Psycho-Babble Medication | about biological treatments | Framed
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Re: Anxiety Medicines: Which One?

Posted by Rick on December 26, 1999, at 20:13:28

In reply to Anxiety Medicines: Which One?, posted by Marc on December 24, 1999, at 19:48:19

I've been singing the praises of Klonopin for Social Phobia on this board for months. (Some regulars probably suspect I work for Roche.) So I'll spare the regular readers, and send you an fact, I already have. But I forgot to mention that as great as Klonopin is for generalized Social Phobia, it is unbelievable for Performance Anxiety. Six months ago I stood up in front of a room of fifty people to give a presentation and struggled just to get one word out. I was on the verge of excusing myself from the room. Two months after starting Klonopin, I stared out at the same crowd, and couldn't believe I was the same person. I expected a big *reduction* in nervousness, but not 99.5%! And my mind didn't draw blanks; I could think so much more clearly. (It was sure a different story when I had tried Xanax in the same setting. That gave me about 33% relief, and I felt drugged.) I should also point out that the tiny (2.5 mg/day) dose of the serotonin-friendly beta blocker Pindolol that I was originally prescribed for mild high blood pressure probably helped a little (beta blockers alone are often used for mild performance anxiety).

Secondly, I should point out that I, too, have mild OCD. (The fact that I feel so compelled to spend time defending and/or extolling the virtues of Klonopin at every opportunity should be a good hint that it's NOT doing anything on that count.)

Finally, like every benzo, Klonopin helps with generalized anxiety. Maybe that's why I never have insomnia any more, even though I take my last Klonopin dose in the late afternoon.


> I've been diagnosed with mild performance anxiety and just general anxiety. I also have social phobia and mild OCD. The Social Phobia causes me the most stress and is what prompted me to take Paxil.
> I tried Paxil 10mg for a while, and it did improve my anxiety to some degree. However, I felt sedated and experienced marijuana-like effects: paranoia, dullening of emotions and feelings (that's what decreases my anxiety), cloudy thinking and inability to concentrate, decrease in motivation, oversleeping and fatigue. What medications beside SSRI's might help my condition?




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