Posted by JahL on April 30, 2001, at 16:20:22
In reply to what i got...update, posted by sar on April 30, 2001, at 14:23:18
> > The interviewer I'd seen earlier, before the pdoc, let me know that the clinic could be utilized only by people with urgent cases...which meant we focused on depression rather than sp, though I did tell them of my sp diagnosis.I wonder if these people have reviewed the latest literature on s.p., which suggests it is a disorder that can cause acute social dysfunction, & is deserving of much more serious attn than was previously given.
> > She said she wanted to try me on an SSRI rather than the lamictal, neurontin, and Sulpiride I suggested. "Those are last resorts," she said & pointed out that I haven't really tried any of the frontline options. (I did Paxil for a week & Effexor for a month, hated both). Wouldn't give me Xanax because of its addictive qualities.
I just know that I bottom out pretty hard every few years and wonder if Prozac's enough for that...so the sp goes largely unaddressed, tho I've read in the archives that it sometimes removes inhibition? & in others it increases anxiety?FWIW Sar, tho' I was one of those that suggested alternatives, Paxil & Prozac were the *only* drugs to ever cause my s.p. to (completely) remit. Didn't last, tho at least I got 6 wks of anxiety-free euthymia out of it...
All the SSRIs (which *are* first-line treatment) have the potential to effectively treat s.p. (tho' , & it means little, Paxil is the only one with FDA approval for this indication).
If Prozac isn't helping after 5 or 6 weeks then you probably have a case for looking @ alternatives since you've already tried the most 'potent' AD (Effexor).
Hoping the Prozac does it...
J.
poster:JahL
thread:61156
URL: http://www.dr-bob.org/babble/20010424/msgs/61167.html