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  • BDD Moderators: Keif’ Richards

What's the best combination of the following for social anxiety?

N

Nevernot

Greenlighter
Joined
Jul 5, 2014
Messages
11
Please don't quote.

Note: all of these were or are prescribed to me.

I'm prescribed Klonopin 1mg and Adderall 20mgXR and Adderall 10mgIR monthly.
Also, Xanax 1mg, Vicodin 5mg, and Morphine 30mg. These were one-off prescriptions--that is, a few times in the past I was prescribed them but I'm not prescribed them monthly.

I get nervous in social situations, so at first I just used Klonopin (helped by Tagamet), alcohol, meclizine to avoid alcohol vomiting. And ephedrine (Bronkaid) to stay awake. But then I noticed that even though I didn't have any anxiety, I didn't have any energy, initiative, or motivation to go do anything either, like talk to someone or dance.

So then I started using Adderall (helped by antacids). But I can't tell whether the Adderall increases my anxiety, even though I'm pretty sure it gives a confidence boost.

Recently, I started throwing opiates into the mix but I can't tell what additional effect the opiates have. I haven't taken enough opiates for long enough to develop a tolerance.

Even on all of this, I still care a great deal about what others think of me, so I hesitate to say or do things.

Yesterday, I took the following:
-1mg Klonopin (+ Tagamet)
-.5mg Xanax (+ Tagamet)
-5mg Vicodin (+ Tagamet)
-30mg Adderall (+antacid)
-50mg Meclizine (to not vomit or get dizzy)
-8-10 drinks of alcohol, low moderate alcohol tolerance (maybe).

Even so, at times I was still at a loss for words, not sure what to say etc.

It seems like my speech capacity is somewhat impaired but I can't tell whether this is just normal alcohol, or anxiety, or residual damage from a few E rolls over the summer and an OTC GABA withdrawal.
 
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Unless you truly need to, D-Amp might be causing you anxiety my dude. Try cutting that out and see how it goes for a few days.
 
Doesn't the d-amp give you confidence? Is it the l-amp that's responsible for anxiety? Or is it the l-amp that gives me energy (heartrate, muscle contractions).

If I cut out the Adderall entirely, what should I replace it with to stay awake and energetic?
 
You're taking way too many drugs man, that's probably causing you anxiety right there. Stacking downer on top of downer on top of downer then throwing in some adderall to counteract all the cns depression seems like a waste of time and money honestly.

Also, 8-10 drinks is a pretty fair alcohol tolerance and stacking that on top of the rest of it is probably quite bad for your organs.

Benzos in general reduce your anxiety but at the cost of lack of motivation and energy. Energy, hyperactivity, and anxiety are all somewhat related, so mixing all this stuff is probably doing very little in actually affecting your baseline anxiety levels. You'd probably have the least amount of anxiety by simply taking 1mg of klonopin and adding 10mg adderall xr on days you need more energy. Throwing opiates into this mix is seriously asking for trouble, it's hard to imagine a more addictive cocktail than what you've got going on right now. Amps, opiates, benzos and then alcohol is nothing to take lightly.
 
Crashing said:
You're taking way too many drugs man, that's probably causing you anxiety right there. Stacking downer on top of downer on top of downer then throwing in some adderall to counteract all the cns depression seems like a waste of time and money honestly.

Also, 8-10 drinks is a pretty fair alcohol tolerance and stacking that on top of the rest of it is probably quite bad for your organs.

Benzos in general reduce your anxiety but at the cost of lack of motivation and energy. Energy, hyperactivity, and anxiety are all somewhat related, so mixing all this stuff is probably doing very little in actually affecting your baseline anxiety levels. You'd probably have the least amount of anxiety by simply taking 1mg of klonopin and adding 10mg adderall xr on days you need more energy. Throwing opiates into this mix is seriously asking for trouble, it's hard to imagine a more addictive cocktail than what you've got going on right now. Amps, opiates, benzos and then alcohol is nothing to take lightly.
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1mg Klonopin and 10mg Adderall sounds great, but the problem is I don't feel it. I'm not saying my tolerance to benzos and amps is high enough so that 1mg and 10mg respectively no longer affect me. I'm just saying, when I do 1.5mg benzos, alcohol, and Adderall, it's pretty obvious because I feel something.

I mean the above is my go-to when going out. When I'm alone I want to just wash away my regrets, so I've been looking to opiates to do that because Xanax and Klono make me not stress out about it but not stop caring about perceived wrongs. For that purpose, is 30mg morphine or 20mg OC the way to go?
 
What's the best Rx to not worry or think about past regrets?

-Klonopin
-Xanax
-OC (the opiate)
-Morphine
-Hydro
-Adderall/Dex

And what's the difference between a benzo, opiate, or stimulant "high" and using them at therapeutic doses?
I usually take 1mg Klono or Xanax, 20mg Adderall. The most I've taken at one time was once I took 2mg Klono/Xanax and 40mg Adderall, not at the same time.

I take them to wash away worries, to be more confident and social and less anxious. If there are the effects I want, is taking them at the prescribed therapeutic doses of 1mg Klonopin and 20mg Adderall the way to go?

What would happen if that's increased to e.g., 5mg Xanax/Klono or 80mg Adderall?
 
Nevernot said:
1mg Klonopin and 10mg Adderall sounds great, but the problem is I don't feel it. I'm not saying my tolerance to benzos and amps is high enough so that 1mg and 10mg respectively no longer affect me. I'm just saying, when I do 1.5mg benzos, alcohol, and Adderall, it's pretty obvious because I feel something.

I mean the above is my go-to when going out. When I'm alone I want to just wash away my regrets, so I've been looking to opiates to do that because Xanax and Klono make me not stress out about it but not stop caring about perceived wrongs. For that purpose, is 30mg morphine or 20mg OC the way to go?
Click to expand...

Nevernot said:
-Klonopin
-Xanax
-OC (the opiate)
-Morphine
-Hydro
-Adderall/Dex

And what's the difference between a benzo, opiate, or stimulant "high" and using them at therapeutic doses?
I usually take 1mg Klono or Xanax, 20mg Adderall. The most I've taken at one time was once I took 2mg Klono/Xanax and 40mg Adderall, not at the same time.

I take them to wash away worries, to be more confident and social and less anxious. If there are the effects I want, is taking them at the prescribed therapeutic doses of 1mg Klonopin and 20mg Adderall the way to go?

What would happen if that's increased to e.g., 5mg Xanax/Klono or 80mg Adderall?
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You sound like you need real help, not more drugs to wash away your thought/worries/fear/anxiety.

Eventually you will have to come off Benzos & Opiates and then you'll rue the Day you ever started. I would strongly advise against increasing your doses unless you have become tolerant, even then, that's a warning for the future that you will keep having to escalate your doses and one day you will need lots of drugs merely to feel 'normal', then there is the horror of withdrawal and PAWS where all them emotions you were supressing come flooding back and you've no way of dealing with them.

My only advice would be try and gradually and safely taper off your medication before you become that train wreck further down the line.

I understand the way you feel, that you want to feel 'normal' here and now. I too suffer from crippling anxiety, but it's worse now than it was 5 Years ago, when I began using Benzo's just to feel normal. I now don't know what 'normal' is....! :(

Best wishes ;)
 
Firstly, the klonopin along with the xanax is redundant (both mimic the effects of alcohol on the brain). All you should need is a good dose of the adderall and a small dose of xanax to take the edge off. Lay off the opiates, they're not helping, not a great idea to mix amphetamines with alcohol but I'm not your daddy. Also remember, you will never become naturally more comfortable in social settings if you begin to use drugs to help you. Good luck!
 
Cut the opiates out of the picture for social anxiety, if you tke them as Rx for chronic or sporadic moderate to high pain, then that's "ok".

Try 0.5mg k-pin as soon as you wake up, and the other 0.5mg at noon, keep the 0.5 xanax for exceptional occasions when you know you ill be confronted with a difficult, anxiety provocking situation, in which case you can take it preventively, or if you're not sure, see how you feel, and if you're really "blocked" take the 0.5mg xanax...

Limit the booze as much as possible, combined ith the benzos, they potentiate eachother a lot, and more in a relaxing way, with say 2-3 shots of liquor, above that IME, it's more stimulation, and possibly have the opposite effect and produce anxiety.

I know stims far less especially the l/d/meth amps, but again logicly i would deduce that it's best to keep to a minimum your consumption, if you're not AD(H)D, don't take daily, so you can use 10mg IR or 2x10mg for confidence etc. in particular social situations, try cutting the amp out alltogether for a couple, few days, see how you feel, then try with the d amp, see if it affects the social anxiety, and to what extent. I only have experience with Ritalin as far as pharmy stims available on the market here... Look into Modafinil maybe (wiki it), talk to your doc, if the d-amp is adding to the anxiety, Modafinil IMO will add less or no anxiety.

A combination, of a stable prescription, preferably from a good psychiatrist, as a crutch, with only what you need, so as to be able to follow a therapy with a psychologist for the long term and things will improve immensely.

Sport and healthy diet obviously,play a role, you seem relatively young, you have time, but you've got to do things in the right order, ask Q's on BL... and if ever you feel things getting out of your control, call your doc/psychiatrist/ therapist, explain the situation explicitely and give their advice a try.

All the best to you, don't hesitate to reach out for info, on the forums, or by PM with people you estimate give sound advice, have maybe been through a similar situation, etc.

Keep ya head up homes! :)
 
Maybe you're just not a charismatic person...? If you go through your whole life thinking you have to be otherwise you're doing something socially wrong or not fitting in, enjoy the anxiety for the rest of your life because you'll never understand and be able to do anything about it.
 
phatass said:
^^ dissagreed, anxiety is an unhelpfull, handicap, that can and/or will ruin other departements of your life (i've been there...)... OP think carefully about what i wrote in my above post...
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QFT.

Anxiety cripples you. It stops 'you, being 'you. :(
 
pally pete said:
You sound like you need real help, not more drugs to wash away your thought/worries/fear/anxiety.

Eventually you will have to come off Benzos & Opiates and then you'll rue the Day you ever started. I would strongly advise against increasing your doses unless you have become tolerant, even then, that's a warning for the future that you will keep having to escalate your doses and one day you will need lots of drugs merely to feel 'normal', then there is the horror of withdrawal and PAWS where all them emotions you were supressing come flooding back and you've no way of dealing with them.

My only advice would be try and gradually and safely taper off your medication before you become that train wreck further down the line.

I understand the way you feel, that you want to feel 'normal' here and now. I too suffer from crippling anxiety, but it's worse now than it was 5 Years ago, when I began using Benzo's just to feel normal. I now don't know what 'normal' is....! :(

Best wishes ;)
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I must agree with Pally Pete. Psychotherapy together with something such as Neurontin, or even Lyrica, would work. It has helped me with social anxiety. Klonopin is fine, it's very mild. I'd take that PRN very sparingly. But if you're drowning sorrows and regret, you're headed down the wrong path. I wish you luck. Almost forgot. Maybe consider a beta-blocker, such as Inderal or Coreg. Actors and musicians have long used these to treat 'stage fright'.

-nurse
 
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Crashing said:
Benzos in general reduce your anxiety but at the cost of lack of motivation and energy...
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...but that cost is mitigated by the assuaging apathy and euphoric contentment the drug simultaneously induces. The anxiolysis minus motivation plus complacency minus energy plus euphoria equals a positive net benefit, in my honest opinion.
 
Nom de Plume said:
...but that cost is mitigated by the assuaging apathy and euphoric contentment the drug simultaneously induces. The anxiolysis minus motivation plus complacency minus energy plus euphoria equals a positive net benefit, in my honest opinion.
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They really are a double edged sword.

I suffer with severe anxiety (Social & General) And also severe depression, which my GP thinks (Anxiety) is the main reason for my depression. Yet in the short term Benzos helped with my anxiety and thus helped me feel less depressed, but over time benzos are well known to worsen depression, and in some cases they even trigger depression in people who have no history of depression.

In a nutshell, long term Benzo use is a recipe for disaster.

I know I've been a member a number of Years, but I'm actually unsure regarding the linking to other forums so I hope I don't get in trouble, but if you were to pop over to a site called 'Benzobuddies' you will be made well aware of the damage they are capable of causing.
 
that's a whole lotta drugs... remember that drugs are better off used as 'band-aids' or something, you really should look into therapy for your anxiety in the long run. trying to understand your anxiety and its causes, learning some exercises to deal with it, some cognitive behavioral therapy, in my opinion that's the best way to go in the long run.

as far as meds go... benzos are the best, you should find the sweet spot where you're not anxious but still coherent... and you don't wanna get addicted to them.

of course amphetamine would give you confidence too but personally i guess just a benzo is enough

and like others said you could drop the opiates... they don't really do much for social anxiety, and in fact for me, make me antisocial as i get irritated very easily and just want everyone to shut the fuck up
 
a cocktail of drugs isn't generally going to be the 'best' approach to social anxiety.

Chasing them down with 8-10 drinks seems really ill-advised.

The best I can recommend you is to start by eliminating the alcohol from the equation, without increasing your drug cocktail, and spending some real time and energy trying gain an insight into why you are afraid and anxious in social situations (therapy, studying, reading, tackling social challenges, reviewing your efforts etc.. etc...).
 
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