Atenolol and other ß-adrenergic receptor antagonists are frequently effective when used before exposure to the phobic stimulus.4 Phenelzine and other monoamine oxidase inhibitors are effective for social phobia, but because of the dietary restrictions and risk of serious side effects, these agents are only used for refractory cases. Clonazepam and other benzodiazepines are also effective, but maintenance treatment is unlikely to be needed for nongeneralized social phobia. Also, because benzodiazepines have some abuse potential, most clinicians would recommend trying a ß-adrenergic receptor antagonist first. Imipramine and quetiapine are not used in the treatment of social phobia.
- Atenolol 50 to 100 mg 1 hour before each performance.
4. Sadock BJ, Sadock VA. Anxiety disorders. In: Synopsis of psychiatry. Philadelphia: Lippincott Williams & Wilkins; 2003:591-642.
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