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Re: What's working well for social anxiety these days?

Posted by SLS on February 12, 2005, at 9:01:46

In reply to Re: What's working well for social anxiety these days? » SLS, posted by banga on February 11, 2005, at 16:34:56

> With nortryptiline--is it less activating than desipramine then? And again about weight--does it seem like desipramine is less notorious than nortryptiline for weight gain? It seems to be the case for me...

I think your depiction of the two drugs is generally true. However, I think the weight problem with either of these drugs is less than what one would expect from a very serotonergic drug. However, if desipramine is the better match for one's neurodysregulation, it will have a greater anxiolytic effect than would nortriptyline. Currently, I think there is a trend towards treating symptoms rather than a putative core pathology. What seems to get confused sometimes is that these symptoms can be used to define subtypes of disorders and choose medications with a greater chance of working rather than simply treating each symptom palliatively.


- Scott

 

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