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Better than Nardil or Klonopin for Social Phobia?

Posted by jb on March 9, 2001, at 15:50:08

Hi. I have extreme social phobia - presenting in front of groups, speaking in front of groups, being in one-on-one meetings with senior bosses, etc. I've tried a number of drugs: Nardil, Parnate, Klonopin, Valium, Remeron, Neurontin (Gabapentin), etc. Nardil and Klonopin seem to be the best combination, by far. But, Nardil makes me gain weight and makes for complete sexual dysfunction. Klonopin causes short-term amnesia, and is kind of a dumb drug, at least for me.

(Parnate was more activating, and with limited sexual dysfunction, but gave me a very dry mouth and noticeably slurred or slowed my speech pattern. It also was not nearly as effective as Nardil. I noticed little benefit from Gabapentin, Celexa, Remeron, or Valium.)

My question:

Has anyone tried a combination which works better for them?

(1) What about Selegiline (L-Deprenyl) at high doses, where it loses its selectivity for MAO-B, and inhibits MAO-A and MAO-B?

(2) What about Modafinil, or Modafinil to combat the amnestic effects of Klonopin?

(3) Any benefit from amisulpride, pagoclone or any other meds?

(4) I understand most of the SSRI's affect 5H-T2, and, therefore, sexual function. Those that affect 5H-T1 can cause some anxyiolitic benefit. Those that affect 5HT-3 tend to induce or prevent nausea, depending on their mode of action.

Thanks, a lot for any suggestions.

JB


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poster:jb thread:56025
URL: http://www.dr-bob.org/babble/20010302/msgs/56025.html