Page last updated: 2024-10-22

alprazolam and Acute Post-Traumatic Stress Disorder

alprazolam has been researched along with Acute Post-Traumatic Stress Disorder in 20 studies

Alprazolam: A triazolobenzodiazepine compound with antianxiety and sedative-hypnotic actions, that is efficacious in the treatment of PANIC DISORDERS, with or without AGORAPHOBIA, and in generalized ANXIETY DISORDERS. (From AMA Drug Evaluations Annual, 1994, p238)
alprazolam : A member of the class of triazolobenzodiazepines that is 4H-[1,2,4]triazolo[4,3-a][1,4]benzodiazepine carrying methyl, phenyl and chloro substituents at positions 1, 6 and 8 respectively. Alprazolam is only found in individuals that have taken this drug.

Research Excerpts

ExcerptRelevanceReference
"Posttraumatic stress disorder (PTSD) and panic disorder (PD) share several clinical features, and theory postulates that phasic arousal is similarly dysregulated in both."5.30Alprazolam reduces response to loud tones in panic disorder but not in posttraumatic stress disorder. ( Bloch, M; Bonne, O; Peri, T; Shalev, AY, 1998)
"Combat veterans with PTSD underwent 6 weeks of VR exposure therapy combined with either d-cycloserine (DCS), alprazolam (ALP), or placebo (PBO)."2.82Baseline psychophysiological and cortisol reactivity as a predictor of PTSD treatment outcome in virtual reality exposure therapy. ( Bradley, B; Breazeale, KG; Davis, M; Duncan, E; Gerardi, M; Jovanovic, T; Norrholm, SD; Price, M; Ressler, KJ; Rizzo, A; Rothbaum, BO; Tuerk, PW, 2016)
"Symptoms specific to PTSD were not significantly altered."2.67Core symptoms of posttraumatic stress disorder unimproved by alprazolam treatment. ( Braun, P; Dasberg, H; Greenberg, D; Lerer, B, 1990)
"Posttraumatic stress disorder (PTSD) may develop after exposure to severe stress, such as combat, accidents, assaults, and natural disasters."2.38New approaches in the pharmacotherapy of posttraumatic stress disorder. ( Hales, RE; Sandberg, DP; Silver, JM, 1990)
"Alprazolam was associated with a significant attenuation of the HPA-response, suggesting a possible link between initial HPA-axis response disruption and the subsequent unfavorable outcomes."1.35Alprazolam treatment immediately after stress exposure interferes with the normal HPA-stress response and increases vulnerability to subsequent stress in an animal model of PTSD. ( Cohen, H; Kaplan, Z; Matar, MA; Zohar, J, 2009)
"One patient died of pulmonary edema and subsequent heart failure, but the rest of the patients recovered without any sequelae."1.34Hemoperfusion in the treatment of acute clozapine intoxication in China. ( Cai, ZJ; He, JL; Li, WB; Ungvari, GS; Xiang, YT, 2007)
"Posttraumatic stress disorder (PTSD) and panic disorder (PD) share several clinical features, and theory postulates that phasic arousal is similarly dysregulated in both."1.30Alprazolam reduces response to loud tones in panic disorder but not in posttraumatic stress disorder. ( Bloch, M; Bonne, O; Peri, T; Shalev, AY, 1998)

Research

Studies (20)

TimeframeStudies, this research(%)All Research%
pre-19901 (5.00)18.7374
1990's7 (35.00)18.2507
2000's2 (10.00)29.6817
2010's10 (50.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Rauch, SAM1
Koola, C1
Post, L1
Yasinski, C1
Norrholm, SD4
Black, K1
Rothbaum, BO6
Signorelli, MS1
Costanzo, MC1
Cinconze, M1
Concerto, C1
Price, M4
Jovanovic, T3
Gerardi, M2
Dunlop, B1
Davis, M2
Bradley, B2
Duncan, EJ1
Rizzo, A2
Ressler, KJ2
Neylan, TC1
Maples, JL1
Heekin, M1
Granoff, AL1
Ressler, K2
Smith, E1
Breazeale, KG1
Duncan, E1
Tuerk, PW1
Matar, MA1
Zohar, J1
Kaplan, Z1
Cohen, H1
He, JL1
Xiang, YT1
Li, WB1
Cai, ZJ1
Ungvari, GS1
Shalev, AY2
Bloch, M1
Peri, T2
Bonne, O2
Gelpin, E1
Brandes, D1
Glod, CA1
Silver, JM1
Sandberg, DP1
Hales, RE1
Braun, P1
Greenberg, D1
Dasberg, H1
Lerer, B1
Risse, SC1
Whitters, A1
Burke, J1
Chen, S1
Scurfield, RM1
Raskind, MA1
Patterson, JF1
Feldmann, TB1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Cognitive Enhancer May Facilitate Behavioral Exposure Therapy for Veterans With PTSD[NCT00356278]Phase 2/Phase 3156 participants (Actual)Interventional2006-09-30Completed
Early Pharmacological Intervention With Diazepam in the Emergency Room Setting to Prevent Posttraumatic Stress Disorder (PTSD).[NCT01221883]Phase 440 participants (Anticipated)Interventional2013-05-31Active, not recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Clinician-Administered PTSD Scale (CAPS)

Scores may range from 0 (no symptoms) to 136 (severe symptoms). The score is based on the first 17 CAPS items administered. (NCT00356278)
Timeframe: Baseline

Interventionunits on a scale (Mean)
VRE Therapy and D-cycloserine85.3
VRE Therapy and Alprazolam88
VRE Therapy and Placebo82.6

Clinician-Administered PTSD Scale (CAPS)

Scores may range from 0 (no symptoms) to 136 (severe symptoms). The score is based on the first 17 CAPS items administered. (NCT00356278)
Timeframe: Month 12

Interventionunits on a scale (Mean)
VRE Therapy and D-cycloserine48.0
VRE Therapy and Alprazolam57.2
VRE Therapy and Placebo48.4

Clinician-Administered PTSD Scale (CAPS)

Scores may range from 0 (no symptoms) to 136 (severe symptoms). The score is based on the first 17 CAPS items administered. (NCT00356278)
Timeframe: Month 3

Interventionunits on a scale (Mean)
VRE Therapy and D-cycloserine60.3
VRE Therapy and Alprazolam66.8
VRE Therapy and Placebo51.5

Clinician-Administered PTSD Scale (CAPS)

Scores may range from 0 (no symptoms) to 136 (severe symptoms). The score is based on the first 17 CAPS items administered. (NCT00356278)
Timeframe: Month 6

Interventionunits on a scale (Mean)
VRE Therapy and D-cycloserine56.0
VRE Therapy and Alprazolam63.4
VRE Therapy and Placebo46.9

Clinician-Administered PTSD Scale (CAPS)

Scores may range from 0 (no symptoms) to 136 (severe symptoms). The score is based on the first 17 CAPS items administered. (NCT00356278)
Timeframe: Posttreatment, 8 weeks

Interventionunits on a scale (Mean)
VRE Therapy and D-cycloserine65.9
VRE Therapy and Alprazolam69.6
VRE Therapy and Placebo63.8

PTSD Symptom Scale Self-Report

PTSD Symptom Scale - Self-Report Version (PSS-SR) is a 17-item self-reported questionnaire to assess symptoms of PTSD. Each of the 17 items describe PTSD symptoms which respondents rate in terms of their frequency or severity using a Likert-type scale ranging from 0 (not at all or only one time) to 3 (almost always or five or more times per week). Ratings on items are summed to create three subscales, including re-experiencing, avoidance, and arousal, as well as a total score (that ranges from 0 to 51). The total score higher than 13 indicates on likelihood of PTSD. (NCT00356278)
Timeframe: Baseline

Interventionunits on a scale (Mean)
VRE Therapy and D-cycloserine32.9
VRE Therapy and Alprazolam32.4
VRE Therapy and Placebo32.4

PTSD Symptom Scale Self-Report

PTSD Symptom Scale - Self-Report Version (PSS-SR) is a 17-item self-reported questionnaire to assess symptoms of PTSD. Each of the 17 items describe PTSD symptoms which respondents rate in terms of their frequency or severity using a Likert-type scale ranging from 0 (not at all or only one time) to 3 (almost always or five or more times per week). Ratings on items are summed to create three subscales, including re-experiencing, avoidance, and arousal, as well as a total score (that ranges from 0 to 51). The total score higher than 13 indicates on likelihood of PTSD. (NCT00356278)
Timeframe: Month 12

Interventionunits on a scale (Mean)
VRE Therapy and D-cycloserine22.6
VRE Therapy and Alprazolam24.2
VRE Therapy and Placebo21.7

PTSD Symptom Scale Self-Report

PTSD Symptom Scale - Self-Report Version (PSS-SR) is a 17-item self-reported questionnaire to assess symptoms of PTSD. Each of the 17 items describe PTSD symptoms which respondents rate in terms of their frequency or severity using a Likert-type scale ranging from 0 (not at all or only one time) to 3 (almost always or five or more times per week). Ratings on items are summed to create three subscales, including re-experiencing, avoidance, and arousal, as well as a total score (that ranges from 0 to 51). The total score higher than 13 indicates on likelihood of PTSD. (NCT00356278)
Timeframe: Month 3

Interventionunits on a scale (Mean)
VRE Therapy and D-cycloserine25.2
VRE Therapy and Alprazolam26.1
VRE Therapy and Placebo21.4

PTSD Symptom Scale Self-Report

PTSD Symptom Scale - Self-Report Version (PSS-SR) is a 17-item self-reported questionnaire to assess symptoms of PTSD. Each of the 17 items describe PTSD symptoms which respondents rate in terms of their frequency or severity using a Likert-type scale ranging from 0 (not at all or only one time) to 3 (almost always or five or more times per week). Ratings on items are summed to create three subscales, including re-experiencing, avoidance, and arousal, as well as a total score (that ranges from 0 to 51). The total score higher than 13 indicates on likelihood of PTSD. (NCT00356278)
Timeframe: Month 6

Interventionunits on a scale (Mean)
VRE Therapy and D-cycloserine24.1
VRE Therapy and Alprazolam26.3
VRE Therapy and Placebo20.0

PTSD Symptom Scale Self-Report

PTSD Symptom Scale - Self-Report Version (PSS-SR) is a 17-item self-reported questionnaire to assess symptoms of PTSD. Each of the 17 items describe PTSD symptoms which respondents rate in terms of their frequency or severity using a Likert-type scale ranging from 0 (not at all or only one time) to 3 (almost always or five or more times per week). Ratings on items are summed to create three subscales, including re-experiencing, avoidance, and arousal, as well as a total score (that ranges from 0 to 51). The total score higher than 13 indicates on likelihood of PTSD. (NCT00356278)
Timeframe: Posttreatment, 8 weeks

Interventionunits on a scale (Mean)
VRE Therapy and D-cycloserine27.1
VRE Therapy and Alprazolam25.6
VRE Therapy and Placebo24.2

Reviews

2 reviews available for alprazolam and Acute Post-Traumatic Stress Disorder

ArticleYear
Xanax: pros and cons.
    Journal of psychosocial nursing and mental health services, 1992, Volume: 30, Issue:6

    Topics: Adult; Alprazolam; Anxiety Disorders; Depressive Disorder; Female; Humans; Panic Disorder; Stress Di

1992
New approaches in the pharmacotherapy of posttraumatic stress disorder.
    The Journal of clinical psychiatry, 1990, Volume: 51 Suppl

    Topics: Alprazolam; Antidepressive Agents; Carbamazepine; Humans; Lithium; Lithium Carbonate; Monoamine Oxid

1990

Trials

7 trials available for alprazolam and Acute Post-Traumatic Stress Disorder

ArticleYear
In session extinction and outcome in Virtual Reality Exposure Therapy for PTSD.
    Behaviour research and therapy, 2018, Volume: 109

    Topics: Adult; Alprazolam; Anxiety; Combined Modality Therapy; Cycloserine; Double-Blind Method; Extinction,

2018
A randomized, double-blind evaluation of D-cycloserine or alprazolam combined with virtual reality exposure therapy for posttraumatic stress disorder in Iraq and Afghanistan War veterans.
    The American journal of psychiatry, 2014, Volume: 171, Issue:6

    Topics: Adult; Afghan Campaign 2001-; Alprazolam; Anti-Anxiety Agents; Combined Modality Therapy; Cycloserin

2014
An investigation of outcome expectancies as a predictor of treatment response for combat veterans with PTSD: comparison of clinician, self-report, and biological measures.
    Depression and anxiety, 2015, Volume: 32, Issue:6

    Topics: Adult; Alprazolam; Combat Disorders; Combined Modality Therapy; Culture; Cycloserine; Female; Humans

2015
Baseline psychophysiological and cortisol reactivity as a predictor of PTSD treatment outcome in virtual reality exposure therapy.
    Behaviour research and therapy, 2016, Volume: 82

    Topics: Adult; Alprazolam; Combined Modality Therapy; Cycloserine; Double-Blind Method; Female; Galvanic Ski

2016
Treatment of recent trauma survivors with benzodiazepines: a prospective study.
    The Journal of clinical psychiatry, 1996, Volume: 57, Issue:9

    Topics: Alprazolam; Anxiety Disorders; Arousal; Benzodiazepines; Clonazepam; Follow-Up Studies; Heart Rate;

1996
Core symptoms of posttraumatic stress disorder unimproved by alprazolam treatment.
    The Journal of clinical psychiatry, 1990, Volume: 51, Issue:6

    Topics: Adult; Alprazolam; Clinical Trials as Topic; Double-Blind Method; Humans; Middle Aged; Personality I

1990
Alprazolam in the treatment of posttraumatic stress disorder.
    The Journal of clinical psychiatry, 1987, Volume: 48, Issue:5

    Topics: Adult; Alprazolam; Clinical Trials as Topic; Humans; Middle Aged; Outcome and Process Assessment, He

1987

Other Studies

11 other studies available for alprazolam and Acute Post-Traumatic Stress Disorder

ArticleYear
What kind of diagnosis in a case of mobbing: post-traumatic stress disorder or adjustment disorder?
    BMJ case reports, 2013, Jun-11, Volume: 2013

    Topics: Adjustment Disorders; Alprazolam; Anti-Anxiety Agents; Crowding; Diagnosis, Differential; Drug Thera

2013
Pharmacologic augmentation of extinction learning during exposure therapy for PTSD.
    The American journal of psychiatry, 2014, Volume: 171, Issue:6

    Topics: Alprazolam; Anti-Anxiety Agents; Cycloserine; Female; Humans; Male; Stress Disorders, Post-Traumatic

2014
The impact of benzodiazepine management in the randomized, double-blind evaluation of D-cycloserine or alprazolam combined with virtual reality exposure therapy.
    The American journal of psychiatry, 2014, Nov-01, Volume: 171, Issue:11

    Topics: Alprazolam; Anti-Anxiety Agents; Cycloserine; Female; Humans; Male; Stress Disorders, Post-Traumatic

2014
Response to Granoff.
    The American journal of psychiatry, 2014, Nov-01, Volume: 171, Issue:11

    Topics: Alprazolam; Anti-Anxiety Agents; Cycloserine; Female; Humans; Male; Stress Disorders, Post-Traumatic

2014
Possible negative effects of extinction learning on outcomes for patients receiving exposure therapy.
    The American journal of psychiatry, 2014, Nov-01, Volume: 171, Issue:11

    Topics: Alprazolam; Anti-Anxiety Agents; Cycloserine; Female; Humans; Male; Stress Disorders, Post-Traumatic

2014
Response to Smith.
    The American journal of psychiatry, 2014, Nov-01, Volume: 171, Issue:11

    Topics: Alprazolam; Anti-Anxiety Agents; Cycloserine; Female; Humans; Male; Stress Disorders, Post-Traumatic

2014
Alprazolam treatment immediately after stress exposure interferes with the normal HPA-stress response and increases vulnerability to subsequent stress in an animal model of PTSD.
    European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology, 2009, Volume: 19, Issue:4

    Topics: Acoustic Stimulation; Alprazolam; Analysis of Variance; Animals; Anti-Anxiety Agents; Behavior, Anim

2009
Hemoperfusion in the treatment of acute clozapine intoxication in China.
    Journal of clinical psychopharmacology, 2007, Volume: 27, Issue:6

    Topics: Acute Disease; Adult; Alprazolam; Antipsychotic Agents; China; Clonazepam; Clozapine; Depressive Dis

2007
Alprazolam reduces response to loud tones in panic disorder but not in posttraumatic stress disorder.
    Biological psychiatry, 1998, Jul-01, Volume: 44, Issue:1

    Topics: Acoustic Stimulation; Adult; Alprazolam; Arousal; Auditory Perception; Blinking; Diagnosis, Differen

1998
Severe withdrawal symptoms after discontinuation of alprazolam in eight patients with combat-induced posttraumatic stress disorder.
    The Journal of clinical psychiatry, 1990, Volume: 51, Issue:5

    Topics: Adult; Alprazolam; Anxiety Disorders; Benzodiazepines; Combat Disorders; Depressive Disorder; Homici

1990
Withdrawal from alprazolam dependency using clonazepam: clinical observations.
    The Journal of clinical psychiatry, 1990, Volume: 51 Suppl

    Topics: Alprazolam; Ambulatory Care; Clonazepam; Hospitalization; Humans; Male; Middle Aged; Stress Disorder

1990