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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 sabre on October 20, 2004, at 5:59:20
Hi
I'm just reading a book written just over a decade ago, called 'Listening to Prozac' by Peter Kramar.I was curious about a comment he makes on p.339 that different patients react to different doses. He said for those prone to anxiety, 20mg may be too high a starting dose. Patients with panic-anxiety are started on 2.5mg....one eighth of the therapeutic dose!
After experiencing unpleasant results due to taking drugs such as Serzone, Paxil, Lexapro and Moclobemide and trying to get to the min. therapeutic dose (as directed) I wonder whether it would have been preferable to try an even smaller starting dose as he suggests. The book makes it sound like a miracle drug.
Has anyone had any success with Prozac for social anxiety/panic? What dosages worked for you?
Thanks
sabre
Posted by King Vultan on October 20, 2004, at 9:45:20
In reply to Prozac book and dosage question, posted by sabre on October 20, 2004, at 5:59:20
> Hi
> I'm just reading a book written just over a decade ago, called 'Listening to Prozac' by Peter Kramar.
>
> I was curious about a comment he makes on p.339 that different patients react to different doses. He said for those prone to anxiety, 20mg may be too high a starting dose. Patients with panic-anxiety are started on 2.5mg....one eighth of the therapeutic dose!
>
> After experiencing unpleasant results due to taking drugs such as Serzone, Paxil, Lexapro and Moclobemide and trying to get to the min. therapeutic dose (as directed) I wonder whether it would have been preferable to try an even smaller starting dose as he suggests. The book makes it sound like a miracle drug.
>
> Has anyone had any success with Prozac for social anxiety/panic? What dosages worked for you?
> Thanks
> sabrePeople with panic disorder oftentimes need a lower starting dosage and a slower dose escalation to avoid setting off panic attacks. Prozac was the first drug I tried years ago, and I found it intensely activating, with my anxiety levels increasing at first. My overall experience was not the best, but some of the problems I experienced were largely of my own doing. I think I would probably react better to it if I tried it again but feel it is likely far inferior to the Parnate I am currently taking, anyway. I've had Kramer's book for over ten years, and yes, the stuff really does come across in there as something unique and magical. I think it's probably a good drug, all things considered, but do not believe it is as glorious as it is portrayed in the book; for instance, he makes essentially no mention of the sexual side effects it can cause.
Todd
Posted by Dr. Bob on October 20, 2004, at 20:19:03
In reply to Prozac book and dosage question, posted by sabre on October 20, 2004, at 5:59:20
> I'm just reading a book written just over a decade ago, called 'Listening to Prozac' by Peter Kramar...
I'd just like to plug the double double quotes feature at this site:
http://www.dr-bob.org/babble/faq.html#amazon
The first time anyone refers to a book, movie, or music without using this option, I post this to try to make sure he or she at least knows about it. It's just an option, though, and doesn't *have* to be used. If people *choose* not to use it, I'd be interested why not, but I'd like that redirected to Psycho-Babble Administration:
http://www.dr-bob.org/babble/admin/20020918/msgs/7717.html
Thanks!
Bob
Posted by sabre on October 21, 2004, at 0:36:10
In reply to Re: double double quotes » sabre, posted by Dr. Bob on October 20, 2004, at 20:19:03
Testing, testing....."Listening to Prozac"
Thanks Bob.The thing I like about books like these is that it's as though there is someone talking to you about real people. Well, maybe a theoretical conglomerate of a person. Usually you can identify with one (or a few) of them. These patients always seem to get the right dose and after a little side effect adversity they win through. Maybe it's a substitute for me for Mills and Boon (sorry, no double quotes here) or fantasy literature.
They sure beat the hard core scientific studies. I reckon they round up that same mob of people every study and after subjecting them to the latest ssri/nari/maoiabcdefg... and inevitably curing soc phobes, GADS, depressives etc they then use that inevitable blurb 'drug x is a safe, tolerable and effective drug for ailment y'...blah, blah....blahhhhhhhhhh. Do the drug companies insist they use this sentence or does it come with the free samples?
I have been looking into the effect of ssris on exercise performance. I'm sure they also use and reuse the same bunch of healthy males. The acute dosage for experimental purposes is a single dose and chronic is 2 weeks. Which doesn't seem long enough?
In addition, they never bother with mental defectives...those who might be more inclined to be using them regularly.
sabre
Posted by Dr. Bob on October 21, 2004, at 23:48:06
In reply to Re: double double quotes, posted by sabre on October 21, 2004, at 0:36:10
This is the end of the thread.
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