Posted by Rick on July 2, 2001, at 21:24:55
In reply to Re: Social Phobia Cocktail -Wow! -Rick, posted by Neal on July 2, 2001, at 12:47:23
> Hey Rick,
> Are you the "Social Phobia Wow!" Rick? ie, your post from last June? Care to share your cocktail for SP? How much Klonopin to you take? Thanks --NeaYeah, that would be me! The cocktail still has the same three meds as before: KLONOPIN (still at 1.25 mg), SERZONE (been at 450 mg since late lat year), and PROVIGIL (now usually 100 mg instead of 200, although I occasionally spike it for a day or two at a time).
A few notes:
-- This is just a guess, but if I started all the meds at once, instead of having already been on Klonopin quite awhile, the combo may have taken
some getting-used to. I think starting the benzo first, and then adding an AD, is the opposite of the way it usually works. Obviously for someone with concomitant depression, they should be on an AD from the start. But for me this approach worked out great. Also, I was able to wait for Serzone's s-l-o-o-o-w kick-in for SP because Klonopin was already helping so much. (This is not imply that Serzone's kick-in -- when it works -- will necessarily be slow with other disorders, too. In fact, for GAD just the opposite seems to be true.)
-- The Serzone/Klonopin combination may have been pretty sedating without the Provigil. I think ramping up quickly to 200 mg Provigil, and later cutting back to 100 as my body adjusted more to Serzone+Klonopin sedation, was a good approach.
-- A number of people on this board dislike Provigil. Of course, they were taking it with different meds than I, and most had other disorders in addition to SP. This is just a guess, but I think some of them may have felt the initial mild euphoria side effect that Provigil can have, and mistakenly concluded "poop-out" after that quickly subsided (BTW, I have definite OC tendencies, and I don't think the combo does much for that.)
-- I take all of the Provigil and most of the Klonopin and Serzone first thing in the morning. I usually don't take anything after mid-afternoon.
-- If I could only take one of the three meds, I'd definitely choose Klonopin.
Sorry if my "few" notes were more detail than you wanted!
Rick
poster:Rick
thread:68599
URL: http://www.dr-bob.org/babble/20010701/msgs/68766.html