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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by brynb on March 24, 2013, at 9:06:02
hi Scott-
I remember you mentioning suffering from PTSD, but it seemed a bit different than the standard definition. Would you so kindly explain? And, which meds have you found particularly helpful for it?
many thanks and I hope you're well.
b
Posted by SLS on March 24, 2013, at 10:00:27
In reply to SLS-PTSD, posted by brynb on March 24, 2013, at 9:06:02
Hi B.
> I remember you mentioning suffering from PTSD, but it seemed a bit different than the standard definition. Would you so kindly explain?
The following article explains the sort of chronic abuse and neglect that can produce "developmental PTSD":
http://www.positivehumandevelopment.com/developmental-ptsd.html
> And, which meds have you found particularly helpful for it?
Prazosin 10 mg/day. Prazosin exerts a broad and persistent antidepressant effect for me. The only side effect I experience is a reduction in sex-drive.
If you decide to try prazosin, be aware that one often experiences dizziness and fatigue as startup side effects. You would probably want to initiate treatment with a single 1 mg dose taken at night followed by 1 mg two or three times a day for a week or so. My feeling is that the therapeutic range for prazosin when treating PTSD is 6 - 15 mg/day. I have settled on 10 mg/day as the lowest effective dose. Higher dosages tend to leave me feeling fatigued and unmotivated.
My current treatment regime:
Parnate 80 mg/day
nortriptyline 150 mg/day
lithum 450 mg/day
Abilify 10 mg/day
prazosin 10 mg/day
minocyline 200 mg/dayI have recently discontinued Lamictal in an attempt to reduce memory impairments and cognitive side effects. It is my guess that the addition of minocycline will allow for this.
- Scott
Posted by Phillipa on March 24, 2013, at 11:26:06
In reply to Re: SLS-PTSD » brynb, posted by SLS on March 24, 2013, at 10:00:27
Prazosin I heard works for night terror well. Phillipa
Posted by brynb on April 4, 2013, at 16:14:27
In reply to Re: SLS-PTSD » brynb, posted by SLS on March 24, 2013, at 10:00:27
> Hi B.
>
> > I remember you mentioning suffering from PTSD, but it seemed a bit different than the standard definition. Would you so kindly explain?
>
> The following article explains the sort of chronic abuse and neglect that can produce "developmental PTSD":
>
> http://www.positivehumandevelopment.com/developmental-ptsd.htmlThis really resonates with me. Thanks, Scott.
>
> > And, which meds have you found particularly helpful for it?
>
> Prazosin 10 mg/day. Prazosin exerts a broad and persistent antidepressant effect for me. The only side effect I experience is a reduction in sex-drive.
>
> If you decide to try prazosin, be aware that one often experiences dizziness and fatigue as startup side effects. You would probably want to initiate treatment with a single 1 mg dose taken at night followed by 1 mg two or three times a day for a week or so. My feeling is that the therapeutic range for prazosin when treating PTSD is 6 - 15 mg/day. I have settled on 10 mg/day as the lowest effective dose. Higher dosages tend to leave me feeling fatigued and unmotivated.
>
I'm going to ask my pdoc about this. I'm also considering TMS.
>
> I have recently discontinued Lamictal in an attempt to reduce memory impairments and cognitive side effects. It is my guess that the addition of minocycline will allow for this.
>
I hope this attempt went well.Thanks again for all your help and I hope you're doing well!
-b
This is the end of the thread.
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