I have decided I will dose at 10mg twice a day for a week or so and see how it goes.
IMO this is too slow, although I suppose it depends on how sensitive you are to medications. Doctors will probably want you to titrate this slowly, but keep in mind much/most of their instructions are based on liability concerns and not on concerns for their patient's health. I think it is safe to increase by 10 mg as fast as every two days or even every day, until you reach your target dose. I started at 20 mg/day and moved up 10 mg every day until I got to the dose I wanted. I am an impatient person, though.
As for social anxiety side of things, will it help with pro social/confidence? I do not drink anymore so i find it hard socializing.
I have however have had success with speed in the past, where it completely wipes out any negative thoughts and i feel normal.
Parnate is extremely effective for MDD - possibly the most effective medication there is for it. For SAD only two studies have been done on it, both finding it efficacious:
But the question is whether Parnate is significantly more effective than SSRIs for SA, because I don't think the above studies confirm that. The double-blind clinical trial shows a 30 mg/day dose to give -17.9 on the LSAS scale, which is no better than placebo, and a 60 mg/day dose (which is at the recommended maximum) to give -35. For example, in this sertraline clinical trial (http://www.ncbi.nlm.nih.gov/pubmed/12934979
) involving people with strictly severe SA, sertraline gives -31 on the LSAS scale, while placebo gave -21.7. In this paroxetine clinical trial (http://www.ncbi.nlm.nih.gov/pubmed/8784653
), paroxetine gives -37.9 on the LSAS scale. If Parnate doesn't take you to sufficient remission for SA, augmenting it with GABAergics like pregabalin or baclofen is an idea.
I'd say most drugs which cause euphoria will dramatically reduce your SA, and amphetamine is well-known on this site for doing that, although of course tolerance to the euphoria builds very quickly. You should or will find that Parnate gives a weak amphetamine-like euphoric effect for several hours after dosing; see http://www.socialanxietysupport.com/...e-lol-1637585/
With regards to improvement in MDD symptoms I found Parnate to work really quickly, but I didn't find any improvement in SA symptoms during my time on it (I took Parnate for 9 days, including 5 at 60 mg).
EDIT: Apparently in the Parnate open trial the LSAS improvement was -62.2 (https://books.google.ca/books?id=quQ...20LSAS&f=false
). So there's some good news for you.