Posted by JonW on October 28, 2003, at 9:51:13
In reply to Re: best forum www about SOICIAL PHOBIA?, posted by Ramon Paz on October 27, 2003, at 23:53:24
> Jon, you said you already took everything. But how about the combinations? And NARDIL?
I've been on Nardil, but had to stop due to side-effects. I have been on numerous combinations of drugs... as many as six at once. I haven't tried everything, but I've tried a hell of a lot. For me, medication alone is not the answer. Without it, remission wouldn't be an option, but it alone is not the solution. Even Nardil, the best med I've been on for social anxiety, left me far from recovered. Moclobemide is comparable to Paxil for me, but without the side-effects. This combined with a very targeted CBT program, has been synergistic for me. I also take the dietary supplement acetyl-l-carnitine.
> We have aurorix here in Brasil. I already used it to switch parnate to other meds, but it let me nervous, agitated, but motivated and better too.
If you were switching meds at the time, it's hard to have a 100% accurate picture of what caused your mervousness and agitation. I mean, it could've been the moclobemide or it could've been the lack of Parnate, or the combination. I also experienced some agitation and irritability while starting moclobemide. It went away, though. I also discovered that taking several small doses throughout the day is far smoother and better, for me, than taking two larger doses. I am very sensitive to the ups and downs of anything that is even mildly stimulating. The crash of a 300mg dose of moclobemide, which has no more than a two hour half-life (I think the MAO inhibition is something like 24 hours, though), is worse than a dose of 150mg. I take 150mg three times a day. You could even try 100mg or 75mg four times a day. For someone who requires 900mg or more of this stuff, which isn't uncommon, that might not be a very practical solution. Dividing it into smaller doses throughout the day, though, is what has allowed me to tolerate this drug.
>Anyway I never got on Aurorix for longs periods.
For me, it took a good eight weeks at the right dose to get a solid response. I also had an initial response the first week, but that faded somewhat. Then after eight weeks or so on 450mg (150mg 3x/day), the drug really started to kick in.
>So in your opininon Aurorix worked better than Nardil?let me know about that and from others users.
I try to be as unbiased as possible when posting. The truth is Nardil is probably the most potent when it comes to social anxiety disorder, but with a lot of side-effects. Many people swear by moclobemide, but it seems that fewer people respond to it than other drugs. In clinical trials and by reputation, it appears somewhat less potent than other drugs. It has been a miracle for me, though. Moclobemide doesn't rob me of me. It enables me to change myself for the better, and the combination of that opportunity with CBT has made all the difference in the world. In comparing Nardil to moclobemide, I would say that Nardil is a little more powerful, but for me, not enough more to justify the side-effects and dietary restrictions. If you're going for a medication only approach, Nardil is definitely the big gun. Adding CBT could broaden the medication options you have at your disposal, though. Don't underestimate the synergy of a somewhat helpful drug and CBT. This has allowed me to enjoy a road to recovery that is essentially free of side-effects, and in the long run, has proven to be more effective than even Nardil alone.
Jon :)
poster:JonW
thread:273808
URL: http://www.dr-bob.org/babble/20031025/msgs/274247.html