an intresting poll about medicines, CBT methods, etc.

Ehsan

Well-known member

frizboy

Well-known member
Pretty neat site. But notice the top-rated drug for social anxiety (out of the ones with a lot of reviews) is Clonazepam. Looking at the reviews, you get the sense that it's pretty much the perfect drug for treating anxiety. But notice also that it's generally rated fairly low in the long term. Basically, it's designed only for short-term anxiety relief. Of the long-term use drugs, it looks like Lexapro may be a best bet, and it's not even rated that highly (6.6/10). Another one was Inderal, a beta-blocker, rated at 7.9, but I don't think it's usually prescribed for anxiety so much as for the physiological symptoms accompanying it.

I didn't see much about CBT though, unless I just missed it.
 

Ehsan

Well-known member
Ok, as you said there are some conflicts in ratings. To give best you may compare each group of drugs with itself. For example drugs with fast effect and short-term usage with each other(clonasepam may be compared with lorazepam, alprazolam etc). Or long-term antidepressants with each other(lexapro,paxil,celexa,zoloft,effexor,prozac,phenelzine etc.)
Also to see nutritional(diets) and CBT methods etc. refer to SP main page:

https://remedyfind.revolutionhealth.com/remedyfind/Conditions/Social-Phobia-Social-Anxiety-Disorder/
 

ignisfatuus

Well-known member
I don't find Klonopin (clonazepam) fast acting at all, although everyone seems to think it's great. As far as the gold standard for SA psychopharmacological options, Nardil is usually at the top of the pyramid. They changed the formula a few years ago and it is now being manufactured in France (if I remember correctly) which caused a large uproar among long time users as its efficacy was apparently compromised. I wouldn't recommend trying this, however, unless your SA is extreme (i.e., you are virtually housebound, etc.).
 

Ehsan

Well-known member
I also have seen many papers which introduces nardil as the first line in treatment of SP. But in the mentioned poll it has a low rating and someone have found it useless. Also its lethal side effects forces doctors to look it as a reserved drug at most cases.
I found klonopin very helpful and i have heard that it affects in about 20 minutes. You may increase dosage of klonopin gradually to 4mg/day to find it effective. But klonopin has also its shortcomings such that it should increase gradually in dosage to keep its effect and isn't a long-term remedy. Also side effects such as memory loss and addiction are possible in long term usage. So my doctor switched me to citalopram(celexa) which i don't know its effectiveness.
 

frizboy

Well-known member
I always figured Paxil was considered the "gold standard." And about Celexa (citalopram), it's basically the same thing as Lexapro (escitalopram), except the dosage is twice that of Lexapro (which is just a polymer of citalopram). So probably whatever goes for Lexapro goes for Celexa. Lexapro is a lot more expensive, though, and apparently people don't react to them exactly the same way, but the data is premature to demonstrate that one is more effective than the other.
 
Dexedrine?

never heard of this could someone fill me in apparently someone thought it was a 10. Also I saw Lyrica and Nuerotin I thought these medications wheren't perscribed for anxiety in the US does anyone know are docs in the US writting scripts for these drugs as anti-anxiety meds now. Also I would rate Parnate and Nardil higher MAOI's are always underated for SA.
Thanks Chris
 

ignisfatuus

Well-known member
Paxil did nothing for me, I might as well have been taking sugar pills (that was on the maximum dose too). Effexor was equally useless although the withdrawal was nasty (I think that had more to do with how quickly my psychiatrist took me off it [one week]). Moclobemide temporarily neutralised my sense of taste, much to my horror as you may imagine. It occurred over a five day period and when I mentioned it to the pharmacist, he finally found the symptom listed as affecting a decimal percentage of those who use it.
 
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