After a traumatic event such as an accident or an assault, victims may experience intense stress symptoms that may evolve into "post-traumatic stress disorder" (PTSD). It is a frequent and serious pathology, which can be complicated by depression, addiction or suicide. Few means are available to prevent PTSD in people who have just undergone trauma. Prazosin is an antihypertensive drug that blocks α1 adrenaline receptors which could help to stop the vicious circle of stress and prevent the development of the disease. The objective of this study is to demonstrate the efficacy of prazosin to prevent PTSD in patients who visit an emergency department after trauma.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
15
Patients will take Prazosin during 28 days ; there are two periods of treatment (escalation of doses): * PERIOD 1 (Day 0 - Day 7): 1 tablet of ALPRESS LP 2.5 mg (Prazosin) at bedtime for 7 days * PERIOD 2 (Day 8 - Day 27): 1 morning tablet of ALPRESS LP 5 mg (Prazosin) at bedtime for 21 days.
Groupement Hospitalier Edouard Herriot - Emergency Psychiatry Department
Lyon, France
PTSD diagnosis
The Presence of PTSD diagnosis will be assessed by the Clinician Administered PTSD Scale (CAPS)
Time frame: 6 months
Acute stress symptoms
These symptoms are assessed by Diagnostic and Statistical Manual of Mental Disorders (DSM V) criteria
Time frame: 14 days
Prazosin side effects
This will be investigated using a self questionnaire about frequent side effects due to Prazosin, measurement of blood pressure, and orthostatic hypotension test
Time frame: 7 days
Prazosin side effects
This will be investigated using a self questionnaire about frequent side effects due to Prazosin, measurement of blood pressure, and orthostatic hypotension test
Time frame: 14 days
Prazosin side effects
This will be investigated using a self questionnaire about frequent side effects due to Prazosin, measurement of blood pressure, and orthostatic hypotension test
Time frame: 1 month
occurrence of complications of PTSD
Complications of PTSD are attempted suicide, suicidal ideation, addiction, depression and quality of life.
Time frame: 6 months
Compliance
Compliance will be evaluated by counting the tablets consumed and not consumed at the end of the treatment by Prazosin
Time frame: 1 month
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