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Clozapine for Post-traumatic Stress Disorder: Redefining Treatment Resistance in Soldiers without Psychosis
Roshan Monaragala1, Miyuru Chandradasa2, K A L A Kuruppuarachchi2,3
1Army Preventive Medicine and Mental Health Services, Army Headquarters, Battaramulla, Western Province, Sri Lanka.
Abstract:
Post-traumatic stress disorder (PTSD) often follows a chronic trajectory, with many patients failing to respond to first-line psychotherapy and SSRIs/SNRIs. This case series explores clozapine for treatment-resistant PTSD (TR-PTSD) without psychosis. Seven soldiers showed improved function and reduced aggression at doses of 125-300 mg, suggesting that clozapine warrants further investigation.
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