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SSRI's but not Mirtazapine for social anxiety/sociability?

JohnBoy2000

Bluelighter
Joined
May 11, 2016
Messages
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SSRI's - namely Sertraline and Venlafaxine - are licensed for social anxiety.
I think others are scripted for that purpose also.

But mirtazapine is not.

And in my experience - Mirtazapine does nothing to improve sociability, mood wise; it might improve general cognizance and functionality - but does not put one in the mood for socializing; at least - it didn't for me - at all.

SSRI's and venlafaxine are like magic for this.

Yet they both increase synaptic serotonin - albeit by different means.

Is this attributable to cross over of intra-neuronal post synaptic transduction cascades - ultimately mirtazapine negates its own social benefits; something like that?

Perhaps alpha 2 adrenergic blockade also releases transmitters which give rise to that cross-over cancellation - where as SSRI's - focusing exclusively on the 5HT transporter, don't have this effect?


Is there any other explanation as to why SSRI's work for sociability - and Mirtazapine does not?
 
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