Social phobia/anxiety and drugs/meds [long]

[dbailey11]

I've tried buspirone and hated it! I felt even more restless on, and many others have said as much too. I personally think it may work for a very small percentage of people. But the fact that it takes weeks to work makes it undesirable; and throw in the initial anxiety amplifying effects.... That's why benzos are the preference; they work the first time you take them. But anxiety has many causes and drugs ultimately are just a bandage. Therapy, exercise, good nutrition, some type of awareness practice (meditation/yoga), can go along way in helping; they just don't have immediate results and need to be sustained. Remember, whatever is learned can be unlearned.

 

[Boiling in Acid]

I think my godsend combo would be Subutex 8mg + Xanax XR 2mg at morning, Subutex 2mg + Xanax XR 2mg at afternoon.

Too sad there is no chance I can obtain it, at least not in the near future.

 

[Ham-milton]

Tianeptine and amineptine are great choices. They're potentially addictve, though.

I still wanna try it with MDMA, but i'm not sure about that yet

 

[Broshious]

Tianeptine and amineptine are great choices. They're potentially addictve, though.

I still wanna try it with MDMA, but i'm not sure about that yet

Yes they are unlike SSRIs and TCAs which are almost always addictive. Sounds like they win there.

 

[rnd.id.]

Can someone explain this hype around amineptine? How is it any better than the other DA/NA(?)-reuptake inhibitors with their known pitfalls? I think this originated at Hedweb, but I always found it inconsistent that he says the popular stimulants are unsustainable and then goes on and advocates other DRIs :/

 

[rnd.id.]

In reply to enoughorangejuice?:

Personally, I have made good experiences with sertraline so far (about half a year).

Sertraline (for example) has been in heavy use since 1991 (according to WP), longer if you count trials. So I think the "noone knows the long term effects" argument is overblown. There remains a low probability that problems will show up, but this has to be balanced against the very high costs of untreated depression. For me the case is clear.

I can imagine that the WD sucks, but to be honest I don't plan on ever going off it.

Yes, for opioids we know the long-term effects well. For example, we know that the good effects almost inevitably become less and less, and we know that socially unaccepted use leads to a whole lot of other problems.

Please don't take this as a offense, but I have the feeling that some people here just don't like SSRIs because they are not instant euphoriants and because they want to make their favorite drug look good in comparison. I don't mean this as a personal attack, I just want to help you avoid being fooled by cognitive dissonance.

P.S.: Sertraline is somewhat dopaminergic. Maybe this makes it superior to other SSRIs.

 

[LD50]

Maybe a long shot, but most of the people agree that opiods/ tramadol and the like are the best pharms, i was just wondering if anyone tried low doses of kratom, as low doses don't make you (so) sleepy/ sedated but more stimulated uplifted (asian people use it to get the work done)

 

[mitragyna]

absolutely eat no wheat (or gluten) as this increases anxiety by 10 times.

Do you have any sources to back this up (for people without wheat or gluten sensitivity)?

 

[mitragyna]

to the OP

have you tried

Neurontin (gabapentin)
Lyrica (pregabalin)
Provigil (modafinil)

Those are the drugs i'm trying to work with for my SAD. Have Rx for the first two and am thinking about getting one for the third. But i just took a higher than normal dose of Neurontin and feel VERY VERY anxiety-free and socialable. I usually take 100mg every 5 hours or so, and i just took 400mg and feel very stimulated and social and great! No anxiety! Woohoo

Man, I envy your low tolerance[of Neurontin]. I'm RX'd 3200 mg daily (800 mg every 4 hours). Its hard for me to even notice the effects...although I went 3 days without it once and when I finally dosed I felt pretty significant effects. It does help quite a bit though with my SAD and depression.

I want to go on Lyrica for the better bioavailability. Hopefully I'll find it more anxiolytic and possibly recreational.

 

[GoddessLSD-XTC]

How many of U all like MDMA?

Have any of U tried substituting a beer for lunch and one or two glasses of wine in the afternoon? Or are U useing these psychiatric drugs 'cause U hafta work?

What do U do in social situations? Drink, take E or ?

 

[immad]

I don't know if this is already suggested and I don't really know from experience, since I don't really suffer much from social anxiety, but maybe aMT could help?

If XTC helps, my guess is that aMT will also get the job done. It lasts longer and doesn't let you crash like MDMA. It could be worth a shot?

 

[ebola?]

Okay.
Something like MDMA, maybe alpha-MT, could help in a theraputic setting, perhaps lending the mindstate necessary to deal with difficult psychological baggage. If you were to take MDMA to treat social anxiety directly, however, well at best it will lose effectiveness quite quickly. At worst, you'll be more anxious and depressed than when you began.

 

[cocacrazy]

Ok so I know this sounds like a goody goody answer but if none of the drugs or supplements that you listed worked for your phobia maybe drugs aren't the cure. Why don't you talk to a shrink it might actually help instead of just cover up the problem.

 

[rnd.id.]

So say I think about talking to a hot girl. The normal blow-up emotional anxiety response you get sober is heavily lowered on DXM, and it's much more realistic in nature. These three effects combined prove very useful for event-oriented exposure therapy in my opinion.

No offense to you, but that mental picture just gave me a laughing fit

For best results, use at least an upper third plateau dose. Chicks dig the robowalk and the random passing out/vomitting while you're trying to express your breakthrough insights about "the light at the end of the tunnel", the nature of recursion, or the exact relationship of the strobelight patterns and the impending alien invasion

 

[mitragyna]

For best results, use at least an upper third plateau dose. Chicks dig the robowalk and the random passing out/vomitting while you're trying to express your breakthrough insights about "the light at the end of the tunnel", the nature of recursion, or the exact relationship of the strobelight patterns and the impending alien invasion

ROFL! Yeah, that's gotta be the first time I've ever heard of DXM being recommended for Social Anxiety.

 

[bob_arctor]

Pregabalin works really well for me against social phobia and anxiety. In higher doses GHB-like effects. Seems to have very low addiction potential (even though I know people who have had problems being hooked on it, but they have this problem with all medications basically)

 

[bob_arctor]

GHB for me only makes me tense and gives me long-lasting jawclenching, makes it hard to sleep. Only some euphoria. Didn't used to be that way though.

 

[Saku39]

I suffered from depression/social phobia/anxiety, anti-depressant helped me ine the past, benzodiazepines and anti-anxiety medications too, but they all stopped to help me at a point ( sometimes one week after the begining of the treatment, it didn't already work: that's the case of Xanax; some other meds helped me for months: I think of Remeron, but it stopped too to help me...)

But now it's been two years I've found THE medication that cured my depression/anxiety. And now, TWO years later, it still works wonder: it's Buprenorphine, IVed, 24mg/day.

I lied to the doc, told him I was a heroin addict. That's the only way I could get it prescribed. But I use Bupe, and have always used it for depression/anxiety only. (even if it got me so high in the beginning...)

This is interesting. I also take Buprenorphine 1/2 of an 8mg tablet 3x a day, so 12mg total. I'm still depressed, but it puts a limit on how bad the depression can get. No deep, dark depression, but still moderately there. I initially started at 2mg.

It doesn't produce a high or anything like that either. I'm wondering whether increasing the dosage would alleviate the remaining depression & anxiety. It helped anxiety for maybe the first week but after that, not at all.

At a minimum something like this should be tried before Elecroshock. I repeatedly asked my doctor over & over to try this before doing ECT & he refused, but was ready to do ECT which left me with permanent brain damage(I was pretty smart before, so I can get by being normal now ) hehe. Now afterwards, the med I requested does work & would have made the ECT completely unnecessary. Shows you that some doctors don't always have the best ideas(Some are fanastic though, just like anything) Its ok though I dont hold any grudges or anything. I honestly don't get any side effects from it all, no high, no anything....I don't know why the Docs refuse to prescribe it.

 

[Tsukasa]

I think circulating drugs like you've mentioned would help avoid physical addiction, but psychological addiction will still be there. But if you really can't live with your SP then it's the best option open.

Since adderall seems to work for you, why don't you try propylhexedrine. IME it's effects are cleaner than adderall. Benzedrex nasal inhalers in pharmacies contain 250mg's of propylhexedrine. For me that's at least 2 good doses. The only downside is you have to chop up the cotton inside and eat it, then get lavender menthol burps... doesn't bother me though, though some people are a bitch about it. Besides that, theirs many other amphetamines you can try. Good thing about them is they aren't nearly as physically addicting as most drugs.

GBL is a pro-drug of GHB that is much more easily attainable and supposedly longer lasting. I forgot what the source for it was, but it's an easy extraction.

You also still haven't tried gabapentin. It's a GABA-analogue just like lyrica. I have a crapload i got for free. They eliminate any of my anxiety, pain and make me really talkative. Though they've just been sitting... they kind of make me feel goofy. Though It's definately worth a shot. All my friends who've taken them say they love it for the anxiety relieving and mind-clearing effect.

Methylphenidate (concerta/ritalin) is nearly identical to amphetamines in effects. Would definately hit it.

I don't reccomend dopamine agonists. They will probably just cause nausea/vomiting and some like permax can cause cardiac fibrosis since they also affect the 5-HT2B receptor.

Those opiates you've mention are the most sedating ones. Oxycodone, hydrocodone, oxymorphone, hydromorphone, and meperidine are among the more speedy opioids, and are far more social than heroin, codeine, or morphine which just make you feel apathetic and noddy.

Barbiturates would be good for SP. Some are much longer lasting than any benzo like phenobarbital. They are also more sedating than benzo's IME, so it might make you feel dopey.

If SSRI's didn't help then odds are mesembrine, luvox and 5-HTP will probably have no effect. I don't think serotonin is the problem with your neurochemistry. I think the problem lies with dopamine, GABA and GHB.

I've never tried ativan, but you've said that most benzo's didn't work for you. Though if xanax worked then ativan is at least worth a try.

Fuck Dopamax. Will just make you feel dopey.

Modafinil isn't quite as good as amphetamine or methylphenidate. Better for just staying alert and motivated. But why not try.

 

[chaos_destroy]

for me 5-htp works really good. i used to not be able to order food at mcdonalds or answer the phone or make calls and i would shake heaps and my throat would clamp up when i had to do public speaking and since i starting 5-htp basically all of that has gone. on some days its still there a bit but thats usuallly when i'm hung over or something that makes my anxiety go up anyway.