Table 1.
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.