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Re: Any SSRI/other? good as Nardil for Social Phobia?

Posted by Elizabeth on November 3, 1999, at 12:54:47

In reply to Any SSRI/other? good as Nardil for Social Phobia?, posted by JohnB on November 3, 1999, at 9:49:22

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?




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