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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by bobbiedobbs on May 3, 2004, at 0:10:39
Tried: Prozac, Luvox, Lexapro, Nardil, Parnate
Risperdal
Considering: Effexor, Zoloft, MarplanHelped best: Nardil
Worst side effects: Luvox, Nardil (sexual)
Best tolerated: Parnate, Lexapro - but neither did a lot for me.Would very much appreciate suggestions on these or others.
Posted by jodeye on May 3, 2004, at 2:16:55
In reply to best drug for social anxiety but wi/out exhaustion, posted by bobbiedobbs on May 3, 2004, at 0:10:39
> Tried: Prozac, Luvox, Lexapro, Nardil, Parnate
> Risperdal
> Considering: Effexor, Zoloft, Marplan
>
> Helped best: Nardil
> Worst side effects: Luvox, Nardil (sexual)
> Best tolerated: Parnate, Lexapro - but neither did a lot for me.
>
> Would very much appreciate suggestions on these or others.
>Hello BobbieDobbs,
Based on ancient and not so ancient posts to Psycho-Babble, Klonopin + Adderall or Klonopin + Provigil can make a big and long-lasting improvement in social functioning.
AndrewB was taking Adderall and memantine or acamprosate by day, and Klonopin by night. The memantine or acamprosate was preventing Adderall tolerance. AndrewB is still going strong several years later.
Rick is taking Klonopin in morning and afternoon, and Provigil in the morning. Going strong after several years.
Ame Sans Vie is taking Klonopin, AdderallXR, and dextromethorphan to try and prevent stimulant tolerance. I'm not sure how long his current results are working.
Anyways, the meds they are taking in common are Klonopin and Adderall (or Provigil).
It looks like I'll next ask my edoc for a combination of klonopin and Alertec (a less expensive version of Provigil from canada). If that does not work out, I'll ask for Klonopin + Adderall. If Adderall is problematic, I'll ask for a combination of Klonopin, acamprosate for 10 days before adding Adderall again.
By the way, I am feeling pretty good with my current trial of zopiclone for sleep. It doesn't seem to help much with sleep, I'm still sleeping 10 hours a day, but I am feeling more relaxed and social during the day... even more so with a cup or two of Starbucks.
--Jay
Posted by Viridis on May 3, 2004, at 4:04:42
In reply to best drug for social anxiety but wi/out exhaustion, posted by bobbiedobbs on May 3, 2004, at 0:10:39
I second the recommendation of Klonopin, although it may make you sleepy for the first week or two (this generally goes away, but the anti-anxiety effects remain). I find that it's especially effective with Adderall, but then I'm taking the Adderall for ADD. This does seem to be a good combo for people with various kinds of anxiety, although I'd be careful with any stimulant (like Adderall) until you know how you respond. I also find Lamictal quite calming, and it works well for me in combination with Klonopin and Adderall.
Posted by King Vultan on May 3, 2004, at 7:55:16
In reply to best drug for social anxiety but wi/out exhaustion, posted by bobbiedobbs on May 3, 2004, at 0:10:39
> Tried: Prozac, Luvox, Lexapro, Nardil, Parnate
> Risperdal
> Considering: Effexor, Zoloft, Marplan
>
> Helped best: Nardil
> Worst side effects: Luvox, Nardil (sexual)
> Best tolerated: Parnate, Lexapro - but neither did a lot for me.
>
> Would very much appreciate suggestions on these or others.
>I believe you would find Marplan to be relatively similar to Nardil. This is another hydrazine derivative that is also largely skewed towards serotonin. I have a reference indicating that Marplan is slightly more sedating than Nardil but has slightly less sexual dysfunction. Marplan is no longer available in the US; where are you located?
I wouldn't bother with Zoloft if Luvox and Lexapro weren't that efficacious. Effexor might be somewhat more effective, but probably not enough for your needs, and it is also noted for sexual dysfunction (delayed orgasm) and withdrawal problems.
Todd
Posted by awatts on May 3, 2004, at 12:46:03
In reply to best drug for social anxiety but wi/out exhaustion, posted by bobbiedobbs on May 3, 2004, at 0:10:39
Bottom line: Klonopin is the way to go for most people. Start with 2x0.5mg/day. Maybe add some strong coffee.
This is the end of the thread.
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