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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by jason60 on August 3, 2001, at 1:50:03
I have just started taking neurontin and xanex for
Social phobia. They seem to be working fairly well.
But do not do much (if anything) for depression,
Anyone know of a drug that may help with depression
And also add to the treatment of social phobia.
Posted by MM on August 3, 2001, at 1:59:40
In reply to gabapentin(neurontin) + xanex social phobia, posted by jason60 on August 3, 2001, at 1:50:03
Hmm, paxil is FDA approved for the treatment of social phobia, and depression. Serzone (an anti-depressant, SNRI) might help. You might have success with any SSRI/SNRI, but some of them seem to make some people more anxious. I'd look in that area though.
Posted by jason60 on August 3, 2001, at 9:24:06
In reply to Re: gabapentin(neurontin) + xanex social phobia » jason60, posted by MM on August 3, 2001, at 1:59:40
MM
thank for the feed back, I forgot to mention
that I have tried Paxil, celexa and Serzone.
Paxil and Serzone had to stong of side effects(I was not able to use them long enough to have any
positive effect)
and the celexa was not effective for depession
are social phobia. I was hoping to find a med that works well for depression other than a SSRI.
any other suggestions.
thank jason
Posted by Cam W. on August 3, 2001, at 9:50:26
In reply to gabapentin(neurontin) + xanex social phobia, posted by jason60 on August 3, 2001, at 1:50:03
Jason - Are you using any psychotherapeutic interventions for your social phobia? In many cases, cognitive/behavioral treatments (exposure, cognitive restructuring, relaxation training, etc.) work better than medication for social phobia. There is some evidence that the combination of psychotherapy and medication may be more effective than either alone. I have found that psychotherapy is an important part of the treatment of social phobia.
As for the depression, it may disappear once you get the social phobia under control. If it doesn't Manerix (moclobemide - if you are in Canada) or desipramine (Norpramin) may be choices. Ask your doctor about this.
I hope that this is of some help. - Cam
Posted by PaulB on August 3, 2001, at 18:18:45
In reply to gabapentin(neurontin) + xanex social phobia, posted by jason60 on August 3, 2001, at 1:50:03
> I have just started taking neurontin and xanex for
> Social phobia. They seem to be working fairly well.
> But do not do much (if anything) for depression,
> Anyone know of a drug that may help with depression
> And also add to the treatment of social phobia.I would agree with CAM that some form of psychotherapy although perhaps CBT in particular would be beneficial. Controlling anxiety is half the battle. Confidence builds. Also I would add that I found that although medication helped almost immediately with my depression the negative thought processes changed over a longer period of time. If CBT can potentiate the medication and speed up this process then all the better. I think more frequent CBT would certainly do this.
For your depressison. If you ahve already tried SRI's then you may consider a TCA because they are strong norepinephrine re-uptakers but there are now other medications that enhance norepinephrine and dopamine that you may tolerate better.
Can I ask why your physician initially gave you both Gabapentin and Xanax together? Does he have some experience that one of these may increase effectiveness of the other? Is this your experience?
PaulB
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