Posted by Chris A. on July 4, 1999, at 0:36:03
In reply to Re: spasmodic dysphonia, posted by Rick on July 3, 1999, at 17:43:50
I've seen research articles advocating selegiline for social phobia. Check medline for details. Some people reporting on Selegiline were on doses to small to be effective; 50 to 60 mgs. is more often that not required to treat depression. I can't remember the recommended doses for social phobia. I think when a lot of docs read about the doses for parkinson's, they are hesitant to give adequate doses for other off label conditions.
My pdoc seems to be very unorthodox with meds, and has replaced the Nardil with Selegeline, which isn't even very common as an AD, let alone for Social Phobia. (and see posts above re Selegeline's doubtful efficacy as an AD).
If you haven't taken 60 mg. of Selegiline it hasn't a fair trial - (maximizing the dose being a basic principle in psychopharmacology). So far, nothing. He tried "smoothing me out" by adding Lithium (also something you just don't see for SP), but after weird reactions I dropped that after one day. So now he's added a Benzo called Tranxene, once again something you never see for SP. I've only taken this a few days (with the Selegeline), but my voice is no better than when I started on this mission. Why can't he try one of the many drugs that are highly touted for SP effectiveness in some people, such as the Benzo Klonopin, or an SSRI AD such as Paxil? Maybe I need a new pdoc; this one seems to pride himself on being non-conformist when it comes to meds.
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poster:Chris A.
thread:8121
URL: http://www.dr-bob.org/babble/19990628/msgs/8241.html