Post-Traumatic Stress Disorder (PTSD) Support Group
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List of medications used for PTSD
ryverrat
I have created this list of medications used for PTSD. Please remember this is not a recommendation of any medication, just a list of meds that have been used to treat PTSD. Also side effects can vary from person to person. Always follow a prescribing doctor's advice with any medication.
Anti-depressants (some also used as anti-anxiety medication- SSRIs
Selective serotonin reuptake inhibitors (SSRI)
Citalopram (Celexa, Cipramil)
Escitalopram (Lexapro, Cipralex, Seroplex, Lexamil)
Fluoxetine (Prozac, Sarafem, Symbyax)
Fluvoxamine (Luvox)
Paroxetine (Paxil, Aropax)
Sertraline (Zoloft)
Vilazodone (Viibryd)
Common side effect: drowsiness, dry mouth, nervousness, anxiety, insomnia, decreased appetite, long-term weight gain and decreased ability to function sexually.
Serotonin-norepinephrine reuptake inhibitors (SNRI)
Desvenlafaxine (Pristiq)
Duloxetine (Cymbalta)
Milnacipran (Ixel)
Venlafaxine (Effexor)
similar side effects to the SSRIs, though there may be a withdrawal syndrome on discontinuation that may necessitate dosage tapering.
Noradrenergic and specific serotonergic antidepressants
Mianserin (Tolvon)
Mirtazapine (Remeron, Avanza, Zispin)
Side effects may include drowsiness, increased appetite, and weight gain
Norepinephrine (noradrenaline) reuptake inhibitors
Atomoxetine (Strattera)
Mazindol (Mazanor, Sanorex)
Reboxetine (Edronax)
Viloxazine (Vivalan)
Norepinephrine-dopamine reuptake inhibitors
Bupropion (Wellbutrin, Zyban)
Selective serotonin reuptake enhancers
Tianeptine (Stablon, Coaxil, Tatinol)
Tricyclic antidepressants
Tertiary amine tricyclic antidepressants:
Amitriptyline (Elavil, Endep)
Clomipramine (Anafranil)
Doxepin (Adapin, Sinequan)
Imipramine (Tofranil)
Trimipramine (Surmontil)
Secondary amine tricyclic antidepressants
Desipramine (Norpramin)
Nortriptyline (Pamelor, Aventyl, Noritren)
Protriptyline (Vivactil)
Side effects include increased heart rate, drowsiness, dry mouth, constipation, urinary retention, blurred vision, dizziness, confusion, and sexual dysfunction. Toxicity occurs at approximately ten times normal dosages; these drugs are often lethal in overdoses, as they may cause a fatal arrhythmia.
Monoamine oxidase inhibitor
Isocarboxazid (Marplan)
Moclobemide (Aurorix, Manerix)
Phenelzine (Nardil)
Selegiline (Eldepryl, Emsam)
Tranylcypromine (Parnate)
there are potentially fatal interactions between this class of medication and certain foods/medications. Last resort drug due to potentially dangerous side effects and drug interactions.
Augmenter drugs- taken with other drugs to enhance effects.
Buspirone (Buspar)
Gepirone (Ariza)
Nefazodone (Serzone)
Tandospirone (Sediel)
Trazodone (Desyrel)
Bupropion (Wellbutrin/Zyban)
Side effects for these medications vary. Please check out each for the side effects. See below for good sites to check.
Note on anti-depressants: Anti-depressants can cause mania in those who are bipolar. Please advise your doctor of all conditions before they prescribe medications.
Anxiolytic (anti-anxiety) medications
Benzodiazepines
Alprazolam (Xanax)
Chlordiazepoxide (Librium)
Clonazepam (Klonopin)
Diazepam (Valium)
Etizolam (Etilaam)
Lorazepam (Ativan)
Tofisopam (Emandaxin and Grandaxin)
There is a risk of a benzodiazepine withdrawal and rebound syndrome after continuous usage for longer than two weeks, and tolerance and dependence may occur if patients stay under this treatment for longer.[3] There is also the added problem of the accumulation of drug metabolites and adverse effects.
Azapirones
buspirone (Buspar)
tandospirone (Sediel)
They lack the sedation and the dependence associated with benzodiazepines and cause much less cognitive impairment. They may be less effective than benzodiazepines in patients who have been previously treated with benzodiazepines as they do not provide the sedation that these patients may expect or equate with anxiety relief.
Hydroxyzine (Atarax)
Licensed for the treatment of anxiety and tension. It is also used for its sedative properties as a premed before anesthesia or to induce sedation after anesthesia. It has been shown to be as effective as benzodiazepines in the treatment of generalized anxiety disorder, while producing fewer side-effects.
Pregabalin
Therapeutic effect appears after 1 week of use and is similar in effectiveness to lorazepam, alprazolam, and venlafaxine, but pregabalin has demonstrated superiority by producing more consistent therapeutic effects for psychic and somatic anxiety symptoms. Long-term trials have shown continued effectiveness without the development of tolerance, and, in addition, unlike benzodiazepines, it does not disrupt sleep architecture and produces less severe cognitive and psychomotor impairment; it also has a low potential for abuse and dependence and may be preferred over the benzodiazepines for these reasons.
Insomnia treatments (various medications)
Benzodiazepines (trade names)
clonazepam (Klonopin N.America; Rivotril Europe, Asia )
diazepam (Valium)
estazolam (Prosom)
flunitrazepam (Rohypnol)
lorazepam (Ativan)
midazolam (Versed)
nitrazepam (Mogadon)
oxazepam (Serax)
triazolam (Halcion)
temazepam (Restoril, Normison, Planum, Tenox, and Temaze)
chlordiazepoxide (Librium)
alprazolam (Xanax)
See in Anxiolytics above for side effects.
Trazodone- Atypical anti-depressant. Not use for depression mush since better treatment is available but is used for insomnia due to low potential for drug interactions.
Mood stabilizers
Prazosin ("Minipress")
Topiramate ("Topamax")
Lamotrigine ("Lamictal")
lithium carbonate
These medications can help with flashbacks, nightmares and hypervigilant symptoms. Please check out individual medications for uses and side effects.
Anti-psychotics
Aripiprazole (Abilify)
Olanzapine (Zyprexa)
Quetiapine (Seroquel)
Risperidone (Risperdal)
Ziprasidone (Geodon, Zeldox)
These atypical anti-psychotics are used to reduce nightmares, racing thoughts and flashbacks. Can help with concentration and hyper-arousal. Each has specific side effects, please check individual medication for side effects.
Links for medication information:
www.nlm.nih.gov US National Institute of Health
www.drugs.com - consumer site- easy to read
www.rxlist.com - consumer and professional site- very detailed
www.webmd.com more basic information but also has illness and disease information
Anti-depressants (some also used as anti-anxiety medication- SSRIs
Selective serotonin reuptake inhibitors (SSRI)
Citalopram (Celexa, Cipramil)
Escitalopram (Lexapro, Cipralex, Seroplex, Lexamil)
Fluoxetine (Prozac, Sarafem, Symbyax)
Fluvoxamine (Luvox)
Paroxetine (Paxil, Aropax)
Sertraline (Zoloft)
Vilazodone (Viibryd)
Common side effect: drowsiness, dry mouth, nervousness, anxiety, insomnia, decreased appetite, long-term weight gain and decreased ability to function sexually.
Serotonin-norepinephrine reuptake inhibitors (SNRI)
Desvenlafaxine (Pristiq)
Duloxetine (Cymbalta)
Milnacipran (Ixel)
Venlafaxine (Effexor)
similar side effects to the SSRIs, though there may be a withdrawal syndrome on discontinuation that may necessitate dosage tapering.
Noradrenergic and specific serotonergic antidepressants
Mianserin (Tolvon)
Mirtazapine (Remeron, Avanza, Zispin)
Side effects may include drowsiness, increased appetite, and weight gain
Norepinephrine (noradrenaline) reuptake inhibitors
Atomoxetine (Strattera)
Mazindol (Mazanor, Sanorex)
Reboxetine (Edronax)
Viloxazine (Vivalan)
Norepinephrine-dopamine reuptake inhibitors
Bupropion (Wellbutrin, Zyban)
Selective serotonin reuptake enhancers
Tianeptine (Stablon, Coaxil, Tatinol)
Tricyclic antidepressants
Tertiary amine tricyclic antidepressants:
Amitriptyline (Elavil, Endep)
Clomipramine (Anafranil)
Doxepin (Adapin, Sinequan)
Imipramine (Tofranil)
Trimipramine (Surmontil)
Secondary amine tricyclic antidepressants
Desipramine (Norpramin)
Nortriptyline (Pamelor, Aventyl, Noritren)
Protriptyline (Vivactil)
Side effects include increased heart rate, drowsiness, dry mouth, constipation, urinary retention, blurred vision, dizziness, confusion, and sexual dysfunction. Toxicity occurs at approximately ten times normal dosages; these drugs are often lethal in overdoses, as they may cause a fatal arrhythmia.
Monoamine oxidase inhibitor
Isocarboxazid (Marplan)
Moclobemide (Aurorix, Manerix)
Phenelzine (Nardil)
Selegiline (Eldepryl, Emsam)
Tranylcypromine (Parnate)
there are potentially fatal interactions between this class of medication and certain foods/medications. Last resort drug due to potentially dangerous side effects and drug interactions.
Augmenter drugs- taken with other drugs to enhance effects.
Buspirone (Buspar)
Gepirone (Ariza)
Nefazodone (Serzone)
Tandospirone (Sediel)
Trazodone (Desyrel)
Bupropion (Wellbutrin/Zyban)
Side effects for these medications vary. Please check out each for the side effects. See below for good sites to check.
Note on anti-depressants: Anti-depressants can cause mania in those who are bipolar. Please advise your doctor of all conditions before they prescribe medications.
Anxiolytic (anti-anxiety) medications
Benzodiazepines
Alprazolam (Xanax)
Chlordiazepoxide (Librium)
Clonazepam (Klonopin)
Diazepam (Valium)
Etizolam (Etilaam)
Lorazepam (Ativan)
Tofisopam (Emandaxin and Grandaxin)
There is a risk of a benzodiazepine withdrawal and rebound syndrome after continuous usage for longer than two weeks, and tolerance and dependence may occur if patients stay under this treatment for longer.[3] There is also the added problem of the accumulation of drug metabolites and adverse effects.
Azapirones
buspirone (Buspar)
tandospirone (Sediel)
They lack the sedation and the dependence associated with benzodiazepines and cause much less cognitive impairment. They may be less effective than benzodiazepines in patients who have been previously treated with benzodiazepines as they do not provide the sedation that these patients may expect or equate with anxiety relief.
Hydroxyzine (Atarax)
Licensed for the treatment of anxiety and tension. It is also used for its sedative properties as a premed before anesthesia or to induce sedation after anesthesia. It has been shown to be as effective as benzodiazepines in the treatment of generalized anxiety disorder, while producing fewer side-effects.
Pregabalin
Therapeutic effect appears after 1 week of use and is similar in effectiveness to lorazepam, alprazolam, and venlafaxine, but pregabalin has demonstrated superiority by producing more consistent therapeutic effects for psychic and somatic anxiety symptoms. Long-term trials have shown continued effectiveness without the development of tolerance, and, in addition, unlike benzodiazepines, it does not disrupt sleep architecture and produces less severe cognitive and psychomotor impairment; it also has a low potential for abuse and dependence and may be preferred over the benzodiazepines for these reasons.
Insomnia treatments (various medications)
Benzodiazepines (trade names)
clonazepam (Klonopin N.America; Rivotril Europe, Asia )
diazepam (Valium)
estazolam (Prosom)
flunitrazepam (Rohypnol)
lorazepam (Ativan)
midazolam (Versed)
nitrazepam (Mogadon)
oxazepam (Serax)
triazolam (Halcion)
temazepam (Restoril, Normison, Planum, Tenox, and Temaze)
chlordiazepoxide (Librium)
alprazolam (Xanax)
See in Anxiolytics above for side effects.
Trazodone- Atypical anti-depressant. Not use for depression mush since better treatment is available but is used for insomnia due to low potential for drug interactions.
Mood stabilizers
Prazosin ("Minipress")
Topiramate ("Topamax")
Lamotrigine ("Lamictal")
lithium carbonate
These medications can help with flashbacks, nightmares and hypervigilant symptoms. Please check out individual medications for uses and side effects.
Anti-psychotics
Aripiprazole (Abilify)
Olanzapine (Zyprexa)
Quetiapine (Seroquel)
Risperidone (Risperdal)
Ziprasidone (Geodon, Zeldox)
These atypical anti-psychotics are used to reduce nightmares, racing thoughts and flashbacks. Can help with concentration and hyper-arousal. Each has specific side effects, please check individual medication for side effects.
Links for medication information:
www.nlm.nih.gov US National Institute of Health
www.drugs.com - consumer site- easy to read
www.rxlist.com - consumer and professional site- very detailed
www.webmd.com more basic information but also has illness and disease information
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