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Best treatments for obsessive-compulsive disorder

11 products may treat obsessive-compulsive disorder, spanning FDA drug classes such as tricyclic antidepressant, serotonin reuptake inhibitor, serotonin and norepinephrine reuptake inhibitor. The current highest-rated option is anafranil. Ranked below by our independent recall-safety rating (rated where FDA data exists) — not medical advice; always consult a professional.

Quick answer: Of the 11 drugs we list for obsessive-compulsive disorder, 10 are available as lower-cost generics, spanning classes such as tricyclic antidepressant, serotonin reuptake inhibitor, serotonin and norepinephrine reuptake inhibitor. They’re ranked by each drug’s FDA recall-safety record — not clinical effectiveness for obsessive-compulsive disorder — so confirm the right choice with your prescriber.

Rated against independent regulatory sources·Last updated August 17, 2026·How we rate

Top-rated picks for obsessive-compulsive disorder: 1. Anafranil · 2. Paroxetine Mesylate · 3. Sertraline Hydrochloride

Top-rated treatments for obsessive-compulsive disorder, ranked by pharmaranks score
#DrugRatingPharmacy pays
170/100$7View →
270/100$3View →
370/100$1View →
470/100$1View →
568/100View →
666/100$3View →
760/100$3View →
8Not yet rated$3View →
9Not yet rated$4View →
10Not yet rated$0View →

Full ranking · 11 treatments

#2 of 16 in Tricyclic Antidepressant

anafranil

Boxed warning

PrescriptionFDA-sourced

70/100

Anafranil (Clomipramine Hydrochloride) is a tricyclic antidepressant used to treat Depressive Disorder, Obsessive-Compulsive Disorder, Pain, Panic Disorder.

(1 data points)
tricyclic antidepressantdepressive disorderobsessive-compulsive disorder

Pharmacy pays

From ~$5.96/30· 3 forms Save up to 65% in class
View details →
#2 of 11 in Serotonin Reuptake Inhibitor

paroxetine mesylate

PrescriptionFDA-sourced

70/100

Paroxetine Mesylate is a serotonin reuptake inhibitor used to treat Feeding and Eating Disorders, Depressive Disorder, Obsessive-Compulsive Disorder, Phobic Disorders.

(3 data points)
serotonin reuptake inhibitorfeeding and eating disordersdepressive disorder

Pharmacy pays

From ~$1.97/30· 8 forms Save up to 62% in class
View details →
#2 of 11 in Serotonin Reuptake Inhibitor

sertraline hydrochloride

Boxed warning

PrescriptionFDA-sourced

70/100

Sertraline Hydrochloride is a serotonin reuptake inhibitor used to treat Feeding and Eating Disorders, Depressive Disorder, Obsessive-Compulsive Disorder, Post-Traumatic Stress Disorders.

(1 data points)
serotonin reuptake inhibitorfeeding and eating disordersdepressive disorder

Pharmacy pays

From ~$0.90/30· 6 forms
View details →
VIATRIS logo
#2 of 11 in Serotonin Reuptake Inhibitor

zoloft

Boxed warning

PrescriptionFDA-sourced

70/100

Zoloft (Sertraline Hydrochloride) is a serotonin reuptake inhibitor used to treat Feeding and Eating Disorders, Depressive Disorder, Obsessive-Compulsive Disorder, Post-Traumatic Stress Disorders.

(11 data points)
serotonin reuptake inhibitorfeeding and eating disordersdepressive disorder

Pharmacy pays

From ~$0.90/30· 6 forms
View details →

citalopram hydrobromide

Boxed warning

PrescriptionFDA-sourced

68/100

Citalopram Hydrobromide is a serotonin reuptake inhibitor used to treat Alcoholism, Dementia, Depressive Disorder, Diabetic Neuropathies.

(29 data points)
serotonin reuptake inhibitoralcoholismdementia
Available online
View details →
APOTEX logo

paxil

Boxed warning

PrescriptionFDA-sourced

66/100

Paxil (Paroxetine Hydrochloride) is a serotonin reuptake inhibitor used to treat Feeding and Eating Disorders, Depressive Disorder, Obsessive-Compulsive Disorder, Phobic Disorders.

(35 data points)
serotonin reuptake inhibitorfeeding and eating disordersdepressive disorder

Pharmacy pays

From ~$1.97/30· 8 forms Save up to 62% in class
View details →

Frequently asked

What treats obsessive-compulsive disorder?
Our catalog lists 11 products that may treat obsessive-compulsive disorder, based on NIH RxClass (MED-RT “may treat”) drug-classification data — not the verbatim FDA label. They're rated where FDA recall-safety data exists; the current top-rated option is anafranil.
What is the best-rated treatment for obsessive-compulsive disorder?
By our independent recall-safety rating — not an efficacy measure — anafranil ranks highest among the products we list for obsessive-compulsive disorder. Always consult a professional.
How are these treatments ranked?
By our independent score, currently based on FDA regulatory recall-safety data (the methodology blends additional sources as they come online). See the How we rate page.
What types of drugs treat obsessive-compulsive disorder?
Treatments for obsessive-compulsive disorder span FDA drug classes including tricyclic antidepressant, serotonin reuptake inhibitor, serotonin and norepinephrine reuptake inhibitor. Compare every option side by side, ranked by independent rating, above.

Treatment associations are derived from NIH RxClass (MED-RT “may treat”) drug-classification data — not the verbatim FDA label. This is general reference, not medical advice — always consult a licensed professional.