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Rachal received his medical degree from the University of Cincinnati (Ohio) and is a graduate of the National Capital Consortium Family Practice-Psychiatry Residency Program at Walter Reed Army Medical Center and Malcolm Grow Air Force Medical Center.

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This article presents an evidence-based discussion of the pharmacodynamic and pharmacokinetic adverse effects of the SSRI-clomipramine combination along with suggestions for dosing and monitoring when the combination is used in OCD.

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