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Re: Social Anxiety in the EXTREME!!! Advice Request.

Posted by NYCguy on December 22, 2006, at 19:05:12

In reply to Re: Social Anxiety in the EXTREME!!! Advice Request. » NYCguy, posted by Quintal on December 22, 2006, at 18:26:24

> I have the same problem with social anxiety. Nardil sounds like a good bet and I'm looking in to it myself. I don't think the mg/kg rule is always true. I'm 5'9 and about 180lb yet Parnate only worked for me at very high doses of 80-120mg - more than my pdoc was willing to prescribe.

S.A.D. makes me sad. lol. I guess I will only find out if I try it(Nardil). Or try Emsam for longer at a higher dose.

>
> If you didn't need ultra-high doses of EMSAM or other ADs then there's no reason to think you'd need more than the recommended dose of Nardil. Also, you're taking relatively small doses of Klonopin. Is it working for you - doesn't sound as if it's doing much. Have you tried raising the dose? Again, I was taking much more despite my lower body mass - about 4mg Klonopin was my usual dose though I've taken as much as 20mg/day. It seems to depend more on your individual sensitivity to each particular drug than your body mass.
>

I've been up as high as 6mg Klonopin per day before. The more I take, the more depressed and less productive I seem to be. I'm not sure why. I should have mentioned that initialy, sorry. Did you notice anything different when you went as high as 20 mg? Did you ever reach a state where the anxiety was mostly gone?

> Tramadol worked well for me, but doesn't seem to be a long term option - much the same for other opiates. They tend to work very well as a short term measure. I'm seriously thinking about recommending all social phobes and depressives have an opiate on standby as a pick-me-up in times of crisis though ;-)
>

Not a bad idea. I find that Vicodin really helps me chill out. Of course like any anxious person I'm far too afraid of getting hooked on something like that to use it more than once every few months. Oh, the irony.

About the Solian, I didn't know about the elevated Prolactin. My HPA is already messed up in the direction of elevated Prolactin/Cortisol anyway, so I use Cialis a lot as it is. Maybe Bromo on its own would bring down anxiety by virtue of bringing down my Prolactin levels...

I guess I always worry about stuff like TD with Atypicals. It's just more worrying, I know. =)

> Good luck. I'd be interested to hear what you decide and how it works for you.
>
> Q

Thanks a bunch, I really appreciate it.


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poster:NYCguy thread:715719
URL: http://www.dr-bob.org/babble/20061217/msgs/715769.html