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Re: Prazosin for PTSD/nightmares anyone? SLS

Posted by zonked on April 11, 2014, at 18:19:27

In reply to Re: Prazosin for PTSD/nightmares anyone? zonked, posted by SLS on April 11, 2014, at 0:28:25

> Hi Zonked.
> I am currently taking prazosin 30 mg/day for bipolar depression, possibly attributed, at least partially, to "developmental PTSD". With the exception of reduced libido, I experience no side effects. It feels like a very clean antidepressant. I've done some research on this drug, and I am convinced that:
> 1. Prazosin given at night treats nightmares and disrupted sleep due to PTSD.
> 2. Prazosin treats the daytime depression and anxiety associated with PTSD if dosed high enough 3 times a day.
> 3. The dosages of prazosin used in the treatment of PTSD have historically been too low. Some doctors are going to 40 mg/day.
> If you are going to try prazosin, I recommend that you start with a single 1 mg dose at bedtime to avoid the initial dizziness and vertigo that usually occurs. You can then go to 3 mg at night for a few days before considering daytime dosing.
> I'll try to answer any questions you may have.
> - Scott

Thank you sir! How are you doing/what are you taking these days? It's been about a year.

Me: Same ol Nardil 30mg t.i.d., Xanax 1mg b.i.d., ambien 10mg qhs + now prazosin 1mg qhs.

Will talk to new (back in California now) shrink after plan is effective May 1 about: Re-adding dexedrine or vyvanse, increasing prazosin, and anything else I can think of.

What's old is also new again: My mom drinks wine (she's on hospice, no one cares) but I find it hard to resist when she's drinking and I do not. I find that if I increase my Xanax a bit, I don't "want" it as much. The last time I was worried about my drinking was 2001-ish when my insurance ran out, and before I had it again, and I felt like booze kept me from .. doing the unthinkable.

Looking forward to going to inhome caregiver support groups + also restarting the stimulant - alcohol then seems anathema.

I do know if that if drinking becomes problematic, SMART recovery is around in the area - I am not a fan of 12-step.





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