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Re: Best meds for trauma? » porkpiehat

Posted by SLS on May 5, 2016, at 5:58:23

In reply to Best meds for trauma?, posted by porkpiehat on May 4, 2016, at 14:22:33

> I'm considering adding Wellbutrin...any trauma people having success with it?

I have the same concerns as does RJLockhart37 regarding Wellbutrin. It can produce or make worse anxiety and anger. In a recent study, Wellbutrin failed to improve PTSD.

> I would take more lamictal but it affects my cognition and sleep.

At what dosage have you developed cognitive impairments? How long did you give these impairments to disappear at this dosage?

As Lamdage mentioned, prazosin has become popular in treating PTSD nightmares, and is perhaps also effective in treating "developmental PTSD" or "complex trauma disorder". My history includes chronic childhood trauma that most likely triggered bipolar disorder/depression. I respond well to prazosin 30 mg/day. The main problem with prazosin is that doctors rarely use dosages that are high enough, nor do they split up the dosage to 2x - 3x a day. One thing that has been confirmed is that lower dosages of prazosin can treat nightmares effectively. For this, a single low dose (3-6 mg) given at bedtime can work. However, if depression and anxiety are problems during the day, I recommend the higher dosages. Some doctors go up to 40 mg/day. It should be noted that one would begin treatment by taking a single night dose of 1.0 mg. This is to prevent an initial sudden drop in blood pressure that can cause dizziness and fainting (syncope). By morning, this initial startup side effect disappears. You can then begin titrating the dosage normally.


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