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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 2 of 2. This is the beginning of the thread.
Posted by zonked on May 1, 2014, at 12:36:58
SLS:
Can you do me a favor and go over your Prazosin/minipress experience? What dose you started at, how fast you tapered?
I see my new primary tomorrow and new psychiatrist the week after (old is new again: he was my first shrink and a good man.)
I ran out of Prazosin for a few days and the nightmares returned. I'm interested in higher doses during the day. So strange, our regimes are similar - I had "ran into" some Focalin (not XR) while in Seattle, and was the "cleanest" ADHD medicine I've tried. Doesn't feel like Ritalin or Concerta...
-z
Posted by SLS on May 12, 2014, at 8:27:46
In reply to SLS:Your Prazosin titration?, posted by zonked on May 1, 2014, at 12:36:58
Hi Zonked. I'm sorry to be so late to respond to your questions, but I have not been disposed to posting lately.
> SLS:
>
> Can you do me a favor and go over your Prazosin/minipress experience? What dose you started at, how fast you tapered?First of all, for me, higher dosages of prazosin feel like a very clean antidepressant. My only complaint regarding side effects is a suppression of my sex drive. I take 30 mg/day (10 mg t.i.d.). I followed the titration instructions found on the manufacturer's package label. You can find this on Rxlist with one important exception. The first dose should be 1 mg taken at night so that the initial reaction, which includes dizziness and syncope, does not occur during waking hours. The second 1 mg dose should be given the following night. Thereafter, one can begin dosing three times a day and titrating gradually. I found that the first few days of prazosin treatment produced mild dizziness, fatigue, weakness, and feelings of malaise. These things disappeared completely within a week. I also found that an antidepressant response can come and go at a given dosage, requiring continued titration. I should think that the initial target dosage should be 6 - 12 mg/day. I am currently taking 30 mg/day. However, I experienced a discernible transient improvement at 3 mg/day. Some doctors are bringing their patients with PTSD complicated by comorbid depression up to 40 mg/day.
Good luck!!!
- Scott
This is the end of the thread.
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