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Re: how to get rivotril off label on the NHS » sowhysosad

Posted by metric on April 18, 2009, at 13:26:22

In reply to Re: how to get rivotril off label on the NHS, posted by sowhysosad on April 17, 2009, at 17:02:18

> I'm not so sure about that. Many people find SSRI's helpful for anxiety (albeit after some initial start-up anxiety perhaps), and sedating tricyclics and tetracyclics can be good for anxiety too.

Many people find amphetamine (and other stimulants) helpful for anxiety too, but I wouldn't call it an anxiolytic. Would you?

Even in someone who has taken an SSRI chronically, taking a higher dose to suppress anxiety acutely is more likely to increase than decrease their level of anxiety. I think that for a drug to properly be called an anxiolytic, it should reliably and dose-dependently suppress anxiety when administered acutely. SSRIs don't do that. Antidepressants are also plagued with so many side-effects that their weak and unpredictable effect on anxiety is difficult to justify in many anxious individuals.


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