Psycho-Babble Medication | about biological treatments | Framed
This thread | Show all | Post follow-up | Start new thread | List of forums | Search | FAQ

Pdoc appt.-Maoi or Lexapro or Straterra

Posted by Peter on February 20, 2003, at 3:26:05

Hi all:
Just saw my pdoc. Because the lamictal is failing to alleviate my social anxiety, avoidant behaviour, and apprehension, it looks like I might have to start up another trial of an antidepressant next week. Since I've tried practically every SSRI already, with only temporary benefits, we were discussing the possibility of my going on an MAOI like Nardil-which I know is the best for social phobia. But he thought it best for me to try either strattera or lexapro first, knowing my hypochondriacal tendencies (I'll be all paranoid about the possibility of a hypertensive crisis with an MAOI). I don't understand his reasoning for straterra, but he claims it's a great drug and the fact that it doesn't affect serotonin might be good for me and have less of a chance of inducing alcohol cravings and making me ultra-impulsive like the SSRI's did after using them a few months. But, straterra is marketed for ADD, although I know it's an NRI like Roboxetine (sp?), which was an effective AD when it was still on the market. The thing is, I'd really be taking the AD more for anxiety/social phobia than for depression; supposedly, the lamictal would help with my depression as my body gets used to the 100mg+ range.
Question: If, as my pdoc has said before, TCA's are known to not be effective for social anxiety, how on earth could he claim that Straterra would be effective for it? He claimed out of the blue that they're realizing that SP has more to do with NE and DA than serotonin, and both TCA's (most of them) and strattera deal with NE, not serotonin. So how could he say on the one hand that TCA's don't work for SP, while also saying that straterra does? I don't understand that.
Also, as far as SSRI's go, any good experiences with Lexapro alleviating social anxiety? As well or better than Zoloft per chance? And how is it better than celexa? Does the isomer change really limit the drug's side-effects?
thanks,
Peter


Share
Tweet  

Thread

 

Post a new follow-up

Your message only Include above post


Notify the administrators

They will then review this post with the posting guidelines in mind.

To contact them about something other than this post, please use this form instead.

 

Start a new thread

 
Google
dr-bob.org www
Search options and examples
[amazon] for
in

This thread | Show all | Post follow-up | Start new thread | FAQ
Psycho-Babble Medication | Framed

poster:Peter thread:202089
URL: http://www.dr-bob.org/babble/20030219/msgs/202089.html