Table 1.
Reference | Study design | Dose | Total patients | Major findings |
---|---|---|---|---|
Raskind et al. [20] | Open-label | 2 or 5 mg | 4 | The 4 patients improved on CAPS and CGI scales |
George et al. [19] | Meta-analysis | - | 191 | Prazosin superior to placebo to treat nightmares and general symptoms of the disorder |
Peskind et al. [24] | Open-label | Mean dose 9, 5 mg/day | 9 | Reduced nightmares and severity of PTSD’s symptoms |
Raskind et al. [25] | Crossover trial | Mean dose 13 mg/day | 10 | Improved sleep quality |
Reduced nightmares and hyperarousal symptoms | ||||
Taylor et al. [26] | Crossover trial | 1–5 mg | 11 | Improved Mood States Scores (POMS) |
Taylor et al. [27] | Crossover trial | 2–6 mg | 13 | Increased sleep time and reduced nigthmares |
Raskind et al. [28] | Randomized | 13 mg | 34 (17 prazosin; 17 placebo) | Reduced nightmares. Improved sleep quality and global clinical status |
Controlled | ||||
Trial | ||||
Germain et al. [29] | Randomized | 1–15 mg | 50 (18 prazosin, 17 CBT, 15 placebo) | Improved sleep quality |
Controlled | ||||
Trial | ||||
Raskind et al. [30] | Randomized | 15.6 mg | 67 | Reduced nightmares. Improved sleep quality and PTSD scores (CAPS) |
Controlled | ||||
Trial | ||||
Ahmadpanah et al. [31] | Randomized Controlled | 1–15 mg | 100 (33: prazosin; 34 hydroxyzine; 33 placebo) | Reduced nightmares; Improved sleep quality |
Trial | ||||
Khachatryan et al. [34] | Meta-analysis | - | 240 | Improved sleep quality and reduced PTSD symptoms |
Raskind et al. [35] | Randomized | 14.8 mg - | 271 (135 prazosin; 136 placebo) | Not effective for sleep symptoms |
Controlled | 12 mg (women) | |||
Trial | 20 mg (men) | |||
McCall et al. [37] | Randomized | 1–20 mg | 20 (10 prazosin; 10 placebo) | Improved sleep quality |
Controlled | Not effective for suicidal ideation | |||
Trial | ||||
Verplaetse et al. [45] | Randomized | 0 | 96 (48 prazosin; 48 placebo) | Not effective for PTSD symptoms (CAPS) |
Controlled | ||||
Trial |
CAPS: Clinician Administered PTSD Scale, CGI: Clinical Global Impressions Scale, POMS: Profile of Mood States, CBT: Cognitive Behavioral therapy