Posted by bleauberry on May 5, 2010, at 18:06:44
In reply to Paxil vs. Zoloft for Social Anxiety Disorder., posted by SammyJar on May 4, 2010, at 22:11:00
It doesn't matter what happened in the trials, in my opinion. For one, there is always bias determined by who did the trial, why, and who paid for it. Second, the important details are left out. The generalization or summary usually leave out crucial details that actually paint a different picture than the author's summary. And when you get right down to it, while the numbers are better than placebo, they are not better by a huge margin.
Obviously though, of course, you have to do something. Either med stands an equal chance.
Many people complain of the apathy syndrome created by ssris when treating depression. I believe it is that aspect of the ssris that works on your symptoms. More apathetic, less symptoms.
It is impossible to predict anything that will happen to you based on a clinical trial. It might perhaps give you an edge by a couple percentage points, but nothing to place any bets on.
Both meds have decent potential but for your symptoms they take medium to high doses and time. While depression needs 4 to 8 weeks, your symptoms will need 12 to 24 weeks.
All that said, I personally don't like the whole ssri thing. It might sound like a weird overkill suggestion, but I would be more inclined to suggest nardil first, parnate second. I have reasons for those suggestions but don't want to get into a long explanation getting side tracked.
poster:bleauberry
thread:946363
URL: http://www.dr-bob.org/babble/20100504/msgs/946460.html