Posted by spike4848 on January 22, 2002, at 0:01:39
In reply to Re: Calling all agoraphobics.... » Jackster, posted by TSA West on January 19, 2002, at 17:30:02
> I'm thinking you will be able to augment the Paxil successfully with buspirone or pindolol instead of using the difficult-to-tolerate clomipramine:
You will see pindolol and buspar augmentation over and over in the literature, but clinical lore is these medications are fairly ineffective in augmentation. Buspar manufactures have attempted several ways to squeeze the medication into practice .... thru studies for GAD-not very effective, studies as an antidote for sexual dysfunction-not very effective, studies as augmentation-not very effective. Buspar for many patients is little more that expensive placebo.
> Augmentation with agents that are not antidepressants are very common in psychiatric strategies, for they work wonders for many patients. Indeed combinations with an SSRI have much more efficacy than either agent alone. See this website which is the best authority for this: http://www.med.nyu.edu/Psych/aug/
Once again ... focuses on pindolol and buspar and T3/T4 ... not much clinical utility. (Although lithium augmention is very effective)
> MAOIs are quite safe, and have been around for 30+ years. They are a very viable option for you, and one rarely hears in the paper about serious complications with MAOIs when used under the supervision of a good doctor.
I agree. MAOIs have been known to be some of the most potent anti-anxiety, anti-panic, anti-depressant medications. Definately worth a try.
And definately you should try klonopin. Extremely effective for anxiety and agoraphobia! Here is a great web site:
http://www.anxietynetwork.com/pdmed.html#pdmed1
I hope this helped. You will be better. Hang in there.
Spike
poster:spike4848
thread:90780
URL: http://www.dr-bob.org/babble/20020116/msgs/91070.html