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Does clomipramine worsen anxiety at high dosage?
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According to wikipedia,

"Although clomipramine shows around 100- to 200-fold preference in affinity for the serotonin transporter (SERT) over the norepinephrine transporter (NET), its major active metabolite, desmethylclomipramine (norclomipramine), binds to the NET with very high affinity (Ki = 0.32 nM) and with dramatically reduced affinity for the SERT (Ki = 31.6 nM). Moreover, desmethylclomipramine circulates at concentrations that are approximately twice those of clomipramine. In accordance, occupancy of both the SERT and the NET has been shown with clomipramine administration in positron emission tomography studies with humans and non-human primates. As such, clomipramine is in fact a fairly balanced SNRI rather than only a serotonin reuptake inhibitor (SRI)."

Does the norepinephrine reuptake inhibition of clomipramine worsen (generalized) anxiety at high dosages (i.e. 150 mg to 250 mg)?

I take 250 mg of clomipramine and 45mg of Remeron for my OCD, GAD and MDD.

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