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Selective Serotonin Reuptake Inhibitors
(SSRIs)
Right now two medications, first sertraline (Zoloft) and second
paroxetine (Paxil) have FDA approval for treating PTSD. Other medications
in the SSRI class are also probably effectivein fact, if one
SSRI is ineffective or has intolerable side effects, a second SSRI
may prove beneficial and well tolerated.
Based on the research evidence, the Expert
Consensus Panel recommends an SSRI antidepressant as the best
first-line treatment for PTSD. The five SSRIs available in the United
States are:
| Generic Name |
Brand Name |
| citalopram |
Celexa |
| fluoxetine |
Prozac |
| fluvoxamine |
Luvox |
| paroxetine |
Paxil* |
| sertraline |
Zoloft* |
| |
*FDA-approved
indication for PTSD. |
Serotonin is a neurotransmitter that helps
transfer information from one brain cell (neuron) to another. Imbalances
in serotonin are thought to play a major role in causing or continuing
PTSD. Antidepressant medications may work by correcting these imbalances.
The antidepressants known as SSRIs are unlike most other antidepressants
in that they have little effect on neurotransmitters other than
serotonin. Although quite different in their chemical structures,
these medications share the property of inhibiting serotonin reuptake,
so their modes of action and side effects are similar.
For more detailed information about SSRIs,
including side effects, interactions with other medications and
cautions, click here to download the Madison
Institute of Medicine's® Guide on PTSD.
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