick fix......He wants me off it for a while, and I concurr, and if needed he will look at more modern meds, maybe in the fall, possibly SSRI's.
Thanks for your concern.