THE EFFECT OF PRAZOSIN ON COMBAT RELATED POSTTRAUMATIC STRESS DISORDER NIGHTMARES

Introduction: Several studies have shown noradrenergic system hyperactivity in posttraumatic stress disorder. Four Vietnam combat veterans with chronic PTSD, prescribed prazosin ?1 adrenergic receptor antagonist reported reduction or completely elimination of combat trauma nightmares. This study pro...

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Main Authors: G ASSADOUAHI, GH AHMADZADEH, J MAHMOUDI GHARAEI, N BASHARDOOST, T FAGHIHI
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2003-12-01
Series:Journal of Research in Medical Sciences
Subjects:
Online Access:http://journals.mui.ac.ir/jrms/article/view/2891
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author G ASSADOUAHI
GH AHMADZADEH
J MAHMOUDI GHARAEI
N BASHARDOOST
T FAGHIHI
author_facet G ASSADOUAHI
GH AHMADZADEH
J MAHMOUDI GHARAEI
N BASHARDOOST
T FAGHIHI
author_sort G ASSADOUAHI
collection DOAJ
description Introduction: Several studies have shown noradrenergic system hyperactivity in posttraumatic stress disorder. Four Vietnam combat veterans with chronic PTSD, prescribed prazosin ?1 adrenergic receptor antagonist reported reduction or completely elimination of combat trauma nightmares. This study prompted an open trial of prazosin for Iran & Iraq combat PTSD patients nightmares.
 Method: Twenty two male and married patients with chronic DSM N PTSD and combat trauma related nightmares participated in an 8-week Before - After open trial. The exclusion criteria included current substance abuse or dependency, psychotic disorders and any medical condition that contraindicated the use of prazosin.
 Results: Six patients were withdrown from the study because of Prazosin side effects. In reminders average of nightmare severity reduced from 6.75 to 3.56 which was statistically significant (p<0.001).
 Dicussion & Conclusion: The association between prazosin administration and reduction of PTSD nightmare severity suggested possible efficacy of ?1- adrenergic recptor blockade for this PTSD symptom.
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1735-7136
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spelling doaj.art-c87ef7b4f84c4037be3b5214c50515cb2022-12-21T21:04:30ZengWolters Kluwer Medknow PublicationsJournal of Research in Medical Sciences1735-19951735-71362003-12-0184THE EFFECT OF PRAZOSIN ON COMBAT RELATED POSTTRAUMATIC STRESS DISORDER NIGHTMARESG ASSADOUAHIGH AHMADZADEHJ MAHMOUDI GHARAEIN BASHARDOOSTT FAGHIHIIntroduction: Several studies have shown noradrenergic system hyperactivity in posttraumatic stress disorder. Four Vietnam combat veterans with chronic PTSD, prescribed prazosin ?1 adrenergic receptor antagonist reported reduction or completely elimination of combat trauma nightmares. This study prompted an open trial of prazosin for Iran & Iraq combat PTSD patients nightmares.
 Method: Twenty two male and married patients with chronic DSM N PTSD and combat trauma related nightmares participated in an 8-week Before - After open trial. The exclusion criteria included current substance abuse or dependency, psychotic disorders and any medical condition that contraindicated the use of prazosin.
 Results: Six patients were withdrown from the study because of Prazosin side effects. In reminders average of nightmare severity reduced from 6.75 to 3.56 which was statistically significant (p<0.001).
 Dicussion & Conclusion: The association between prazosin administration and reduction of PTSD nightmare severity suggested possible efficacy of ?1- adrenergic recptor blockade for this PTSD symptom.http://journals.mui.ac.ir/jrms/article/view/2891Posttraumatic Stress Disorder - Nightmare - Prazosin- ?1 - adrenergic receptor antagonist
spellingShingle G ASSADOUAHI
GH AHMADZADEH
J MAHMOUDI GHARAEI
N BASHARDOOST
T FAGHIHI
THE EFFECT OF PRAZOSIN ON COMBAT RELATED POSTTRAUMATIC STRESS DISORDER NIGHTMARES
Journal of Research in Medical Sciences
Posttraumatic Stress Disorder - Nightmare - Prazosin- ?1 - adrenergic receptor antagonist
title THE EFFECT OF PRAZOSIN ON COMBAT RELATED POSTTRAUMATIC STRESS DISORDER NIGHTMARES
title_full THE EFFECT OF PRAZOSIN ON COMBAT RELATED POSTTRAUMATIC STRESS DISORDER NIGHTMARES
title_fullStr THE EFFECT OF PRAZOSIN ON COMBAT RELATED POSTTRAUMATIC STRESS DISORDER NIGHTMARES
title_full_unstemmed THE EFFECT OF PRAZOSIN ON COMBAT RELATED POSTTRAUMATIC STRESS DISORDER NIGHTMARES
title_short THE EFFECT OF PRAZOSIN ON COMBAT RELATED POSTTRAUMATIC STRESS DISORDER NIGHTMARES
title_sort effect of prazosin on combat related posttraumatic stress disorder nightmares
topic Posttraumatic Stress Disorder - Nightmare - Prazosin- ?1 - adrenergic receptor antagonist
url http://journals.mui.ac.ir/jrms/article/view/2891
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