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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by frillyknickers on November 2, 2008, at 1:35:35
curious if there's some sort of consensus on this.
does it being monotherapy vs part of a cocktail make a huge difference?
Posted by Phillipa on November 2, 2008, at 10:05:14
In reply to best SSRI's/SNRI's for social anxiety?, posted by frillyknickers on November 2, 2008, at 1:35:35
Guess we're all different and lots of people respond differently. Hope you get a lot of responses. Phillipa
Posted by Medline on November 2, 2008, at 10:21:13
In reply to best SSRI's/SNRI's for social anxiety?, posted by frillyknickers on November 2, 2008, at 1:35:35
I would prefer Escitalpram (Lexapro) as first choice. Fast onset of action, good side effect profile, low interaction potential. If it doesn't work at I would suggest Venlafaxine (Effexor XR) as 2nd drug, boosting dosage if necessary to the maximum and giving it enough time to work (6-8 weeks). Pregabalin (Lyrica) can be added at a dose of 600mg. If this doesn't work there are other highly effective, but not first line treatments (MAOIS like Nardil or Parnate, Benzos like Klonopin).
Posted by bleauberry on November 2, 2008, at 19:10:05
In reply to best SSRI's/SNRI's for social anxiety?, posted by frillyknickers on November 2, 2008, at 1:35:35
Best ssri/snri for social anxiety will vary significantly depending on who answers the question. Ten different doctors, ten different answers.
My top choices in order of preference would be: Milnacipran, lexapro, cymbalta, paxil.
Posted by HyperFocus on November 3, 2008, at 0:40:37
In reply to best SSRI's/SNRI's for social anxiety?, posted by frillyknickers on November 2, 2008, at 1:35:35
From what I've read SSRIs are not effective for social anxiety especially if it's mutated into Avoidant Personality Disorder. YMMV. The gold standard for treatment is an MAOI - usually Nardil, and Klonopin plus other augmentors if needed.
> curious if there's some sort of consensus on this.
>
> does it being monotherapy vs part of a cocktail make a huge difference?
Posted by jms600 on November 5, 2008, at 17:13:07
In reply to Re: best SSRI's/SNRI's for social anxiety? » frillyknickers, posted by HyperFocus on November 3, 2008, at 0:40:37
I found that Cipralex helped my social phobia - Seroxat also helped a lot. Both of these drugs made a noticeable difference (Seroxat was the more effective of the two). Unfortunately they also both pooped out! Out of the two, Cipralex definitely had the better side effect profile.
I've been looking at trying Clomipramine - however that's a tricyclic antidepressant and so you may not want to go there..!
This is the end of the thread.
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