Posted by Cynthia on September 10, 1999, at 20:14:29
HI,
I HAVE TERRIBLE "SOCIAL PHOBIA." MY PSYCHDOC HAS PRESCRIBED NARDIL AND KLONPIN. BOTH ARE VERY EFFECTIVE, BUT THE KNOLONPIN MAKES ME DROWSY. THE PURPOSE FOR USING KLONOPIN AS AN ADJUNCT, I'M TOLD, IS TO SUPPLEMENT THE NARDIL. THAT IS, NARDIL, FIRST, AND THEN LOW STEADY STATE DOSE OF KLONOPIN. MY PROBLEM IS NARDIL HAS CAUSED ME TO GAIN OVER 20 POUNDS, AND HAS ALSO CAUSED 100% ANORGASMIA. HAS ANYONE TRIED ANYTHING ELSE THAT WORKED BETTER THAN NARDIL, WITHOUT THE SIDE EFFECTS. MY SEARCH OF MEDLINE INDICATES THAT THE SSRI'S AND THEIR COUSINS GENERALLY ARE NO BETTER THAN RELIEVING 40-45% OF THE SYMPTOMS, COMPARED WITH PLACEBO EFFECT OF 20-25%. I DON'T WANT THE SAME PROBLEMS ASSOCIATED WITH SSRI'S (SEXUAL DYSFUNCTION), WITH SUCH A LOWER LEVEL OF EFFICACY COMPARED TO NARDIL. BASICALLY, THEY SEEM TO OFFER ALL THE NEGATIVES WITHOUT THE BENEFIT, FOR SOCIAL PHOBIA, THAT IS. I HAVEN'T HEARD ANYTHING ABOUT REBOXETINE (IN TREATING SP), WHICH IS SOON TO BE RELEASED IN THE US (4TH QTR 1999). ALSO, UNDERSTAND GABAPENTIN AND ONDANSETRON DIDN'T MAKE IT THROUGH STAGE III TRIALS DUE TO LACK OF EFFICACY.
THERE HAS TO BE SOMETHING! BY THE WAY, PARNATE'S EFFICACY IN TREATING SP IS EQUIVOCAL.
ANY IDEAS?????????????????
poster:Cynthia
thread:11383
URL: http://www.dr-bob.org/babble/19990914/msgs/11383.html