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. Author manuscript; available in PMC: 2013 Apr 18.
Published in final edited form as: Curr Opin Investig Drugs. 2009 Jan;10(1):35–45.

Table 1.

A summary of evidence-based outcome data from randomized controlled trials.

Medication class Behavioral target Medication Efficacy demonstrated Number of patients randomized or analyzed (placebo/ treatment) Reference
SSRIs PTSD Paroxetine Yes 186/365 [34]
156/151 [37]
27/25 [35]
Sertraline Yes 93/94 [30]
108/100 [31]
Fluoxetine Yes 75/226 [36]
Remission maintenance Sertraline Yes 50/46 [42]
Fluoxetine Yes 62/69 [45]
32/30 [43]
SNRIs PTSD Venlafaxine Yes 168/161 [46]
179/179 [47]
Alternative second generation ADs PTSD Nefazodone Yes 15/26 [48]
Mirtazapine No 9/17 [50]
Bupropion SR No 10/18 [51]
MAOIs PTSD Phenelzine Yes 18/19 [55]
Brofaromine No 23/22 [59]
58/56 [58]
TCAs PTSD Imipramine Yes 18/23 [55]
Amitriptyline Yes 18/22 [56]
Desipramine No 18/18* [57]
Anticonvulsants PTSD Lamotrigine No 4/10 [61]
Tiagabine No 116/116 [64]
Topiramate No 19/19 [62]
CAPS arousal subscale Valproic acid No 41/41 [25]
Benzodiazepines PTSD Alprazolam No 10/10* [65]
PTSD prevention Temazepam No 11/11 [66]
NMDA modulators PTSD d-Cycloserine No 11/11* [67]
Atypical antipsychotics PTSD Olanzapine No 5/10 [69]
Yes 9/10 [70]
Risperidone No 9/12 [73]
No 9/11 [68]
Psychotic symptoms Risperidone Yes 18/19 [24]
Adrenergic antagonists PTSD prevention Propranolol No 23/18 [29]
17/17 [76]
Insomnia and nightmares Prazosin Yes 10/10* [77]
17/17 [79]
Guanfacine No 34/29 [82]
*

Crossover design with the same patients receiving placebo and active medication. AD Antidepressant, CAPS Clinician-Administered PTSD Scale, MAOI monoamine oxidase inhibitor, PTSD post-traumatic stress disorder, SNRI serotonin and norepinephrine reuptake inhibitor, TCA tricyclic antidepressant.