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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by Michael Bell on October 10, 2010, at 17:57:39
Good evening,
My doctor wants to switch me from Lexapro to Zoloft because I told him that the Lexapro did not adequately address the social anxiety, in particular rejection sensitivity, fear of possible rejection by peers, etc.
For those who have experience with both meds, is Zoloft any better than Lexapro for hypersensitivity to perceived or anticipated rejection, and for social phobia in general? Also, how do the side effects compare?
Thanks!
Posted by linkadge on October 10, 2010, at 18:31:16
In reply to Lexapro and Zoloft users, posted by Michael Bell on October 10, 2010, at 17:57:39
One difference I noticed between the two was the desire to be around other people.
On citalopram I couldn't give a rats behind about interacting socially with people. Zoloft was a little better in this regard. I actually enjoyed (to some degree) social interaction.
Posted by Phillipa on October 10, 2010, at 21:14:17
In reply to Re: Lexapro and Zoloft users, posted by linkadge on October 10, 2010, at 18:31:16
Not trying to sound negative but just was taking some lexapro with luvox and benzos and it was and still is over two months and no change. Zoloft they do say is good for PTSD. Personally withouth benzos low dose would be in a mess even if they don't work just make me tired. Phillipa
Posted by morgan miller on October 10, 2010, at 23:45:05
In reply to Lexapro and Zoloft users, posted by Michael Bell on October 10, 2010, at 17:57:39
I believe Zoloft is more likely to be prosocial.
Have you ever been in therapy? I think group therapy would be by far the best long term solution to your difficulties with socialization. Zoloft will help you get there, but psychodynamic group therapy will get to the core of why you struggle in this way and will help you nurture yourself to grow and give you the tools to overcome.
Posted by bleauberry on October 12, 2010, at 5:40:00
In reply to Lexapro and Zoloft users, posted by Michael Bell on October 10, 2010, at 17:57:39
My lyme doctor's favorite choice is lexapro. His second favorite choice is zoloft. I happen to favor zoloft much higher than any of the others. But, and this is real important, it should be combined with nortriptyline...even if only tiny amounts of it...whatever dose...not zoloft by itself. While zoloft by itself can work, without addressing the other neurotransmitters simultaneously can likely lead you to a worse place than you are now in about 2 to 5 years. If history is any guide.
Posted by morgan miller on October 12, 2010, at 10:51:23
In reply to Re: Lexapro and Zoloft users, posted by bleauberry on October 12, 2010, at 5:40:00
> My lyme doctor's favorite choice is lexapro. His second favorite choice is zoloft. I happen to favor zoloft much higher than any of the others. But, and this is real important, it should be combined with nortriptyline...even if only tiny amounts of it...whatever dose...not zoloft by itself. While zoloft by itself can work, without addressing the other neurotransmitters simultaneously can likely lead you to a worse place than you are now in about 2 to 5 years. If history is any guide.
I understand this logic, but I felt great and functioned at a high level for over 7 years on Zoloft alone. I did combine it with fish oil and vigorous exercise, so maybe that helped. The only reason things went south was because I stopped taking Zoloft and 5 months later the perfect storm sent me into major mixed episode. I had no idea I was bipolar.
I know many people that feel fine on SSRIs for many many years, ten or more. They are still taking their SSRI and feeling good.
I like the idea of taking Nortriptyline, but it can come with unwanted side effects that you just don't typically get with Zoloft or Lexapro. An even better idea, if it works, is taking a good st. john's wort like New Chapter's Serofin, Kira, or Perika. I just quit Prozac cold turkey 9 days ago and started Serofin 5 days ago. I added 3.2 mg of l methyfolate 3 days ago. I have to say, so far, I'm feeling pretty damn good. We will see how things go these next few weeks.
Posted by Phillipa on October 12, 2010, at 20:10:50
In reply to Re: Lexapro and Zoloft users, posted by morgan miller on October 12, 2010, at 10:51:23
Morgan that's great. Phillipa
This is the end of the thread.
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