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Clarksville, TN
A 25-year-old female asked:

i have ptsd & borderline personality disorder and breastfeed exclusively. would prazosin be safe to take for my anxiety, insomnia and nightmares?

3 doctor answers6 doctors weighed in
Dr. Gary Beach
Family Medicine 40 years experience
Possibly: This is a blood pressure medicine that has been used successfully "off label" for ptsd. It may be unsafe for your infant as it crosses into breast milk. Consider discontinuing breast feeding.
Dr. Robert Berkowitz
Psychiatry 34 years experience
Don't know: There is unfortunately inadequate literature to advise about the risks of lactation while on prazosin. I'm glad you discovered its value. It's an old medication for high blood pressure that was discovered to effectively treat the nightmares of ptsd. Proceed with caution.
Dr. Heidi Fowler
Psychiatry 25 years experience
Breastfeeding safety: Prazosin has been effective for many (but not all) of my patients with recalcitrant nightmares & insomnia. Getting a good night sleep is very important for emotional healing and to have the energy to parent a new baby. Unfortunately i don't know of any studies about impact on breastfeeding. You may consider discontinuing breastfeeding. Take care.

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Last updated Dec 26, 2015
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