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Re #2: SOC PHOBIA COCKTAIL--WOW!!!:Survey Says...

Posted by Rick on June 11, 2000, at 18:30:02

In reply to Re: SOCIAL PHOBIA COCKTAIL -- WOW!!! : Survey Says..., posted by Rick on June 11, 2000, at 18:25:40


(Here's the rest -- I hope)

Despite its sole official indication for narcolepsy I have read that 40% of its use in the U.S. has been for other purposes. (Cepholon is currently testing it for many other disorders, from sleep apnea to attention-deficit disorder to alzheimers. I will soon post a study showing promising results in using Provigil to augment antidepressants.) I added it in a very-successful attempt to counterbalance the moderate fatigue and lack of motivation that the combo of Klonopin and antidepressants often caused. And am I glad I did! As stated previously, I now feel so awake, energetic (but not "wired) and metally sharp! I had tried the more typical route of adding small amounts of stimulating AD's like Wellbutrin to counter the lethargy, but while they woke me up a bit, they also brought back a good deal of my social phobia. To tell the truth, when I originally convinced my pdoc to let me try Provigil, I was betting that it would have the same deleterious effects -- maybe even worse -- than the stimulating AD's. But to my surprise, it didn't increase my anxiety at all! Instead it made me much more talkative and outgoing, which added a wonderful dimension to my calmness-focused social phobia treatment. Calm but "up"! What a combo!

A few more things...While I knew that that Effexor had a reputation (and now an official indication) for treating generalized anxiety, I also knew that many drugs which can help a lot in other anxiety disorders were known to be pretty ineffective for generalized Social Anxiety. That's why, other than finding a few small studies, I was searching in vain to try to find personal Social Anxiety experiences with Effexor.

You mentioned BuSpar and Beta Blockers. Most studies and personal accounts have shown BuSpar to be of little help for Social Phobia (even though it is often very effective in generalized anxiety), but one of my most helpful combos up until now was Klonopin plus low-dose BuSpar and pindolol (a serot


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