Nightmares (PTSD-associated)
- Trauma-focused psychotherapy treats core PTSD
- Prazosin can reduce trauma-related nightmares
- Titrate slowly because orthostasis can limit dosing
- Benefit is more consistent for nightmares than global PTSD
- Address sleep apnea, alcohol + sedatives
- Avoid using sedatives as routine nightmare treatment
Use at a glance
- Trauma-focused psychotherapy treats core PTSD
Practical pearls
- Prazosin can reduce trauma-related nightmares
- Titrate slowly because orthostasis can limit dosing
Other practical pearls
- Benefit is more consistent for nightmares than global PTSD
- Address sleep apnea, alcohol + sedatives
Safety / pitfalls
- Avoid using sedatives as routine nightmare treatment
Self-check
- What is avoided as routine PTSD-nightmare treatment?
Using sedatives as routine nightmare treatment. - What can limit prazosin titration for PTSD nightmares?
Orthostasis.
Drugs used for this (1)
All clinical uses · Open Nightmares (PTSD-associated) in the interactive console ↗