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Best social anxiety meds?

Posted by erik98225 on May 13, 2006, at 11:45:16

I'm 25/M and have severe and often crippling social anxiety with a touch of insomnia and ADHD.

I am CURRENTLY prescribed:

Lexapro 15mg morning
Ritalin 10mg PRN (almost never)
Rozerem 8mg night
Atenolol 100mg night (for unrelated hypertension)

The pseudo-benzos (Ambien and Lunesta) don't work for me; they make me drunk but NOT sleepy. Rozerem actually works.

I have been on Xanax PRN in the past. I have been on Paxil 60mg (this is equivalent to Lexapro 30mg IIRC). I have been on Klonopin daily (dose usually 2mg, highest ever was 4mg).

I recently tapered off the Klonopin by reducing it by 0.125mg every week and did not have to "go through hell" as I've often heard of. The (relatively minor) withdrawal symptoms were worst during the drop from 0.5 to 0.375 and I have been completely off it for a month.

I am now having some distressing physical anxiety symptoms -- tension headaches, nervous shaking, difficulty sleeping (Rozerem doesn't help). I have a hard time believing this is benzo withdrawal because it's been a month since I took the last 0.125mg dose. I am thinking that I might have to take benzos forever.

I have a tendency to abuse alcohol in the absense of appropriate medication, but oddly DON'T abuse benzos, nor can I imagine why anyone would want to. I know that benzos increase the effects of alcohol and have never had more than 2 drinks (which will feel like 3) when taking a benzo, and then only rarely.

I think that the MOST effective combination I have been on was:

Paxil 60mg morning
Ritalin 10mg 2x/day
Klonopin 2-4mg morning
Rozerem 8mg night

This virtually eliminated all the problems of anxiety, social phobia, insomnia and limited attention span.

I am thinking of asking my pdoc to put me back on this combination when I next see him. He ought to have no problem prescribing Paxil or Klonopin because I have proven that I can quit them.

Does anyone on here have similar symptoms? If so, what medications do YOU take? Any input (even if it's to call me an idiot) would be appreciated.


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poster:erik98225 thread:643467
URL: http://www.dr-bob.org/babble/20060510/msgs/643467.html