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Re: social anxiety meds

Posted by SLS on May 10, 2004, at 11:37:13

In reply to Re: social anxiety meds » SLS, posted by harryp on May 10, 2004, at 11:01:46

Hi Harry.

Your recommendations are EXCELLENT and worth a try. Unfortunately, I already have.

> Have you tried augmenting a MAOI with lithium? I've hear that sometimes is great for partial response.

Adding lithium on multiple occasions has made me feel worse, not better. Parnate is the MAOI that my old doctor reported having the most success with when adding lithium. I have tried it with both Parnate and Nardil.

> I've also heard of triiodothiadine used as an augmentor.

My only occasion to use Cytomel produced a severe exacerbation of depression. It was withdrawn for awhile and reintroduced with the same result. Interestingly, I found T4 (Synthroid) somewhat helpful.

> The most intriguing MAOI augmenting agent described by Bernstein was Permax!

I didn't try Permax, but I did try adding bromocriptine (Parlodel) to a trial of Parnate 120mg + desipramine 300mg. I also tried adding amphetamine (Dexedrine) into the mix. Both bromocriptine and amphetamine produced a moderate antidepressant response that lasted for 3 days each. I guess I would still be receptive to using either Mirapex or Requip, two other DA receptor agonists. My main apprehension with this strategy is that somnolence will eventually emerge as a side effect.

I really appreciate your input!


- Scott

 

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