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clonazepam and Acute Post-Traumatic Stress Disorder

clonazepam has been researched along with Acute Post-Traumatic Stress Disorder in 8 studies

Clonazepam: An anticonvulsant used for several types of seizures, including myotonic or atonic seizures, photosensitive epilepsy, and absence seizures, although tolerance may develop. It is seldom effective in generalized tonic-clonic or partial seizures. The mechanism of action appears to involve the enhancement of GAMMA-AMINOBUTYRIC ACID receptor responses.
clonazepam : 1,3-Dihydro-2H-1,4-benzodiazepin-2-one in which the hydrogens at positions 5 and 7 are substituted by 2-chlorophenyl and nitro groups, respectively. It is used in the treatment of all types of epilepsy and seizures, as well as myoclonus and associated abnormal movements, and panic disorders. However, its use can be limited by the development of tolerance and by sedation.

Research Excerpts

ExcerptRelevanceReference
" Phase 1 was a 6-week lead-in with open-label sertraline flexibly dosed to 100 mg (or escitalopram equivalent) to prospectively define treatment refractoriness (lack of remission)."2.74Next-step strategies for panic disorder refractory to initial pharmacotherapy: a 3-phase randomized clinical trial. ( Hoge, EA; Lebeau, RT; Moshier, SJ; Otto, MW; Pollack, MH; Simon, NM; Thompson, EH; Worthington, JJ; Zalta, AK, 2009)
"Clonazepam therapy was largely ineffective in improving sleep disturbances, particularly nightmares, associated with combat-related PTSD."2.71Clonazepam for treatment of sleep disturbances associated with combat-related posttraumatic stress disorder. ( Bishop, MH; Cates, ME; Davis, LL; Lowe, JS; Woolley, TW, 2004)
"The primary outcome was change in total PTSD symptom severity."2.46Combined pharmacotherapy and psychological therapies for post traumatic stress disorder (PTSD). ( Garner, B; Hetrick, SE; Parslow, R; Purcell, R, 2010)
"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)

Research

Studies (8)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's3 (37.50)18.2507
2000's4 (50.00)29.6817
2010's1 (12.50)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Simon, NM1
Otto, MW1
Worthington, JJ1
Hoge, EA1
Thompson, EH1
Lebeau, RT1
Moshier, SJ1
Zalta, AK1
Pollack, MH1
Hetrick, SE1
Purcell, R1
Garner, B1
Parslow, R1
Cates, ME1
Bishop, MH1
Davis, LL1
Lowe, JS1
Woolley, TW1
Connor, KM1
Vaishnavi, S1
Davidson, JR1
Sheehan, DV1
Sheehan, KH1
He, JL1
Xiang, YT1
Li, WB1
Cai, ZJ1
Ungvari, GS1
Gelpin, E1
Bonne, O1
Peri, T1
Brandes, D1
Shalev, AY2
Rogel-Fuchs, Y1
Patterson, JF1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Treatment Refractory Panic Disorder[NCT00118417]Phase 2/Phase 346 participants (Actual)Interventional1999-03-31Completed
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

Change in Panic Disorder Symptoms, Phase 1 (Week 0 - Week 6)

This measure is the change in points between baseline and endpoint scores on the Panic Disorder Severity Scale (PDSS). The PDSS is a 7-item scale with each item rated from 0 (none) to 4 (extreme), for a total score range of 0 to 28 points, and an established interrater reliability of 0.87. (NCT00118417)
Timeframe: Measured at baseline and after Phase 1 (6 weeks)

InterventionPoints on a scale (Mean)
Moderate Sertraline Treatment4.3

Change in Panic Disorder Symptoms, Phase 2 (Week 6 - Week 12)

This measure is the change in points between baseline and endpoint scores on the Panic Disorder Severity Scale (PDSS). The PDSS is a 7-item scale with each item rated from 0 (none) to 4 (extreme), for a total score range of 0 to 28 points, and an established interrater reliability of 0.87. (NCT00118417)
Timeframe: Measured after Phase 1 (Week 6) and Phase 2 (Week 12)

InterventionPoints on a scale (Mean)
Increased Sertraline2.36
Sertraline Plus Placebo2.31

Change in Panic Disorder Symptoms, Phase 3 (Week 12 - Week 24)

This measure is the change in points between baseline and endpoint scores on the Panic Disorder Severity Scale (PDSS). The PDSS is a 7-item scale with each item rated from 0 (none) to 4 (extreme), for a total score range of 0 to 28 points, and an established interrater reliability of 0.87. (NCT00118417)
Timeframe: Measured after Phase 2 (Week 12) and Phase 3 (Week 24)

InterventionPoints on a scale (Mean)
Medication Optimization3.78
Augmented Cognitive Behavior Therapy2.9

Reviews

1 review available for clonazepam and Acute Post-Traumatic Stress Disorder

ArticleYear
Combined pharmacotherapy and psychological therapies for post traumatic stress disorder (PTSD).
    The Cochrane database of systematic reviews, 2010, Jul-07, Issue:7

    Topics: Adolescent; Adult; Child; Child Abuse, Sexual; Clonazepam; Cognitive Behavioral Therapy; Combined Mo

2010

Trials

3 trials available for clonazepam and Acute Post-Traumatic Stress Disorder

ArticleYear
Next-step strategies for panic disorder refractory to initial pharmacotherapy: a 3-phase randomized clinical trial.
    The Journal of clinical psychiatry, 2009, Volume: 70, Issue:11

    Topics: Adult; Anticonvulsants; Citalopram; Clonazepam; Cognitive Behavioral Therapy; Combined Modality Ther

2009
Clonazepam for treatment of sleep disturbances associated with combat-related posttraumatic stress disorder.
    The Annals of pharmacotherapy, 2004, Volume: 38, Issue:9

    Topics: Adult; Aged; Clonazepam; Combat Disorders; Cross-Over Studies; Dreams; Humans; Hypnotics and Sedativ

2004
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

Other Studies

4 other studies available for clonazepam and Acute Post-Traumatic Stress Disorder

ArticleYear
Perceived stress in anxiety disorders and the general population: a study of the Sheehan stress vulnerability scale.
    Psychiatry research, 2007, Jun-30, Volume: 151, Issue:3

    Topics: Adult; Anti-Anxiety Agents; Clinical Trials as Topic; Clonazepam; Cross-Sectional Studies; Female; F

2007
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
Auditory startle reflex in post-traumatic stress disorder patients treated with clonazepam.
    The Israel journal of psychiatry and related sciences, 1992, Volume: 29, Issue:1

    Topics: Adult; Arousal; Auditory Perception; Clonazepam; Female; Habituation, Psychophysiologic; Humans; Mal

1992
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