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Erschienen in: Current Treatment Options in Psychiatry 2/2015

01.06.2015 | Post-Traumatic Stress Disorders (T Garacioti and K Chard, Section Editors)

Prazosin for the Treatment of PTSD

verfasst von: Murray A. Raskind, MD

Erschienen in: Current Treatment Options in Psychiatry | Ausgabe 2/2015

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Opinion statement

Prazosin is a generically available central nervous system (CNS) active alpha-1 adrenoreceptor antagonist that has been demonstrated effective in randomized controlled trials (RCTs) for posttraumatic stress disorder (PTSD) trauma nightmares, distressed awakenings, daytime hyperarousal symptoms, and global clinical function. The contribution of increased CNS noradrenergic activity to PTSD pathophysiology and the involvement of the postsynaptic alpha-1 adrenoreceptor in brain systems relevant to PTSD symptomatology provide neurobiologic rationale for prazosin as a PTSD pharmacotherapeutic. This article reviews the clinical observations that led to the development of prazosin therapy for PTSD in combat veterans and the subsequent RCTs that demonstrated prazosin efficacy.
Literatur
1.
Zurück zum Zitat Berridge CW. The locus ceruleus-noradrenergic system and stress: implications for posttraumatic stress disorder. In: Shiromani TKP, LeDoux JE, editors. Posttraumatic stress disorder: basic science and clinical practice. New York: Humana Press; 2009. p. 213–30. Berridge CW. The locus ceruleus-noradrenergic system and stress: implications for posttraumatic stress disorder. In: Shiromani TKP, LeDoux JE, editors. Posttraumatic stress disorder: basic science and clinical practice. New York: Humana Press; 2009. p. 213–30.
2.
Zurück zum Zitat Geracioti Jr TD et al. CSF norepinephrine concentrations in posttraumatic stress disorder. Am J Psychiatry. 2001;158(8):1227–30.CrossRefPubMed Geracioti Jr TD et al. CSF norepinephrine concentrations in posttraumatic stress disorder. Am J Psychiatry. 2001;158(8):1227–30.CrossRefPubMed
3.
Zurück zum Zitat Mellman TA et al. Nocturnal/daytime urine noradrenergic measures and sleep in combat-related PTSD. Biol Psychiatry. 1995;38:174–9.CrossRefPubMed Mellman TA et al. Nocturnal/daytime urine noradrenergic measures and sleep in combat-related PTSD. Biol Psychiatry. 1995;38:174–9.CrossRefPubMed
4.
Zurück zum Zitat Bremner JD et al. Positron emission tomography measurement of cerebral metabolic correlates of yohimhine administration in combat-related posttraumatic stress disorder. Arch Gen Psychiatry. 1997;54:246–54.CrossRefPubMed Bremner JD et al. Positron emission tomography measurement of cerebral metabolic correlates of yohimhine administration in combat-related posttraumatic stress disorder. Arch Gen Psychiatry. 1997;54:246–54.CrossRefPubMed
5.
Zurück zum Zitat Southwick SM et al. Abnormal noradrenergic function in posttaumatic stress disorder. Arch Gen Psychiatry. 1993;50:266–74.CrossRefPubMed Southwick SM et al. Abnormal noradrenergic function in posttaumatic stress disorder. Arch Gen Psychiatry. 1993;50:266–74.CrossRefPubMed
6.
Zurück zum Zitat Pietrzak RH et al. Association of posttraumatic stress disorder with reduced in vivo norepinephrine transporter availability in the locus coeruleus. JAMA Psychiatry. 2013;70(11):1199–205.CrossRefPubMedCentralPubMed Pietrzak RH et al. Association of posttraumatic stress disorder with reduced in vivo norepinephrine transporter availability in the locus coeruleus. JAMA Psychiatry. 2013;70(11):1199–205.CrossRefPubMedCentralPubMed
7.
Zurück zum Zitat Westfall T, Westfall D. Adrenergic agonists and antagonists. In: Hardman J et al., editors. Goodman & Gilman’s the pharmacological basis of therapeutics. New York: McGraw-Hill; 2006. Westfall T, Westfall D. Adrenergic agonists and antagonists. In: Hardman J et al., editors. Goodman & Gilman’s the pharmacological basis of therapeutics. New York: McGraw-Hill; 2006.
8.
Zurück zum Zitat Lund-Johansen P et al. Selective alpha-1 inhibitors: first- or second-line antihypertensive agents? Cardiology. 1993;83(3):150–9.CrossRefPubMed Lund-Johansen P et al. Selective alpha-1 inhibitors: first- or second-line antihypertensive agents? Cardiology. 1993;83(3):150–9.CrossRefPubMed
9.
Zurück zum Zitat Hieble JP, Ruffolo Jr RR. The use of alpha-adrenoceptor antagonists in the pharmacological management of benign prostatic hypertrophy: an overview. Pharmacol Res. 1996;33(3):145–60.CrossRefPubMed Hieble JP, Ruffolo Jr RR. The use of alpha-adrenoceptor antagonists in the pharmacological management of benign prostatic hypertrophy: an overview. Pharmacol Res. 1996;33(3):145–60.CrossRefPubMed
10.
Zurück zum Zitat Samuels ER, Szabadi E. Functional neuroanatomy of the noradrenergic locus coeruleus: its roles in the regulation of arousal and autonomic function part II: physiological and pharmacological manipulations and pathological alterations of locus coeruleus activity in humans. Curr Neuropharmacol. 2008;6(3):254–85.CrossRefPubMedCentralPubMed Samuels ER, Szabadi E. Functional neuroanatomy of the noradrenergic locus coeruleus: its roles in the regulation of arousal and autonomic function part II: physiological and pharmacological manipulations and pathological alterations of locus coeruleus activity in humans. Curr Neuropharmacol. 2008;6(3):254–85.CrossRefPubMedCentralPubMed
11.
Zurück zum Zitat Pellejero T et al. Effects of methoxamine and alpha-adrenoceptor antagonists, prazosin and yohimbine, on the sleep-wake cycle of the rat. Sleep. 1984;7(4):365–72.PubMed Pellejero T et al. Effects of methoxamine and alpha-adrenoceptor antagonists, prazosin and yohimbine, on the sleep-wake cycle of the rat. Sleep. 1984;7(4):365–72.PubMed
12.
Zurück zum Zitat Cirelli C et al. Modulation of desynchronized sleep through microinjection of alpha 1-adrenergic agonists and antagonists in the dorsal pontine tegmentum of the cat. Pflugers Arch. 1992;422(3):273–9.CrossRefPubMed Cirelli C et al. Modulation of desynchronized sleep through microinjection of alpha 1-adrenergic agonists and antagonists in the dorsal pontine tegmentum of the cat. Pflugers Arch. 1992;422(3):273–9.CrossRefPubMed
13.
Zurück zum Zitat Arnsten AF. Catecholamine regulation of the prefrontal cortex. J Psychopharmacol. 1997;11(2):151–62.CrossRefPubMed Arnsten AF. Catecholamine regulation of the prefrontal cortex. J Psychopharmacol. 1997;11(2):151–62.CrossRefPubMed
14.
Zurück zum Zitat Neylan TC et al. Sleep disturbances in the Vietnam generation: findings from a nationally representative sample of male Vietnam veterans. Am J Psychiatry. 1998;155(7):929–33.CrossRefPubMed Neylan TC et al. Sleep disturbances in the Vietnam generation: findings from a nationally representative sample of male Vietnam veterans. Am J Psychiatry. 1998;155(7):929–33.CrossRefPubMed
15.
Zurück zum Zitat Ross RJ et al. Sleep disturbance as the hallmark of posttraumatic stress disorder. Am J Psychiatry. 1989;146(6):697–707.CrossRefPubMed Ross RJ et al. Sleep disturbance as the hallmark of posttraumatic stress disorder. Am J Psychiatry. 1989;146(6):697–707.CrossRefPubMed
16.
Zurück zum Zitat Zayfert C, DeViva JC. Residual insomnia following cognitive behavioral therapy for PTSD. J Trauma Stress. 2004;17(1):69–73.CrossRefPubMed Zayfert C, DeViva JC. Residual insomnia following cognitive behavioral therapy for PTSD. J Trauma Stress. 2004;17(1):69–73.CrossRefPubMed
17.
Zurück zum Zitat Ravaris CL et al. A controlled study of alprazolam and propranolol in panic-disordered and agoraphobic outpatients. J Clin Psychopharmacol. 1991;11(6):344–50.CrossRefPubMed Ravaris CL et al. A controlled study of alprazolam and propranolol in panic-disordered and agoraphobic outpatients. J Clin Psychopharmacol. 1991;11(6):344–50.CrossRefPubMed
18.
Zurück zum Zitat Famularo R, Kinscherff R, Fenton T. Propranolol treatment for childhood posttraumatic stress disorder, acute type. A pilot study. Am J Dis Child. 1988;142(11):1244–7.CrossRefPubMed Famularo R, Kinscherff R, Fenton T. Propranolol treatment for childhood posttraumatic stress disorder, acute type. A pilot study. Am J Dis Child. 1988;142(11):1244–7.CrossRefPubMed
19.
Zurück zum Zitat Kolb PE, Burns BS, Griffiths S. Propranolol and clonidine in the treatment of the chronic posttraumatic stress disorders of war. In: van der Kolk B, editor. Post traumatic stress disorder: psychological and biological sequelae. Washington DC: American Psychiatric Press; 1984. Kolb PE, Burns BS, Griffiths S. Propranolol and clonidine in the treatment of the chronic posttraumatic stress disorders of war. In: van der Kolk B, editor. Post traumatic stress disorder: psychological and biological sequelae. Washington DC: American Psychiatric Press; 1984.
20.
Zurück zum Zitat Yamada Y et al. Prediction of sleep disorders induced by beta-adrenergic receptor blocking agents based on receptor occupancy. J Pharmacokinet Biopharm. 1995;23(2):131–45.CrossRefPubMed Yamada Y et al. Prediction of sleep disorders induced by beta-adrenergic receptor blocking agents based on receptor occupancy. J Pharmacokinet Biopharm. 1995;23(2):131–45.CrossRefPubMed
21.
Zurück zum Zitat Day TA, Randle JC, Renaud LP. Opposing alpha- and beta-adrenergic mechanisms mediate dose-dependent actions of noradrenaline on supraoptic vasopressin neurones in vivo. Brain Res. 1985;358(1–2):171–9.CrossRefPubMed Day TA, Randle JC, Renaud LP. Opposing alpha- and beta-adrenergic mechanisms mediate dose-dependent actions of noradrenaline on supraoptic vasopressin neurones in vivo. Brain Res. 1985;358(1–2):171–9.CrossRefPubMed
22.
Zurück zum Zitat Medical Economics Company. Physicians desk reference. 62nd ed. Montvale: Medical Economics Company; 2008. Medical Economics Company. Physicians desk reference. 62nd ed. Montvale: Medical Economics Company; 2008.
23.
Zurück zum Zitat Kiss A, Aguilera G. Participation of alpha 1-adrenergic receptors in the secretion of hypothalamic corticotropin-releasing hormone during stress. Neuroendocrinology. 1992;56(2):153–60.CrossRefPubMed Kiss A, Aguilera G. Participation of alpha 1-adrenergic receptors in the secretion of hypothalamic corticotropin-releasing hormone during stress. Neuroendocrinology. 1992;56(2):153–60.CrossRefPubMed
24.
Zurück zum Zitat Birnbaum S et al. A role for norepinephrine in stress-induced cognitive deficits: alpha-1-adrenoceptor mediation in the prefrontal cortex. Biol Psychiatry. 1999;46(9):1266–74.CrossRefPubMed Birnbaum S et al. A role for norepinephrine in stress-induced cognitive deficits: alpha-1-adrenoceptor mediation in the prefrontal cortex. Biol Psychiatry. 1999;46(9):1266–74.CrossRefPubMed
25.
Zurück zum Zitat Southwick SM et al. Noradrenergic alterations in posttraumatic stress disorder. Ann N Y Acad Sci. 1997;821:125–41.CrossRefPubMed Southwick SM et al. Noradrenergic alterations in posttraumatic stress disorder. Ann N Y Acad Sci. 1997;821:125–41.CrossRefPubMed
26.
Zurück zum Zitat Woodward SH et al. Laboratory sleep correlates of nightmare complaint in PTSD inpatients. Biol Psychiatry. 2000;48(11):1081–7.CrossRefPubMed Woodward SH et al. Laboratory sleep correlates of nightmare complaint in PTSD inpatients. Biol Psychiatry. 2000;48(11):1081–7.CrossRefPubMed
27.
Zurück zum Zitat Hilakivi I, Leppavuori A. Effects of methoxamine, and alpha-1 adrenoceptor agonist, and prazosin, an alpha-1 antagonist, on the stages of the sleep-waking cycle in the cat. Acta Physiol Scand. 1984;120(3):363–72.CrossRefPubMed Hilakivi I, Leppavuori A. Effects of methoxamine, and alpha-1 adrenoceptor agonist, and prazosin, an alpha-1 antagonist, on the stages of the sleep-waking cycle in the cat. Acta Physiol Scand. 1984;120(3):363–72.CrossRefPubMed
28.
Zurück zum Zitat Pickworth WB et al. Sleep suppression induced by intravenous and intraventricular infusions of methoxamine in the dog. Exp Neurol. 1977;57(3):999–1011.CrossRefPubMed Pickworth WB et al. Sleep suppression induced by intravenous and intraventricular infusions of methoxamine in the dog. Exp Neurol. 1977;57(3):999–1011.CrossRefPubMed
29.
Zurück zum Zitat Raskind MA et al. Reduction of nightmares and other PTSD symptoms in combat veterans by prazosin: a placebo-controlled study. Am J Psychiatry. 2003;160(2):371–3.CrossRefPubMed Raskind MA et al. Reduction of nightmares and other PTSD symptoms in combat veterans by prazosin: a placebo-controlled study. Am J Psychiatry. 2003;160(2):371–3.CrossRefPubMed
30.••
Zurück zum Zitat Raskind MA et al. A trial of prazosin for combat trauma PTSD with nightmares in active-duty soldiers returned from Iraq and Afgahnistan. Am J Psychiatry. 2013;170(9):1003–10. This study provides the strongest evidence for prazosin efficacy for overall PTSD, trauma nightmares, sleep disturbance and global function. This collaborative VA/Department of Defense study is the first ever completed randomized controlled trial of a medication for any behavioral disorder in active duty combat soldiers.CrossRefPubMed Raskind MA et al. A trial of prazosin for combat trauma PTSD with nightmares in active-duty soldiers returned from Iraq and Afgahnistan. Am J Psychiatry. 2013;170(9):1003–10. This study provides the strongest evidence for prazosin efficacy for overall PTSD, trauma nightmares, sleep disturbance and global function. This collaborative VA/Department of Defense study is the first ever completed randomized controlled trial of a medication for any behavioral disorder in active duty combat soldiers.CrossRefPubMed
31.
Zurück zum Zitat Raskind MA et al. A parallel group placebo controlled study of prazosin for trauma nightmares and sleep disturbance in combat veterans with post-traumatic stress disorder. Biol Psychiatry. 2007;61(8):928–34.CrossRefPubMed Raskind MA et al. A parallel group placebo controlled study of prazosin for trauma nightmares and sleep disturbance in combat veterans with post-traumatic stress disorder. Biol Psychiatry. 2007;61(8):928–34.CrossRefPubMed
32.•
Zurück zum Zitat Taylor FB et al. Prazosin effects on objective sleep measures and clinical symptoms in civilian trauma posttraumatic stress disorder: a placebo-controlled study. Biol Psychiatry. 2008;63(6):629–32. This placebo-controlled study objectively demonstrates prazosin improvement of sleep physiology in PTSD.CrossRefPubMedCentralPubMed Taylor FB et al. Prazosin effects on objective sleep measures and clinical symptoms in civilian trauma posttraumatic stress disorder: a placebo-controlled study. Biol Psychiatry. 2008;63(6):629–32. This placebo-controlled study objectively demonstrates prazosin improvement of sleep physiology in PTSD.CrossRefPubMedCentralPubMed
33.•
Zurück zum Zitat Germain A et al. Placebo-controlled comparison of prazosin and cognitive-behavioral treatments for sleep disturbances in US Military veterans. J Psychosom Res. 2012;72(2):89–96. This study demonstrates both prazosin and a behavioral sleep intervention were effective for sleep disturbance in military veterans.CrossRefPubMedCentralPubMed Germain A et al. Placebo-controlled comparison of prazosin and cognitive-behavioral treatments for sleep disturbances in US Military veterans. J Psychosom Res. 2012;72(2):89–96. This study demonstrates both prazosin and a behavioral sleep intervention were effective for sleep disturbance in military veterans.CrossRefPubMedCentralPubMed
34.
Zurück zum Zitat Byers MG et al. Prazosin versus quetiapine for nighttime posttraumatic stress disorder symptoms in veterans: an assessment of long-term comparative effectiveness and safety. J Clin Psychopharmacol. 2010;30(3):225–9.CrossRefPubMed Byers MG et al. Prazosin versus quetiapine for nighttime posttraumatic stress disorder symptoms in veterans: an assessment of long-term comparative effectiveness and safety. J Clin Psychopharmacol. 2010;30(3):225–9.CrossRefPubMed
35.
Zurück zum Zitat Blake DD et al. The development of a Clinician-Administered PTSD Scale. J Trauma Stress. 1995;8(1):75–90.CrossRefPubMed Blake DD et al. The development of a Clinician-Administered PTSD Scale. J Trauma Stress. 1995;8(1):75–90.CrossRefPubMed
36.
Zurück zum Zitat Ajilore O et al. Nightcap: laboratory and home-based evaluation of a portable sleep monitor. Psychophysiology. 1995;32(1):92–8.CrossRefPubMed Ajilore O et al. Nightcap: laboratory and home-based evaluation of a portable sleep monitor. Psychophysiology. 1995;32(1):92–8.CrossRefPubMed
38.
Zurück zum Zitat Raskind MA. Pharmacologic treatment of PTSD. In: Shiromani PJ, Keane TM, LeDoux JE, editors. Post-traumatic stress disorder. New York: Humana Press; 2009. p. 337–61.CrossRef Raskind MA. Pharmacologic treatment of PTSD. In: Shiromani PJ, Keane TM, LeDoux JE, editors. Post-traumatic stress disorder. New York: Humana Press; 2009. p. 337–61.CrossRef
39.
Zurück zum Zitat Buysse D et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric research and practice. Psychiatry Res. 1989;28(2):193–213.CrossRefPubMed Buysse D et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric research and practice. Psychiatry Res. 1989;28(2):193–213.CrossRefPubMed
40.
Zurück zum Zitat Calohan J et al. Prazosin treatment of trauma nightmares and sleep disturbance in soldiers deployed in Iraq. J Trauma Stress. 2010;23(5):645–8.CrossRefPubMed Calohan J et al. Prazosin treatment of trauma nightmares and sleep disturbance in soldiers deployed in Iraq. J Trauma Stress. 2010;23(5):645–8.CrossRefPubMed
41.
Zurück zum Zitat Peskind ER et al. Prazosin reduces trauma-related nightmares in older men with chronic posttraumatic stress disorder. J Geriatr Psychiatry Neurol. 2003;16(3):165–71.CrossRefPubMed Peskind ER et al. Prazosin reduces trauma-related nightmares in older men with chronic posttraumatic stress disorder. J Geriatr Psychiatry Neurol. 2003;16(3):165–71.CrossRefPubMed
42.
Zurück zum Zitat Hermes E, Harpaz-Rotem I, Rosenheck R. Diffusion of prazosin treatment for PTSD. Am J Psychiatry. 2014;171(1):117.CrossRefPubMed Hermes E, Harpaz-Rotem I, Rosenheck R. Diffusion of prazosin treatment for PTSD. Am J Psychiatry. 2014;171(1):117.CrossRefPubMed
43.
Zurück zum Zitat Bernardy NC et al. Prescribing trends in veterans with posttraumatic stress disorder. J Clin Psychiatry. 2012;73(3):297–303.CrossRefPubMed Bernardy NC et al. Prescribing trends in veterans with posttraumatic stress disorder. J Clin Psychiatry. 2012;73(3):297–303.CrossRefPubMed
44.
Zurück zum Zitat Koola MM, Varghese SP, Fawcett JA. High-dose prazosin for the treatment of post-traumatic stress disorder. Ther Adv Psychopharmacol. 2014;4(1):43–7.CrossRefPubMedCentralPubMed Koola MM, Varghese SP, Fawcett JA. High-dose prazosin for the treatment of post-traumatic stress disorder. Ther Adv Psychopharmacol. 2014;4(1):43–7.CrossRefPubMedCentralPubMed
45.
Zurück zum Zitat Aurora RN et al. Best practice guide for the treatment of nightmare disorder in adults. J Clin Sleep Med. 2010;6(4):389–401.PubMedCentralPubMed Aurora RN et al. Best practice guide for the treatment of nightmare disorder in adults. J Clin Sleep Med. 2010;6(4):389–401.PubMedCentralPubMed
46.
Zurück zum Zitat Thompson CE et al. Nonnightmare distressed awakenings in veterans with posttraumatic stress disorder: response to prazosin. J Trauma Stress. 2008;21(4):417–20.CrossRefPubMed Thompson CE et al. Nonnightmare distressed awakenings in veterans with posttraumatic stress disorder: response to prazosin. J Trauma Stress. 2008;21(4):417–20.CrossRefPubMed
47.
Zurück zum Zitat Taylor FB et al. Daytime prazosin reduces psychological distress to trauma specific cues in civilian trauma posttraumatic stress disorder. Biol Psychiatry. 2006;59(7):577–81.CrossRefPubMed Taylor FB et al. Daytime prazosin reduces psychological distress to trauma specific cues in civilian trauma posttraumatic stress disorder. Biol Psychiatry. 2006;59(7):577–81.CrossRefPubMed
48.
Zurück zum Zitat Simpson TL et al. A pilot trial of the alpha-1 adrenergic antagonist, prazosin, for alcohol dependence. Alcohol Clin Exp Res. 2009;33(2):255–63.CrossRefPubMed Simpson TL et al. A pilot trial of the alpha-1 adrenergic antagonist, prazosin, for alcohol dependence. Alcohol Clin Exp Res. 2009;33(2):255–63.CrossRefPubMed
49.
50.
Zurück zum Zitat Mayer CL, Huber BR, Peskind E. Traumatic brain injury, neuroinflammation, and post-traumatic headaches. Headache. 2013;53(9):1523–30.PubMedCentralPubMed Mayer CL, Huber BR, Peskind E. Traumatic brain injury, neuroinflammation, and post-traumatic headaches. Headache. 2013;53(9):1523–30.PubMedCentralPubMed
51.
Zurück zum Zitat Raskind MA et al. The alpha-1 adrenergic antagonist prazosin ameliorates combat trauma nightmares in veterans with posttraumatic stress disorder: a report of 4 cases. J Clin Psychiatry. 2000;61(2):129–33.CrossRefPubMed Raskind MA et al. The alpha-1 adrenergic antagonist prazosin ameliorates combat trauma nightmares in veterans with posttraumatic stress disorder: a report of 4 cases. J Clin Psychiatry. 2000;61(2):129–33.CrossRefPubMed
Metadaten
Titel
Prazosin for the Treatment of PTSD
verfasst von
Murray A. Raskind, MD
Publikationsdatum
01.06.2015
Verlag
Springer International Publishing
Erschienen in
Current Treatment Options in Psychiatry / Ausgabe 2/2015
Elektronische ISSN: 2196-3061
DOI
https://doi.org/10.1007/s40501-015-0040-y

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