Doctor insights on:
Medication For Ptsd
Are there any medications for ptsd other than zoloft (sertraline)? What is the maximum dosage for zoloft (sertraline)?
Max 200mg per day: There are a number of ssri's that can work similar to the same way zoloft (sertraline) does, but zoloft (sertraline) has some stronger research behind it for ptsd. You can ask your physician to try other ssri medication. However, make sure, with ptsd, that you include therapy and include a support system. This is not something that should be dealt with by meds only. Best of luck and I hope that helps. ...Read more
Can I avoid dissociation/flashbacks without medication from PTSD? Or will I have to live with it every day for the rest of my life?
Find a therapist: Who is trained in EMDR. It is highly effective for PTSD. Y ou do not need to suffer. ...Read more
Sometimes: Medication is not the primary treatment of choice for the core of childhood ptsd. Psychotherapy, or "talk therapy" (or play therapy in younger children) is the primary treatment. That being said, medications are sometimes used short term to reduce anxiety to help the child to tolerate the anxiety associated with therapy, or for specific symptoms such as sleep difficulties. Best wishes. ...Read more
Another medicine: Another medicine is Minipress (prazosin) which can be used for ptsd nightmares. It works by crossing the blood brain barrier & blocking norepinephrine (a chemical like adrenalin) acting in the brain. Prazosin was first used for ptsd in 1995. Trauma nightmares are true-life situations, extremely realistic, and they are accompanied by an adrenaline storm which does not happen with bad dreams. ...Read more
Why won't the Department of Veteran Affairs prescribe anti-anxiety medications to patients with PTSD; even if you are not participating in PE therapy?
A couple of reasons: First, I assume you're talking about benzodiazepines. There is no evidence that these types of medications can help in the long term with posttraumatic stress disorder, although they can be useful in the short-term. I think the Veterans Affairs policy is a bit extreme. I think they are also concerned about the potential for addiction with benzodiazepines. Best. ...Read more
I am on a lot of medications for anxiety depression bipolar ptsd COPD now cholesterol never been tested till now had a uti?
UTI not related.: You can have UTI even if you are not on medications. Usually before starting on medications, your pcp does a batteries of examination which include ekg, chest x-ray, a complete metabolic panel, tsh, t4, CBC and urinalysis as a baseline. Depending on what medications you are put on, there are also tests that need to be done to make sure you are responding to the medications and their effects on you. ...Read more
PTSD: Medication alone CANNOT cure PTSD. Meds PLUS therapy is the best combination to manage symptoms. ...Read more
Although medications may be needed, often patients improve most when their entire being is addressed. Many other factors beyond medications can be helpful.
An excellent resource is the book :
the trauma took kit, healing ptsd from the inside out.
this award-winning book provides an understanding of ptsd as something that affects your entire being - mind, body and spirit. ...Read more
Why?: You deserve all the help and support you can get! ...Read more
PTSD: Ptsd is an emotional disorder that occurs following an overwhelming, and frightening event that threatened serious bodily harm. It results in a re-experiencing of the traumatic event, and avoidance of situations that activate traumatic memories. Treatment typically includes an admixture of cognitive-behavioral, family supportive, and psychotherapy in several phases. Medicine is necessary. ...Read more
I don't advise it.: If you feel you must go it alone, read everything you can about it. Most people don't know they have ptsd since it can mimic major depression, bipolar disorder, intermittent explosive disorder, even ocd. I would advise you to get professional help and not try to go it alone. It can be a very serious disorder, even fatal. ...Read more
A child may have: Overt symptoms of ptsd, other behavioral symptoms &/or developmental regression after having witnessed or experienced acute or chronic trauma. See http://www. Ncbi. Nlm. Nih. Gov/pmc/articles/pmc1414752/. Symptoms may emerge or re-emerge as a child tries to process the trauma at later developmental stages, especially if child & family therapy is not instituted within 1-6 months after the trauma. ...Read more
PTSD: Combat ptsd can be debilitating and can be treated effectively with psychotherapy with a qualified mental health professional who specializes in helping resolve the suffering of ptsd. Once you connect with a clinical psychologist he or she can help decide if and when medication is needed. Best wishes. ...Read more
Prazosin can be very effective for nightmares and for hyperarousal if combat-related.
Ssri's help "modify information taken in" more appropriately and help extinguish fear reaction. Also helps anxiety, depression, panic, aggression, and suicidal thoughts. These appear to work better for non-combat-ralted trauma.
Any associated medical or emotional problem should be aggressively treated with med. ...Read more
I am having insomnia issues due to PTSD related nightmares. How can this be handled without medication?
What is the best way to handle or avoid triggers with ptsd? I'm on medications, but triggers still hit me hard and I have panick attacks.
PTSD help: Work with a mental health professional experienced treating PTSD. Triggers are highly individual, can be multi-sensory, occur while awake or asleep, eg. nightmares. CBT and exposure therapy are also effective. See: http://www. Mayoclinic. Org/diseases-conditions/post-traumatic-stress-disorder/basics/treatment/con-20022540 I hope this helps. Best wishes. ...Read more
If your symptoms are: Severe - at least consider being seen for psychotropic medications. I will start w a deep breathing exercise that you can do if you are becoming anxious or irritable. Breath in deeply & slowly through the nostrils. Hold air in lungs for a 5 count before slowly exhaling through an open mouth. Repeat until you are calmer. Focus on your breathing not what is making you upset. Getting physical through. ...Read more
Could Suboxone help mdd? Perhaps in conjunction with other medications? How about for general anxiety and/or ptsd?
See below: It will. In fact, alkermes has a Buprenorphine combo drug under study for this reason. A doc is allowed to prescribe Suboxone off label for this purpose and I have seen it done several times. I'm fact any doctor can do this. As long as it is not for addiction, one does not even need a waiver. The problem is a lack of familiarity that most docs have with the meds and the regs. ...Read more
I need to switch medications I was recently diagnosed with major depressive, severe anxiety and PTSD early this year in January. My symptom to be just as bad, I take a handful of medications 3-4 times a day, I need a more effective alternative (s).
You ask your Primary Care Physician fora referral to a PSYCHOPHARMACOLOGIST (Long term meaning a Psychiatrist with a specialty in the use of Medications for various complex Psychiatric disorders!
Hope this helps
Dr Z ...Read more
What medication is good to take to stop nightmares? I have ptsd and take seroquel (quetiapine) I've been told about prazosin but I already take hydralazine
Multiple options: There are multiple options that may help ptsd-related nightmares -- and even though you're on hydralazine, prazosin may still be one of them. It would require monitoring your BP carefully. Others include trazodone, topiramate, gabapentin, cyproheptadine, etc. Also there are cognitive behavioral therapy, image rehearsal therapy, hypnosis, etc: http://tinyurl. Com/knwnnet. ...Read more
My psychiatrist has me on klonopin for PTSD just added luvox (fluvoxamine). will luvox (fluvoxamine) raise the klonopin. ..as luvox (fluvoxamine) often raises levels of other medications?
Using Klonopin with Luvox (fluvoxamine) may increase the effects of Klonopin.
See your Psychiatrist if you experience extreme drowsiness, confusion, muscle weakness, loss of balance or coordination, feeling light-headed, or fainting.
Discuss need for both medications, ; benefits, side effects and interactions of Klonopin and Luvox (fluvoxamine), decreasing the dose; and Therapy for stresses, and to develop coping skills, ...Read more
Medications: You need to work with your physician to determine the best combination for you. ...Read more
I'm being treated for ptsd, anxiety, depression, and degenerative spine disease, IV been having some trouble in the bedroom, I believe from the medication, the last time I ejaculated, it had orange tapioca like balls in it, freaked me out, why would thi
Eval: I agree with dr. Holmes. This warrants medical evaluation first and foremost ssri's can cause a vast array of sexual side effects: decreased libido. Lack of erection, retrograde ejaculation, inability to ejaculate, prolonged erection etc - but I don't know why your ejaculate would be lumpy & orange. This could be related to ssri's but other causes would need to be assessed (the world of urology. ...Read more
I'm a 20-plus year opiate addict who has had problems with PTSD and depressive anxiety. I have tried all sorts of medications antidepressants and mild?
Opiate addiction: You mention that you are dependent of opiates. It might be a good to consider treatment for the opiate dependency. I am not trying to dodge your question. Opiate use is likely contributing to the anxiety and depression. It would be difficult to effectively treat these other conditions while you continuing to use opiates. Likely you know some of the options for treating opiate dependency. ...Read more
Is medical marijuana useful to calm PTSD or anxiety in patients with seizure disorder who can't be on typical anxiety medications?
Can't say: Unfortunately, very little reliable, peer reviewed research has been done regarding the safety and efficacy of marijuana for anything, despite the long list list of conditions for which it has allegedly been helpful. My own guess it that it is not likely to be helpful, since it clouds thinking, and is difficult to dose properly, resulting in an under or overdose. Stick with more proven therapies ...Read more
Do you have the ability to prescribe me medication for anxiety and recent increases in panic attacks? It seems to typically be a combination of a PTSD, my hyperthyroid, and then I just get stuck in my head and panic. Almost feels like a heart attack.
Not first, usually: Valium can calm anxiety and relax muscle tension which are common in ptsd. But this would not usually be the first step in treatment, nor would it be the only one. Psychotherapy is essential in ptsd -- medications alone are insufficient. Also, most psychiatrists would try non-habit-forming ones before valium. Benzos like valium are best used temporarily, in context of overall treatment. ...Read more