Effects of Prazosin and Other Alpha-1 Adrenergic Antagonist Drugs on Nightmares and Sleep Disturbances in Posttraumatic Stress Disorder

When available and clinically tolerated, prazosin continues to have the best evidence base for use in PTSD-related nightmares. When prazosin use is not feasible, alternative alpha-1 blockers may be effective in a subset of patients.

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Publication Details

Journal
Journal of Clinical Psychopharmacology
Published
2026-03-12
DOI
https://doi.org/10.1097/jcp.0000000000002164
Primary Topic
Posttraumatic Stress Disorder Research
Type
article
Field-Weighted Citation Impact
0.00
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article

Effects of Prazosin and Other Alpha-1 Adrenergic Antagonist Drugs on Nightmares and Sleep Disturbances in Posttraumatic Stress Disorder

Olga Ponomareva, Gary B. Kaplan, Sean R. Stetson, Bruce Meltzer et al.
Journal of Clinical Psychopharmacology
Posttraumatic Stress Disorder Research
article

Effects of Prazosin and Other Alpha-1 Adrenergic Antagonist Drugs on Nightmares and Sleep Disturbances in Posttraumatic Stress Disorder

Olga Ponomareva, Gary B. Kaplan, Sean R. Stetson, Bruce Meltzer, Kelly Kim
article en

Abstract

When available and clinically tolerated, prazosin continues to have the best evidence base for use in PTSD-related nightmares. When prazosin use is not feasible, alternative alpha-1 blockers may be effective in a subset of patients.

Journal of Clinical Psychopharmacology
Boston University (US), Harvard University (US), McLean Hospital (US), VA Boston Healthcare System (US), Massachusetts Institute of Technology (US)
Good health and well-being
Openalex Percentile: Top 29%
Posttraumatic Stress Disorder Research
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