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. 2021 May 14;18(5):365–372. doi: 10.30773/pi.2020.0411

Table 1.

Summary of main reviewed papers-Prazosin as the treatment of posttraumatic stress disorder (PTSD)

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