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pharmacological suppression of nightmares

Posted by mila on May 6, 2001, at 16:12:04

In reply to Nightmares! , posted by Seraphim on May 6, 2001, at 11:03:05

Oops, Seraphim,
forgot to address the medication in the prevous post.

=== I asked my pdoc two years ago and was told that there wasn't a med. that can treat nightmares. So no help there.

that is so not true. There is such a thing as nightmare disorder.(no pun intended, but sounds funny anyway:) frequently it is comorbid with depression, anxiety disorder or PTSD. When treating nightmares accompanying such disorders, the first emphasis in treatment is on them.

Otherwise, pharmacological suppression of persistent troubling nightmares goes like so

low doses of REM-suppressing drugs such as antihistamines ( cyproheptadine, 4-24 mg at bedtime)

trycyclic antidepressants (impiramine, 10-50 mg)

sedative SSRIs (sertraline, 50-100 mg at bedtime)

mood stabilizers (carbamazepine, 100-400 mg at bedtime)

or anxiolytics (clonazepam, 0.25 -1.0 mg at bedtime)

best of luck

mila


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