Posted by Rocket Jackson on April 26, 2003, at 22:38:25
In reply to best combo for social phobia and fatigue?, posted by Sarah S on April 26, 2003, at 14:14:25
> I suffer from social phobia, anxiety, depersonalization, and constant fatigue (I'm tired even when I get tons of sleep and even when I'm not depressed). I'm on Wellbutrin which helps the social phobia and depersonalization, but I'm still exhausted all the time, nervous, etc. I'm seeing a new pdoc on Tuesday and would like to add one or two meds to Wellbutrin to help with my remaining symptoms. Does anyone have any suggestions? I am considering the following combos:
> Wellbutrin + Klonopin+ Provigil: should help with fatigue, anxiety, depersonalization, and social phobia. The only downside I can think of is that most doctors won't prescribe Klonopin long-term.
> Wellbutrin + Zoloft: should help with social phobia, although it may increase the fatigue and depersonalization
> Wellbutrin + Zoloft + Provigil: I think this would tackle the social phobia, depression, and fatigue, but I don't know if it would help anxiety.
>
> If anyone has tried any of the above combos, or has had success with other med combos for the same problems that I have, then I'd be really grateful if you would post your experiences.Hi Sarah,
How long have you been on the WB so far? I tried it for a few months last summer for my SP (150mg bid), and experienced the same symptoms of exhaustion (mainly in the evening) and anxiety (during the day) over the first few weeks of treatment. And though the exhaustion eventually subsided, I continued to experience increased anxiety and thus decided to stop it after a few months.
As for adding the Klonopin, I did this on a prn basis when social situations were anticipated, and I felt like the Klonopin effects were essentially dampened by the WB-induced anxiety. So I know if I were to have added Provigil at the time, I probably would have been ramped up that much more. Take away the WB, and the Provigil/Klonopin combo I now use seems to work perfectly for me. I'm adding Zoloft next week for the first time to see how that works out...
If your exhaustion doesn't seem to be subsiding, then the addition of Provigil may very well be a good idea. Then if you get too nervous over time, an addition of Zoloft, or even Klonopin might help. Perhaps even Buspar might help?
Please let us know what you decide. I'll be particularly interested, as your situation sounds very similar to mine. :)
Good luck!
Rocket
poster:Rocket Jackson
thread:222609
URL: http://www.dr-bob.org/babble/20030423/msgs/222685.html