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Re: Anyone on Prazosin? Please share your experience

Posted by SLS on December 18, 2014, at 17:30:16

In reply to Re: Anyone on Prazosin? Please share your experience » b2chica, posted by ed_uk2010 on December 18, 2014, at 12:17:32

For me, prazosin feels like a very "clean" antidepressant. I have no side effects. Prazosin ameliorates most depressive symptoms to a moderate degree. Nightmares have not been a problem for me. More and more, prazosin is being seen as a treatment of daytime anxiety and depressive PTSD symptoms when taken throughout the day at higher dosages. I need 30 mg/day (10 mg t.i.d.) to glean a maximal antidepressant response.


- Scott

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High-dose prazosin for the treatment of post-traumatic stress disorder


Full article:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3896131/


Abstract:

Patients with post-traumatic stress disorder (PTSD) are frequently symptomatic despite being on medications currently approved by the US Food and Drug Administration for PTSD. There is evidence to support the notion that prazosin is effective for PTSD nightmares. However, PTSD-related nightmares often do not resolve completely on a low dose of prazosin. The capacity of prazosin to treat daytime symptoms of PTSD which are distressing to patients has not been well studied. Clinicians are reluctant to increase the dose of prazosin due to side effect concerns. To date, the highest reported dose of prazosin used for PTSD is 16 mg daily. We illustrate two case reports using high-dose (up to 30 and 45 mg) prazosin for PTSD with comorbid treatment-resistant mood disorders. We report that high-dose prazosin was safe, tolerable and effective for PTSD in adults. To our knowledge, this is the first case series to highlight the importance of using high-dose prazosin for the treatment of PTSD. In patients with partial response to currently available medications for PTSD, greater utilization of high-dose prazosin for the management of PTSD may lead to better outcomes.

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Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

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