After doing research it seems Serotonin isn't the only culprit in this disorder.People with SP tend to lack Serotonin,GABA and Dopamine.They also have Norepinephrine in excess.I wish more research would be done on Dopamine type drugs.I think a major key missing from anxiety is the dopamine factor....Dopamine plays an important role in motivation and reward.In the animal kingdom those with high DA levels tend to dominate and those w/low levels are shy and"get walked on"
-Social leaders among rats have the highest dopamine levels
-Most passive rats have the lowest dopamine levels.
-rats sexual activity and success correlattes to dopamine levels.
I feel this is why in part Nardil is more successful in treating social phobia and atypical depression,as Nardil hits all 3 major neurotransmitters.I also believe that the sexual dysfunction caused by the SSRI'S are related to the dopamine depletion it gives.
pamine is responsible for sex drive,mood,alertness and movement.
I feel augmentation w/a dopamine type would work wonders......
-Klonopin has been shown to be one of the gold standards of SP,although possibly has anti-serotonin effects.
-XANAX XR-might have possible anti-depressant effects
I believe Prozac would be the best choice.It will give you the least side effects in my opinion.
I would recommend Inderal on an as needed basis.
For me to conquer SP I would have the following meds schedule....
1-Prozac or NARDIL WHICH IS king....
3-Dexedrine Ir or Provigil
Some will think this is too much but I think its just right.I think combining an SSRI with Ritalin is a great idea.Most people dont realize Ritalin is a dopamine reuptake inhibitor...the same action as Prozac just on a different chemical.
WOW,I'm running out of time.... will post more but I'm running out of time,I will post more of what I'm trying to say later
Basically,I would like to get anyones opinion on this matter and would like to discuss further.....