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Cyproheptadine effect on combat related PTSD nightmares

Published online by Cambridge University Press:  16 April 2020

G.H. Ahmadzadeh
Affiliation:
Department of Psychiatry, Noor Medical Center, Isfahan, Iran
A. Farhat
Affiliation:
Department of Psychiatry, Noor Medical Center, Isfahan, Iran
G.H. Assadolahi
Affiliation:
Department of Psychiatry, Noor Medical Center, Isfahan, Iran
G. Mahmodi
Affiliation:
Department of Psychiatry, Noor Medical Center, Isfahan, Iran

Abstract

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Objectives:

Recent studies have shown the role of sorotonergic system in posttraumatic stress disorder. Terazodone and Nefazodone, (5HT2 antagonist) ameliorated PTSD nightmares but the reports are mixed. This study prompted an open trial of cyprohepatadine for Iran versus Iraq combat PTSD patient nightmares.

Methods:

25 patients studied in an eight - week, Before - After trial of cyproheptadine, the participants were male and chronic PTSD patients with combat related nightmare the exclusion criteria in clouded current substance abuse or dependence, psychotic disorder and any medical condition that contraindicated the use of cyproheptadine.

Results:

Five patients were excluded from the study because of side effects including dizziness and somnolence. Twenty patients completed the study. Average of nightmare severity decreased from 6.85 to 5.05, which was statistically significant (P<0.01).

Discussion:

Cyproheptadine, 5HT2 antagonist may be effective in PTSD nightmare treatment.

Type
Poster Session 2: Anxiety, Stress Related, Impulse and Somatoform Disorders
Copyright
Copyright © European Psychiatric Association 2007
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