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Re: benzos vs ssris » gilbert

Posted by Elizabeth on July 15, 2001, at 18:10:20

In reply to Alan thank you.....benzos vs ssris, posted by gilbert on July 12, 2001, at 22:06:24

> There are so many so called experts out there proselytizing that ssris are thr True cure because they effect low serotonin levels.......

That's bizarre (well, it's not bizarre, but it is remarkably misguided). People with panic disorder are usually hypersensitive to serotonin agonists. SSRIs often make panic worse initially. It can be very hard to wait for the adaptive changes (tolerance, really) that result in decreased anxiety and panic.

> Most docs push ssris due to forces in the marketplace.

They're also reluctant to prescribe benzos because they are afraid that patients will get "addicted" and sue them or something.

> Most panic patients once treated with benzos do not have depression once they are stabilized on daily benzo monotherapy and are able to go out in the world and function again.

I don't entirely agree. There are a lot of people who need both a benzo and an AD (though I question whether SSRIs are the best choice).

-elizabeth


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