I'm someone on prazosin for severe nightmares and I can attest that it Works Real Good. It also, to my knowledge, has basically no interactions which is super nice. It does stop basically ALL dreams though so if you like your good ones it might be sad. Good luck on your med journey, I hope it flows as easy as these things can.
Yeah, therein lies my reservation with it: my dreams are really important to me and I usually remember a lot of them. I keep a dream journal and I use it for inspiration in my art. I took a class in college called Psychology of Dreaming because I wanted to learn more about why I have the dreams I do. And I even value my frequent and vivid nightmares; my first tattoo was based on a nightmare I had.
So that's a hard decision! When the nightmares are really bad I have said "I would give up dreaming altogether just to get rid of these," but now that the monkey's paw has curled I'm scared to follow through.
I actually just woke up from a really vivid nightmare about attending a high school reunion in a Chinese city undergoing a catastrophic drought, in which people were dying en masse, and also during which the fabulously wealthy city government had arranged for my American high school reunion to have a watergun fight followed by a pool party. I tried to convince my high school classmates to conserve water, to no avail. It ended with the hotel in which we were staying having its water cut off by the people of the city, who then stormed the building and killed us all. Overall a really interesting story even if it did interrupt my sleep--hence my reluctance to give up even my nightmares.
(I'm the same person who sent in the ask)
Valuing your dreams does make that decision tricky- if you have any kind of "sense" about if you'll have nightmares, Prazosin is a one-night-effect kind of thing. No weaning off, just take as needed and it works for that night. I've found myself with a sort of 6th sense on what nights I'll have nightmares or not, so it's worked for me, but guesswork on stress might also be able to?
Best of luck either way; medicine is a demanding mistress sometimes.
Oh shit really? I will absolutely be scheduling an appointment about it, then. I had assumed acclimating to and weaning off Prazosin would be more similar to SSRIs (difficult). I simultaneously love and fear altering my neurochemistry.
Oh hey, I'm on prazosin too. Prazosin acts on your blood pressure (lowers it), not neurotransmitters directly like an SSRI. For me, it does not fully get rid of my nightmares. It helps the anxiety/panic attack/PTSD flashback in my sleep issues, but I do still dream/have nightmares. It is partly a dosage thing, so I don't know if a higher dose would fully get rid of the nightmares
Ah okay that sucks for me specifically because I have somewhat low blood pressure and have been instructed to "eat as much salt as I want" to compensate for it. So I think my primary care physician would probably regard Prazosin as a bad idea, considering I'm also prone to dizzy spells and fatigue. Nerts.
yeah, that could be an issue :/ I tolerate a low dose, but I can't increase it because my blood pressure runs low, might be worth asking about if its practical, but passing out is really not an ideal side effect...




















