Posted by Jedi on August 23, 2005, at 2:17:08
In reply to Re: Next steps for social anxiety..Nardil?, posted by aabag on August 23, 2005, at 1:09:25
Hi aabag,
Yes Nardil is the gold standard for both social anxiety and treatment resistant atypical depression. You are correct in that almost every PDOC will exhaust the SSRI's and some the tricyclics as well before prescribing a MAOI. If I were you I would document my previous drug trials with pharmacy records so the new PDOC doesn't think he/she must try another three combinations before giving you what works. I use 75mg to 90mg of Nardil plus 1mg of clonazepam daily to control my social and generalized anxiety and my atypical depression.
It's nice to be able to talk with people and not always be worrying about what they think of you. I would always have to wipe my hand before I shook someones hand so as not to expose them to the sweaty palm(yech). Nardil works for most people even when the other drugs don't touch it.
Most PDOCs, I think, want to be working with a pretty stable person when they prescribe a MAOI. I know people that can't keep track of their meds from one day to the next. This makes for a very high risk patient. It tends to look bad for the PDOC when a patient eats the wrong food or takes the wrong med with a MAOI. These reactions can be fatal. There is pretty much nothing I can take, over the counter, for a cold or cough. When you ask for codeine at the doctors, they just figure you're a drug seeker. I've had very experienced MDs tell me that codeine and Nardil would kill me. And most(all) doctors do not like to be told they are wrong.
One PDOC made me suffer through nine months of trials and never would prescribe Nardil. Sounds like a good idea to call ahead first to weed out a doc if he is completely anti-MAOI.
Good Luck and Be Well,
Jedi
poster:Jedi
thread:545498
URL: http://www.dr-bob.org/babble/20050821/msgs/545545.html