Twice Daily Prazosin and Valproic Acid in the Treatment of Flashbacks in PTSD

Posttraumatic stress disorder (PTSD) is a debilitating stress disorder occurring in the context of a traumatic event and is characterized by intrusive and avoidance symptoms, negative alterations in cognition and mood, and arousal and reactivity changes. Despite its representation throughout literat...

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Main Authors: Kristy A. Fisher, Heidi Kiziah, Clara L. Villalba Alvarez
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2022/1223292
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author Kristy A. Fisher
Heidi Kiziah
Clara L. Villalba Alvarez
author_facet Kristy A. Fisher
Heidi Kiziah
Clara L. Villalba Alvarez
author_sort Kristy A. Fisher
collection DOAJ
description Posttraumatic stress disorder (PTSD) is a debilitating stress disorder occurring in the context of a traumatic event and is characterized by intrusive and avoidance symptoms, negative alterations in cognition and mood, and arousal and reactivity changes. Despite its representation throughout literature, the pathophysiology of PTSD remains incompletely understood, thus contributing to broad, variable, and at times, experimental treatment options. The authors present the first documented case of the rapid and successful management of PTSD using valproic acid and twice daily dosing of prazosin aimed at targeting symptoms of hyperarousal and both daily and nightly intrusive symptoms of flashbacks and nightmares, respectively. The authors also discuss postulations of the underlying mechanisms of action responsible for such symptom alleviation. Further investigation is needed to expand upon our knowledge of the use of such agents in the treatment of PTSD to improve upon existing clinical guidelines, especially in the acute setting, thus providing better overall prognosis.
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series Case Reports in Psychiatry
spelling doaj-art-325a1cd2d9cf4a679650946f0f5db4512025-02-03T06:11:50ZengWileyCase Reports in Psychiatry2090-68382022-01-01202210.1155/2022/1223292Twice Daily Prazosin and Valproic Acid in the Treatment of Flashbacks in PTSDKristy A. Fisher0Heidi Kiziah1Clara L. Villalba Alvarez2HCA Aventura Hospital and Medical CenterNova Southeastern UniversityHCA Aventura Hospital and Medical CenterPosttraumatic stress disorder (PTSD) is a debilitating stress disorder occurring in the context of a traumatic event and is characterized by intrusive and avoidance symptoms, negative alterations in cognition and mood, and arousal and reactivity changes. Despite its representation throughout literature, the pathophysiology of PTSD remains incompletely understood, thus contributing to broad, variable, and at times, experimental treatment options. The authors present the first documented case of the rapid and successful management of PTSD using valproic acid and twice daily dosing of prazosin aimed at targeting symptoms of hyperarousal and both daily and nightly intrusive symptoms of flashbacks and nightmares, respectively. The authors also discuss postulations of the underlying mechanisms of action responsible for such symptom alleviation. Further investigation is needed to expand upon our knowledge of the use of such agents in the treatment of PTSD to improve upon existing clinical guidelines, especially in the acute setting, thus providing better overall prognosis.http://dx.doi.org/10.1155/2022/1223292
spellingShingle Kristy A. Fisher
Heidi Kiziah
Clara L. Villalba Alvarez
Twice Daily Prazosin and Valproic Acid in the Treatment of Flashbacks in PTSD
Case Reports in Psychiatry
title Twice Daily Prazosin and Valproic Acid in the Treatment of Flashbacks in PTSD
title_full Twice Daily Prazosin and Valproic Acid in the Treatment of Flashbacks in PTSD
title_fullStr Twice Daily Prazosin and Valproic Acid in the Treatment of Flashbacks in PTSD
title_full_unstemmed Twice Daily Prazosin and Valproic Acid in the Treatment of Flashbacks in PTSD
title_short Twice Daily Prazosin and Valproic Acid in the Treatment of Flashbacks in PTSD
title_sort twice daily prazosin and valproic acid in the treatment of flashbacks in ptsd
url http://dx.doi.org/10.1155/2022/1223292
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