Posted by Michael Bell on December 23, 2004, at 20:53:38
I really find that everyone on this board has great input into med combos, so I'm hoping for some advice.
In dealing with severe social phobia, let's just say I've run the gamut of meds. SSRIs, SNRIs, MAOIs, Atypical APs, Benzos, mood stabilizers, etc. Eventually, I've settled on Klonopin as the foundational med and I play with a variety of others as addition to the Klono. Currently I'm on Klono + Lamictal + Neurontin.
But I CAN'T STAND the dysthymia/anhedonia or whatever the h*ll you want to call it that klonopin causes, and nothing seems to help that. Just going through life day by day, no pleasures, no reward, no nothing. No anxiety, but no positive feelings either.
So I'm thinking of a couple things:
1) my first choice is switching to xanax: for those who've tried it, do you recommend this? I say this b/c of the supposed additional antidepressant effect. I know klono is a longer acting med, but how about xanax xr? And is the abuse potential really that much higher for xanax than klonopin?
2) second, I'm considering going back onto Nardil: when I was on it (briefly), it worked wonders for SP and there was no dythymia. But the food restrictions scared me into quitting. For those of you who've tried it, how real is the chance for hypertensive crisis, assuming I follow the prohibited food list? Also, what is the safest, fast acting drug that I can take in case a hypertensive crisis does start?
I really would appreciate some feedback. I really want to start living as opposed to just *existing*.
Thanks.
poster:Michael Bell
thread:433578
URL: http://www.dr-bob.org/babble/20041223/msgs/433578.html