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title: Study: Antipsychotic Drugs Show No Benefit for Veterans’ PTSD
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og:image:alt: Texas Iraq War Veteran Struggles to Cope with Post Traumatic Stress Syndrome
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# Study: Antipsychotic Drugs Show No Benefit for Veterans' PTSD

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by 

[TIME Staff](https://time.com/author/time-staff/)

Aug 3, 2011 6:30 PM UTC

![Texas Iraq War Veteran Struggles to Cope with Post Traumatic Stress Syndrome](https://static.time.com/v3/assets/bltea6093859af6183b/bltb1a321e211451d24/698a944e0116820d1098bf87/ptsddrugcropped.jpg?branch=production&width=1200&quality=75&auto=webp&crop=3:2)

MCALLEN, TEXAS - JULY 21: Jesus Bocanegra, 24, drinks water to wash down one of four anti-depression and anxiety drugs he takes July 21, 2006 in McAllen, Texas. Bocanegra has been diagnosed with Post-Traumatic Stress Disorder, or PTSD, a result of his service in Iraq in 2003-04\. Many Veterans Affairs hospitals have been flooded with Iraq war veterans with mental problems and have been quick to prescribe drugs and send them on their way: ?The VA is putting a band aid on a very big wound," Bocanegra says. Now he is on several anti-depression drugs and struggles to recover from the mental strain of a year at war. (Photo by Chris Hondros/Getty Images)

MCALLEN, TEXAS - JULY 21: Jesus Bocanegra, 24, drinks water to wash down one of four anti-depression and anxiety drugs he takes July 21, 2006 in McAllen, Texas. Bocanegra has been diagnosed with Post-Traumatic Stress Disorder, or PTSD, a result of his service in Iraq in 2003-04\. Many Veterans Affairs hospitals have been flooded with Iraq war veterans with mental problems and have been quick to prescribe drugs and send them on their way: ?The VA is putting a band aid on a very big wound," Bocanegra says. Now he is on several anti-depression drugs and struggles to recover from the mental strain of a year at war. (Photo by Chris Hondros/Getty Images) Getty Images—2006 Getty Images

by 

[TIME Staff](https://time.com/author/time-staff/)

Aug 3, 2011 6:30 PM UTC

A widely prescribed antipsychotic medication worked no better than a placebo to treat combat veterans’ symptoms of post-traumatic stress disorder (PTSD), according to a new [study](http://jama.ama-assn.org/content/306/5/493.full) by the Department of Veterans Affairs.more

The study, led by Dr. John H. Krystal, director of the clinical neurosciences division of the Veterans Affairs’ National Center for PTSD, involved 247 combat veterans who had PTSD that had failed to respond to at least two antidepressants, the usual treatment for post-traumatic stress. The participants were randomly assigned to begin treatment with placebo or the antipsychotic medication Risperdal (risperidone) — one of a class of drug that was prescribed to nearly 87,000 veterans for PTSD in 2009.

After six months, the researchers found that the veterans taking Risperdal showed no improvement of symptoms over the placebo group: about 5% of participants in both groups responded fully to the drug, while 10% to 20% reported some improvement of symptoms.

There were no significant differences between the groups in scores for depression, anxiety or quality of life. But participants in the Risperdal group were significantly more likely to report side effects like weight gain, fatigue and somnolence than those taking placebo.

**MORE:** [A New Study Shows How We Can Prevent Some Cases of PTSD](http://healthland.time.com/2010/09/20/a-new-study-shows-how-we-can-prevent-some-cases-of-ptsd/)

The results surprised the research team. “We fully expected we would find it to be effective on the basis of preliminary studies that found risperidone effective and because it was so widely prescribed,” Krystal [told](http://www.msnbc.msn.com/id/43994382/ns/health-health%5Fcare/) MSNBC.

Instead, the research team said the findings question current prescribing practices for veterans with PTSD. The authors concluded in the paper: “Overall, the data do not provide strong support for the current widespread prescription of risperidone to patients with chronic \[antidepressant\]-resistant military-related PTSD symptoms, and these findings should stimulate careful review of the benefits of these medications in patients with chronic PTSD.”

The New York _Times_ [reported](http://www.nytimes.com/2011/08/03/health/research/03psych.html):

---

> “”

---

Though the current study focused only on Risperdal, the results are thought to be applicable to other second-generation antipsychotics in the same class, including Seroquel, Geodon and Abilify.

The study population included recently returning combat veterans from Iraq and Afghanistan, but nearly three-quarters (72.3%) of the patients had military-related PTSD dating back to the Vietnam War. Most also had a history of lifetime major depression (70%) and a history of drug or alcohol abuse (62%).

The study was published Tuesday by the _Journal of the American Medical Association_.

**PHOTOS:** [An Army Town Copes with PTSD](http://www.time.com/time/photogallery/0,29307,1939831,00.html)

_Meredith Melnick is a reporter at_ TIME_. Find her on Twitter_ [_@MeredithCM_](http://twitter.com/#%21/MeredithCM)_. You can also continue the discussion on_ TIME’s[_Facebook page_](http://www.facebook.com/time) _and on Twitter_ [_@TIME_](http://twitter.com/#%21/TIME)_._

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