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[QUOTE=Graciecat]
Another thing, and this is just my opinion, going in asking for Xanax by name probably isn't a good idea.
That alone may be enough to raise a red flag with your Doctor and cause him/her to not even consider letting you try it.
Like I said not everyone has a problem with Xanax, but going in asking for it by name may cause your Doctor to believe that you will have a problem or they may even think...and wrongly so...that you already do have a problem with it.

Maybe just tell the Doctor that you are on a tight budget and would like to try something that's not going to be really expensive, and then ask if there is something you can take "as needed", rather than an SSRI which needs to be taken daily.

Like I said, I'm sorry if this sounds like I'm preaching I just wanted to let you know that in my opinion going in asking for a drug by name may not be a good idea for the reasons I stated above.[/QUOTE]

:) I understand what you are saying...you may be right. But, as an honor student in college, I research everything that is of importance to me. I'm going in to the doctor’s office with an agenda on paper (that he will be going over with me). As the paying customer, I'm going to run the show :D ...but at the same time, not coming across as if I am questioning his knowledge and competence. :nono:

~

Sample of some parts of the agenda:
_____________________________
Personal experience/cost from social anxiety disorder:


Panic/Anxiety Attacks (Autonomic nervous system arousal) -

• Rapid heart rate
• Sweating
• Blushing
• Shaking
• Quivery voice
• Shallow breathing
• Intense feeling to leave situation
• Feeling as though all eyes are focused on myself


Generally, I avoid most social situations

• Dropped out of High School because of speech class (Received GED)
• “Walked off” many jobs (unemployed now)
• Have not dated in over 7 years
• Few friends
________________________________________________________________________

Current:
Now I’m in college facing presentations this semester (speech next semester). I have seen psychologists about this problem with little success. I am uninsured, so I’m financing this doctor’s visit with my student aid refund. After careful research on side affects and pricing (I’m on a tight budget), I would like the try a combination of two classes of medication; BETA BLOCKERS & BENZODIAZEPINES (Optional). Mainly, it’s the Beta Blocker I want to try.
________________________________________________________________________

BETA BLOCKERS (Requested)
• Propranolol (Inderal) social phobia
• Atenolol (Tenormin) social phobia

BENZODIAZEPINES (Optional)
• Alprazolam (Xanax) panic, generalized anxiety, phobias, social phobias
• Clonazepam (Klonopin) panic, phobias, social phobia
• Diazepam (Valium) generalized anxiety, panic, phobias
Lorazepam (Ativan) generalized anxiety, panic, phobias
• Oxazepam (Serax) generalized anxiety, phobias
• Chlordiazepoxide (Librium) generalized anxiety, phobias


Support Material:
Name Inderal
Generic name Propranolol
Manufacturer Wyeth-Ayerst
First used in 1967 approved
Family Beta Blockers; Antiarrhythmic Agent (class II)
Indications Hypertension, Angina, Abnormal heart rhythms (Arrhythmias), Migraine, Stage fright and Performance anxiety



How does it work? Propranolol blocks chemicals, such as adrenaline, and prevents them from increasing heart rate, blood pressure, and oxygen use. It effectively reduces autonomic nervous system arousal (e.g. performance anxiety symptoms, palpitations, hyperventilation, blushing, sweating, pounding heartbeat, nausea, disabling tremor). Full benefits in a few hours to weeks, depending on severity of disorder.

Administration: Propranolol is available as 10 mg, 20 mg, 40 mg, 60 mg, and 80 mg tablets for oral administration and as a 1 mg/ml sterile injectable solution for intravenous administration. Capsules of Propranolol for prolonged action, come as 60mg, 80mg, 90mg, 120mg, 160mg. Dosage must be determined by a physician.

Side effects: Dizziness or slight drowsiness, changes in mood, sexual side effects, trouble with sleep, worsening of asthma.
PHYSICIAN/HEALTHCARE PROFESSIONAL MEMBER RATINGS
Reviews of Inderal:
Inderal for specific situations
I have found Inderal to be incredibly helpful for very specific anxiety provoking situations such as public speaking. It helps to keep me from shaking, having a quivery voice, and sweating, allowing me to stay focused on the task at hand rather than on my fear. I feel tired and a bit depressed for a day after using it.
Saved My Career Today
Well, propranalol saved my entire career today. I have been socially phobic about public speaking for years. I FREEZE and have a total inability to speak in presentation mode. Hard for a career person on the fast-track. I've called in sick on presentation days. Avoided everything. I mean... I really couldn't do it at all. I was always overcome by extreme panic, heart rate exceleration, and this wierd surreal sense. Hyperventilation, and huge embarrassment in front of co-workers.

A very progressive doctor prescribed me Propranolol for these very situations recently, and today was my first (real life) trial with about 60mg 2 hours in advance. I did also have a small dosage of clonazapam in combination.

In any case, for the first time in years, I was able to give a speach to 60 people. And none of the horrendous side effects happened. Nothing. It was amazing. No freezing, no palpatations, no shaking from head to toe, no inability to speak (all those things that have set me so far back in the past). Please try this medication if you have a similar problem. The suffering and limitations of career life that you've felt may disappear like mine did. Don't get me wrong. I was nervous before heading up to the microphone, but once in front of a group of VPs and Vendors, I actually pulled it off so easily. I think the clonazepam worked well in combination though, so maybe, if your doctor agrees to a backup dose of a benzo-d, you might be well served. Anyway... this is a breakthrough for me. I had rave reviews today on the proffessionalism I dispayed. Just watch the levels of Benzo. They have to be very light, or you'll appear to be confused and dim-witted. But don't worry, the beta-blocker seems to carry the biggest part of the problem.
Worked Well for Occasional Use!
This works wonders at stopping the shaking, heart pounding, sweating etc caused by anxiety and performance anxiety. I can only use it once a week if needed because after a couple days use I felt really weak and out of it. I went to the doctor and they told me my blood pressure was going to low because of the Inderal. I already have very low blood pressure any way so the Inderal made it go even lower. But, once a week or once a month I am fine and it is really a lifesaver. I wish that I had this when I was in school doing presentations in front of classes. It would have helped me tremendously.
No Sweat!
I have had debilitating anxiety for much of my life compounded by the fact that when anxious I sweat profusely which just causes more anxiety. I was prescribed Propanolol as an experiment and tried it in a social situation last night and again today for a speaking engagement--two times when I would normally be dripping--and both times were 100% successful. I am so happy to have found this, although I plan on only using it as necessary because I read here about how it can lose effectiveness.
__________________________________________________________________________________________

Conclusion:
Doctor, this disorder has greatly reduced the quality of my life. Social anxiety disorder is truly debilitating. I’m willing to take the risks involved with taking the medication/s if it can give me a chance at getting my life back…the BETA BLOCKER Propranolol (Inderal) with possibly a BENZODIAZEPINE like Alprazolam (Xanax), Diazepam (Valium), or Lorazepam (Ativan), which are inexpensive.
________________________________________________________________________
________________________________________________
______________________
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Pricing Information

Beta Blockers –

Inderal
PROPRANOLOL 10MG TABLET

Quantity: 90
Price: $9.99

PROPRANOLOL 20MG TABLET

Quantity: 90
Price: $10.39


Tenormin
ATENOLOL 25MG TABLET

Quantity: 90
Price: $16.89

ATENOLOL 50MG TABLET

Quantity: 90
Price: $16.19

ATENOLOL 100MG TABLET

Quantity: 30
Price: $9.99
Quantity: 90
Price: $15.99


Benzodiazepines -

Xanax
ALPRAZOLAM 0.25MG TABLET

Quantity: 90
Price: $17.79

ALPRAZOLAM 0.5MG TABLET

Quantity: 90
Price: $15.59

ALPRAZOLAM 1MG TABLET

Quantity: 90
Price: $21.69


Klonopin
CLONAZEPAM 0.5MG TABLET

Quantity: 60
Price: $27.99

CLONAZEPAM 1MG TABLET

Quantity: 60
Price: $30.29


Valium
DIAZEPAM 2MG TABLET

Quantity: 30
Price: $9.99
Quantity: 100
Price: $16.49

DIAZEPAM 5MG TABLET

Quantity: 60
Price: $13.99

DIAZEPAM 10MG TABLET

Quantity: 60
Price: $14.59


Ativan
LORAZEPAM 0.5MG TABLET

Quantity: 30
Price: $14.79
Quantity: 60
Price: $28.89
Quantity: 90
Price: $42.99

LORAZEPAM 1MG TABLET

Quantity: 30
Price: $17.99
Quantity: 60
Price: $35.19
Quantity: 90
Price: $51.59

LORAZEPAM 2MG TAB

Quantity: 30
Price: $26.59
Quantity: 90
Price: $74.59





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