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Re: Paxil vs. Effexor XR

Posted by BrittPark on October 14, 2002, at 19:29:14

In reply to Re: Paxil vs. Effexor XR, posted by MJC on October 14, 2002, at 12:54:54

> I've heard that Paxil works wonders for girls for anxiety and Effexor works wonders for guys for anxiety.

Do you know of any studies that show this or is this anecdotal. I'm not trying to diss anecdotal evidence, it's often as good or better than the drug company funded studies.

I'm curious because I've been going through a rough patch in which I've been mildly depressed and moderately agoraphobic. I'm not stuck in the house precisely, but I have to push myself to go to the corner store for cigarettes, and positively heave myself to make the one hour drive to my psychiatrist. When I'm away from home, I don't exactly have panic attacks, I just feel like I might. Not a comfortable sensation.

My psychiatrist mentioned swapping out my remeron for an SSRI or Effexor as a possible treatment. I've already had a trial of paxil that in the long run just made me nervous. BTW I'm already taking 1mg klonopin and 4mg xanax a day. I believe these to be keeping the lid on what would be a much more uncomfortable episode. I suppose I could up the dosage of K and X to 2 and 6mg each. I've been on doses that high in the past. (No problems discontinuing). I'd rather leave that option as a last resort though.

There is a good deal of literature about the treatment of SP, GAD, PD, but not much about agoraphobia as such, only as an symptom of PD. Can anyone recommend a drug or combo that works well for agoraphobia without PD?






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