Posted by JohnB on November 3, 1999, at 22:10:21
In reply to Re: Any SSRI/other? good as Nardil for Social Phobia?, posted by Elizabeth on November 3, 1999, at 12:54:47
> Hi John. I don't think that any SSRI has been compared directly with Nardil, but all the SSRIs are probably effective. SSRIs don't cause weight gain as a rule, certainly not as often as Nardil does. SSRIs do cause sexual dysfunction. Serzone is a possible alternative, though there isn't much evidence to suggest that it would work. It doesn't generally cause the sexual dysfunction.
>
> How much Marplan are you taking? 50mg is probably a good standard dose to try, but you might need more. (How much Nardil were you taking when it was at its most effective?)
>
> Buspar probably doesn't help with social phobia, at least not in the doses typically used (you could try higher doses, up to 90mg or so), but it can be added to an SSRI to counter the sexual side effects. Most docs probably won't want to add it to an MAOI, though I know that this has been done.
>
> Maybe a different benzodiazepine, such as Xanax or Ativan, would have less effect on your alertness and memory?
Thanks alot, Elizabeth! Really appreciate your comments!! My Nardil was 50-60 mg/day to achieve effectiveness. I undersand "maintenance" doses as low as 30 mg/day have been used with some success, but it didn't work for me. My Klonopin is 2mg/day. My psychdoc says he thinks this has the least negative effect on memory and cognition as it has the longest half-live of the benzos, and therefore maintains relatively contast plasma levels. I didn't follow his thinking completely, but i like the twice a day dosing, on a maintenance basis. Just wish I could eliminate the benzodiazepine completely.
poster:JohnB
thread:14476
URL: http://www.dr-bob.org/babble/19991028/msgs/14555.html