Nightmares

Explore effective pharmacological and non-pharmacological strategies for managing CNS-related conditions.

Pharmacological measures:

• Prazosin starting at 1 mg at bedtime, titrate up gradually to 3 mg at bedtime. (alpha 1 adrenergic antagonist)
• Clonidine 0.1 mg at bedtime for one week, titrate up gradually to 0.3 mg at bedtime. (alpha 2 adrenergic agonist)

Both these meds reduce sympathetic outflow in the CNS. With both of these meds watch out for orthostatic hypotension.

Non pharmacological measures:

• IRT : Image Rehearsal Therapy