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Prazosin (Minipress) Helpful for Nightmares due to Post Traumatic Stress Disorder (PTSD)

Prazosin is a unique medication because it’s most known as an anti-hypertension medication to bring down the blood pressure. But it is helpful to stop nightmares especially in cases of Post Traumatic Stress Disorder. It can drop the blood pressure so it’s important to be careful after taking this at night, and getting up at night to use the bathroom or do a task - to make sure you do not feel dizzy or lightheaded after getting up that could be a sign the medication has dropped the blood pressure too much. The dosing is in 1, 2, or 5mg increments. It should be used carefully when someone is on blood pressure medications because the two together can drop the blood pressure. Because of that effect, what one can do is measure their blood pressure before taking the medications, and if it’s less than 90/60 or the heart rate is less than 60, to not take the medication. Some reports are also that it can help with other Post Traumatic Stress Disorder symptoms. This makes sense because the nightmares or scary dreams can not only affect one’s sleep, but also one’s thoughts and moods the next day. So when people who take this medication have less recollection of their nightmares, it’s likely their thoughts and moods will be better as well. Prazosin blocks the alpha receptors in the body and these receptors most often respond to adrenaline or norepinephrine. So in a way it could be slowing down or stopping that adrenaline response that people who are in fight or flight mode in cases of anxiety or Post Traumatic Stress may experience. It could be in the form of nightmares at night, but maybe someone is having vivid dreams or wakes up scared or sweating - this could also help in that case. Some other side effects include a sustained erection, dizziness, headaches, feeling like one’s heart races fast, trouble breathing or increased fluid in various tissues around the body.