A 33-year-old military veteran with PTSD presents with recurrent trauma-related nightmares unresponsive to psychotherapy. Vital signs show BP 128/82 mmHg, HR 92 bpm, RR 16/min, temp 37°C, SpO2 98% on room air. He reports no active suicidal ideation. A medication is initiated that may cause orthostatic hypotension, particularly after the first dose, and recent literature supports its efficacy for nightmares. Which of the following was most likely prescribed?
- A)Phenylephrine
- B)Propranolol
- C)PrazosinGABARITO
- D)Clonidine
- E)Tamsulosin
Explicação
Prazosin is an alpha 1 blocker that is used for hypertension and is also classically associated with improvement of PTSD related nightmares. Its important adverse effect is first dose orthostatic hypotension or syncope. Ver explicação completa e trilha adaptativa →