Posted by zeugma on May 15, 2004, at 19:50:49
In reply to Re: Adrafinil - Is it dangerous ?!, posted by pseudonym on May 15, 2004, at 19:33:11
> In order to get Adderall or Dexedrine, is a diagnosis of social phobia enough, or do you need your pdoc to diagnose you as ADD? I understand there are no hard and fast rules, but my primary doc thinks of Adderall in about the same class as speed, and wouldn't prescribe it to save her life.
I have a dx of ADD, and could get Adderall easily enough. For social phobia it would be an off-label prescription, which is fine, but stimulants are scheduled drugs, and I think pdocs are monitored for their prescription of such drugs. As my pdoc is an ADD specialist, he would prescribe Adderall readily to me if other (health) considerations did not intervene, but it took many anxiety-induced 'meltdowns' before he could be persuaded to prescribe me Klonopin.
A lot of doctors are simply not familiar with the dx of social phobia- it gets lumped in with (IMO far milder and less disabling) disorders such as Generalized Anxiety Disorder, and so appropriate treatment (from the data I have seen, Klonopin and nardil) is simply not given until their patients are reduced to such misery that either the dr. gives in and prescribes something helpful or the patient finds another pdoc who is more amenable to reason. SSRI's have some efficacy in social phobia (or in "social anxiety," which may or may not be the same thing), but their side effect profiles are about as bad as Nardil and much worse then Klonopin's, and their efficacy is much more equivocal (to say the least).
poster:zeugma
thread:347165
URL: http://www.dr-bob.org/babble/20040515/msgs/347244.html