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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by mayab on October 22, 2003, at 8:15:54
Hi Everyone
I had my first appointment with my psychiatrist yesterday. He decided to keep me on the 20mg paxil for another 2 weeks before moving on to a higher dose, which is fine with me.
He wasn't too happy about the ativan. But after lecturing me about it's addictive potential he wrote out another script for 30 of them. So maybe he was just covering his bases!
My question is that he said that we might try a low dose of reseridal in a couple of weeks if I'm still feeling anxious despite the paxil. Doesn't this seem very extreme?
Thanks again
Posted by ace on October 22, 2003, at 21:01:39
In reply to resperidal for social anxiety, posted by mayab on October 22, 2003, at 8:15:54
> My question is that he said that we might try a low dose of reseridal in a couple of weeks if I'm still feeling anxious despite the paxil. Doesn't this seem very extreme?If it's social anxiety, it sounds stupid. Nardil is the gold standard for social anxiety- put that to him. I'd only use Risperidal after many other failed trials. Risperidal can have very nasty effects.
> Thanks againAce.
Posted by btnd on October 24, 2003, at 9:49:04
In reply to resperidal for social anxiety, posted by mayab on October 22, 2003, at 8:15:54
It might work via the pathway -> Risperdal (risperidone) D2 antagonism -> increase in pre-synaptic dopamine transmission (that's what happens with amisulpride and sulpiride at low doses) -> increase in dopamine -> social phobia/anxiety and dysthymic mood changed. All of the above are just my speculations, but I'd give it a shot instead of all the SSRIs prescribed for social p/a. OTOH there are gold standards: Klonopin, Parnate, Nardil. (in my case Amisulpride ;-)
This is the end of the thread.
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