Posted by jedi on October 26, 2006, at 1:00:55
In reply to Treatment Resistant Social Anxiety!, posted by Tom Twilight on October 25, 2006, at 12:34:58
> I've got treatment resistant Social Anxiety :(
> Its really frustrating because I've tried so many things, and nothing works long term.
> I'm currently on Nardil 75mg, the "Gold Standard"
> Its helping GAD, but does nothing for SA.
> I worry about becoming deppendent on Benzo's and they don't do much either.
> Only opiates seem to help, its strange odd
> I don't know were all the social phobics have gone on babble!
> Should I push the Nardil up to 90mg?
> Is D-cycloserine worth trying?
I have atypical depression with social and generalized anxiety. I use Nardil with clonazepam and they work fairly well for me. At high doses of Nardil I get pretty extreme carbohydrate cravings, delay in ejaculation plus insomnia. However, this is the only combination that has ever worked for me. With treatment resistant social anxiety and atypical depression sometimes you just have to endure some side effects. To me, lying in misery on the floor and not being able to leave the house is much worse than the side effects. I have been on 1mg of clonazepam for several years and for me it is a good augmentor of Nardil for social anxiety. I really don't worry about being addicted to it. I've weaned off it before and could again if forced too.
Currently, I am slowly lowering my Nardil down to 45mg from 90-105mg to see if I can sustain the antidepressant effect and lessen the side effects. I've been trying to get my MD to let me try modafinil with it, but no luck so far.