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Re: Social Phobia/Depression help » geno

Posted by JohnX2 on March 5, 2002, at 17:16:54

In reply to Re: Social Phobia/Depression help, posted by geno on March 5, 2002, at 16:28:53


Hi Geno,

I like your goal of being "happy go lucky"!

I like your pdoc too, he seems very understanding
and workable.

I've wondered how well this Remeron + SSRI combo could
be and it sounds like a lot of people do OK on Remeron for
the anxiety. People with social anxiety who start up SSRIs
often complain of increased anxiety , like Jill K. was
indicating with the Zoloft, probably due to a
serotonergic mechanism that you discussed earlier
at some receptors.

Remeron blocking those nasty serotonin
receptors, and I think that a lot of people do well with
Zyprexa and maybe Seroquel add ons too for this,
seems to help alleviate that nasty start up anxiety.

As far as the depression goes, 10 mg is pretty low
for paxil (20+ usually being therapeutic), 30 mg is in the
range of anti-depressant for Remeron. You probably just
need more time (don't we all). More Paxil/and or Remeron may help.
I think its really smart for pdocs to treat people with anxiety issues at
at lower starting dose of SSRIS, Wellbutrin etc just to
make sure they really don't throw things all out of control
for the person.

BTW, Paxil on average ?seems? less aggrivating than
Zoloft/Prozac and other SSRIs and so a lot of pdocs like it for
social anxiety/panic just because they believe it may be less
likely to cause start up anxiety. Down side is it is more
likely to cause drowsiness (Offset potentially by high
dose Remeron norepinephrine boos in your case).

Best wishes,
John

> hello, im going to add my thoughts on social phobia, anxiety and depression. Iv been using ghb, well gbl every day for last 2 yrs. I have taken numerous days off, but i feel soo soo different. This drug really has a nasty nasty mental withdrawl. I called it my bitch. Like that feeling you get when you girlfriend or wife, leaves you for another guy, multilply it by 3 and thats g withdrawl. Over the moths i tapered the dose to like 12ml, but still some days i still use alot. finally its the 3rd day off this shit. IT is so dam good, its evil. For me it totally wipes all social anxiety, parinoia depression and instant happiness it does, its scary. some call it drinkable gold. Well with out benzos and remeron, i think id be dead. or have a nervous breakdown. its day 4 and i still dont feel right.
> im on remeron 30mg at night
> paxil 10mg at night
> xanax .5mg at night
> klonopin 1mg day time.
>
> so far keeps me calm, and focused, but still not happy go lucky. my doc said wait a week and he will up the paxil dose or remeron dose. anyone have any comments to help out. i still dont feel social and happy.
> geno


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