Posted by Vincent_QC on November 28, 2008, at 7:43:38
In reply to Re: no stims/no benz BEST NARDIL AUGMENTION d/r, posted by that_guy23 on November 26, 2008, at 18:33:26
> On another note, I just know there is no chance of getting augmentation with this pdoc., not for nardil. If so it wouldn't be this soon. I've been on it for 12 weeks, so I have about 5-6 weeks to reach 4 months. I won't see her to raise my dose for another 2 weeks, leaves me on 90 for 3 weeks if she will even up it. If not that will be it, I will definately search for anotherpdoc.! She just seems more hard to get along with. This is only since the nardil, which I suggested. And have been suggesting things ever since, but I never really did this before. Do you think this would offend her? I mean I beleive a patient shoud have some input, actually allot, on the drugs that there going to be using, not the doctor! Especially if they've reserached the hell out of it. I mean am I wrong? Don't most people suggest drugs they would like to try? It sure seems like it, after reading people hearing of a drug on here and other forums, then the next thing you know, there on it.
>
I Was feeling exactly like this before, I always think that it was not my job to search on the web or in books about "good" drugs to help reduce my social phobia and anxiey disorder, but after so many years without getting any "positive" result and after a lot of frustrations to just listen to the doctors advise, I see that I had no choice and decide to be more involve and be able to decide myself witch drugs I will try and the ones that I don't want to try (especially Tricyclic who are really not helpfull with social phobia and anxiety, but strangly good for panic attacks and depression)...> As for that old life style and what I have done in the past, it's not the path I want to end up down again. And like you said I am gonna push hopefully to 4 months, what about you? you gonna stick it out? keep me posted on the progress.
> > I really have been pondering over whether to call another pdoc., but the second I see them I think I will lose her.
>Maybe it's a good idea just to wait a little bit. Your psychiatrist seem to be a good one and maybe she just want to be sure the not increase the dose too fast again to avoid side effects? IF she put you on the Nardil, she's probably more open than you think, since not a lot of psychiatrist now prescribe them, in fact the new psychiatrist generation seem to not know a lot of things about that kind of drugs...but they are the best documented and studied drugs, so I wonder why they don't give it more often, even in 2008, since I now by my own experience than the newer drugs can produce much more side effects than the simply all in one Nardil drug (dopamine,serotonin,noradrenaline, GABA).
I always think that a polypharmacy was not a good approach in social phobia and anxiety problems. Beldn too much drugs at the same times just make you feel worst. I prefer the monopharmacy approach, especially for social phobia.
I know that you want to recover fast, we all want this but if you want to recover too fast, it will not help. I just understand that a couple of weeks ago. I never listen or observe the prescription dosage my old psychiatrist gived to me, I was taking the double dose the first day and just upping my dosage to reach a high level, too much high level. Maybe it's why I fail to find something that's really work??? Maybe not?...A good example, when I start the Effexor-Xr, he put me on 37,5 mg/day...the original prescription was to up the dose by 37,5mg/week...but I begin at 225 mg the first day, I was suppose to take 225mg just 1 1/2 months after... I see the psychiatrist after and he was not very happy about that...he say stop at this dose...but I just increase it to 300 mg...I do the same with Cipralex...begin at 20 mg not 5 mg like he wanted...BUT all I had from getting high dose too fast was bad side effects and no improve at all for my social phobia. I just realise that I put too much stress on my body and my minds also. In fact it can be a reason why I drop out a lot of the drugs that I try, because I wanted them to work so fast and I didn't wait enought time to see what happen.
> It has been very hard, because I am sure there is no change in my SA. I was at a garage that my aunt had to go into, which I used to work. She had to drop off her car, so we had to go in and wait, I was so anxious and I don't know why. This is when I came home and went to bed, realizing twelve weeks gave me no progess.""
Social anxiety or social phobia, with agoraphobia or not, is a condition really hard to treat. Finding a good drug, usefulness for the specific "social anxiety" symptoms, seem to be a real challenge.
All the "newer" drugs seem to be usefulness to treat a number of other common co-morbidity disorders like depression, panic, general anxiety, and obsessive compulsive disorder but not very helpfull directly for Social Phobia, except of course the Nardil. But again, you have to take your time, don't do the same mistake than me and stop it after 2 months because you don't see any improvement of your social phobia on it. Try to take a close look at how you feel inside, i'm sure some of the others co-occurring you have fade a little bit???
Try to think about that and remember that if you want to be like you was before, it will probably never happen. I don't want to be negative but everybody involve, that's impossible to feel exxactly like you was before, especially since you know now what social phobia is...you will be all your life more attentive to your felling inside you and you will have a form of hypervigilance...
I think the main goal to reach is to first find a good drug and let it work even if it take more than 3 months, even 4 and find the good dosage also. After, work in your CTB on your problems, try to find why you are like this. Why you feel bad when you are in a social situation.
That's all the advise I can give to you...
> This sucks because somthing like provigil, which is a non-stim, but kinda acts as one, might help, or anything, It's getting much harder, and it all comes back to my doctor. Like I said she gave me 2 people, one is not a good pdoc., but seems to love prescribing drugs, the other one I'm not sure if he is as good, and I don't know how he would be about drugs. Shouldn't there be people I could see just to get options best for me, I mean it's my life.
>I also remember that you lack of energy. Remember that adding a stimulant on the top of it will not help at all. You will be more overstress, and more stress mean more social anxiety. Keep in mind that it's normal to feel less energic, to do insomnia or lacking the good energy, cause having a social phobia and anxiety problems drain out all your energy. Just wating to the Nardil to work on your social phobia symptoms and always think about the fact that you don't feel more well take a lot of your energy...
> Back to the sphycho, I mean psychchiatrist, oops. She also said to see how the cbt is going, and if I don't find it at least a little easier I am letting her know it's just not enough yet. Not that I want to quit, but a nudge would help it.
>You see, I think she's a good psychiatrist. She's maybe slow on the augmentation of the dose, she cares also about your CTB, that's another good point, she's not just a "drugs" freak...
> sorry about the rant, just started typing and guess I really needed to vent.
>
> Thanks for listening, and helping me.
>
> I would love your opinion on all of this.
>
> thanks,
> Shawn
>
>That's my advise, just take your time, you're not alone in that situation. I just begin 4 days ago the Nardil, again, after a bad hypotension problems I had on it in 2007. My new psychiatrist start me on 15 mg/day...that's nothing for me. Another time, I was a little bit frustrated about the small dose he ive to me, but I begin to understand that I just wanted to go too fast again. I'm suppose to up to 30 mg/day next week, after i'm not sure, I think with him, I will not be able to go to more than 60 mg...He seem very slow on writing prescription. I have also a insomnia problem and I wanted to add desyrel at night time, but he say no...but it's write in the facts sheet that you can take a low dose of trazadone with the Nardil if you have some insomnia...I think I have also to make a cross on this option, he will never let me take it at the same time. I will have to ask my family doctor to prescribe it to me...I See him the 3 december...I will not advise my new psychiatrist about that. You see, having a good family doctor at the same time than the psychiatrist can help sometimes...
So another time, take it slow, and also, take care of you, i'm sure you will feel better soon ;-)
Have a nice day ;-)
poster:Vincent_QC
thread:863270
URL: http://www.dr-bob.org/babble/20081123/msgs/865555.html