Psycho-Babble Medication | about biological treatments | Framed
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Dwight - ideas

Posted by Elizabeth on June 12, 1999, at 22:36:21

In reply to ? for Elizabeth, posted by Dwight on June 11, 1999, at 15:06:35

Kind of depends why you're interested in switching meds. There's always Marplan - that would be my first choice. (In fact, I *have* thought about trying it myself.)

Another option is the SSRIs. I think Luvox would be my first choice for social phobia, anxiety, and nervousness because it doesn't seem to be as activating as the others; don't be afraid to push the dose up, and add Wellbutrin if the sex thing becomes a problem. Another idea would be Wellbutrin by itself. Or you could try high-dose Buspar - by high-dose, I mean up to 90mg/day (in three divided doses). (Effective doses for depression are higher than those for anxiety.) Finally, there's Effexor XR - perhaps starting at a very low dose of the immediate release stuff and then increasing slowly as tolerated. (This is the usual way of going about these things if a med makes you nervous at first - it's common with the SSRIs.)

Remeron is supposed to be good for "anxiety" but I think that's just because it's sedating. I haven't heard anything about it being useful in social phobia or atypical depression in particular.




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