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I can offer some general insights.

Fluoxetine, fluvoxamine, and sertraline are all selective serotonin reuptake inhibitors (SSRIs) commonly used to treat obsessive-compulsive disorder (OCD). When it comes to switching from one SSRI to another, individual responses can vary widely. Some people may experience positive changes, while others may not notice significant differences or may even encounter new side effects.

The effectiveness of an SSRI for OCD largely depends on the individual's unique biochemistry, the severity of their OCD symptoms, and how well they tolerate the medication. If one SSRI is not providing the desired relief or is causing intolerable side effects, a doctor may consider switching to another SSRI to see if it yields better results.

It's important to remember that these medications often require several weeks to show their full therapeutic effects. Additionally, adjusting the dosage might also be necessary to achieve the best outcome while minimizing side effects. Any changes to medication should always be done under the guidance and supervision of a qualified healthcare professional.

If you or someone you know is considering switching medications for severe OCD, it is crucial to consult a psychiatrist or other mental health professional who can evaluate the individual's specific situation and make appropriate recommendations based on their needs and medical history. Personalized medical advice should always take precedence over general information.

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