### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am contacting you concerning my husband, Nicholas Gaudin. Nick has a rare disease, Morquio Syndrome, and also battles with OCD, Depression and Insomnia. I am currently at a loss on how to help him. As of last week he was taking Temazepam 45mg, Amtripliytine 50mg (sp?) for sleep, Paxil 40mg, Risperidone (?dosage). His current dr. is weaning him from the Paxil and trying Luvox, lowing his Temazepam and Amtripliytine and put him on Xanax. Since then, his moods have dramatically changed for the worse. His thoughts range from suicidal to anger in a matter of seconds. Is their any way you can help him?

### output:

I appreciate your concern and asking on Chat Doctor. Based on your history I would suggest the following:1. Discuss with your doctor the present condition and the need for change of medication if he was doing well on them.2. Luzon is fluoxetine and is better for OCD, but dose of the other antidepressant can be increased for dealing with OCD and depression.3. Amitriptyline is a tricyclic antidepressant(TCA) and there is another option of clomipramine, which is also TCA and deals well with OCD and Depression.4. The changes are possibly due to the change over of the medicines, but it is important to discuss the suicidal tendencies with the doctor.5. Xanax can be added for sleep and risperidone is also fine for controlling unwanted thoughts and anger. 6. You can discuss with your husband the things that are distressing him and tell him that you understand his problems. I hope you find this helpful.