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List of investigational post-traumatic stress disorder drugs

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This is a list of investigational post-traumatic stress disorder drugs, or drugs that are currently under development for clinical use for the treatment of post-traumatic stress disorder (PTSD) but are not yet approved.

Contents

Chemical/generic names are listed first, with developmental code names, synonyms, and brand names in parentheses. The format of list items is "Name (Synonyms) – Mechanism of Action [Reference]".

This list was last comprehensively updated in September 2025. It is likely to become outdated with time.

Under development

Preregistration

Phase 3

Phase 2

Phase 1/2

Phase 1

Preclinical

Not under development

Development suspended

No development reported

Discontinued

Clinically used drugs

Approved drugs

Selective serotonin reuptake inhibitors (SSRIs)

  • Paroxetine (Dropax, Paxil, Seroxat, Serestill) – selective serotonin reuptake inhibitor (SSRI)
  • Sertraline (Lustral, Zoloft) – selective serotonin reuptake inhibitor (SSRI)

Off-label drugs

See also

References

  1. Kansteiner, Fraiser (22 September 2025). "FDA turns down Lundbeck, Otsuka's Rexulti in PTSD on lack of efficacy data". Fierce Pharma. Retrieved 29 September 2025.
  2. Wolfgang AS, Fonzo GA, Gray JC, Krystal JH, Grzenda A, Widge AS, Kraguljac NV, McDonald WM, Rodriguez CI, Nemeroff CB (January 2025). "MDMA and MDMA-Assisted Therapy". Am J Psychiatry. 182 (1): 79–103. doi:10.1176/appi.ajp.20230681. PMID   39741438.
  3. "Methylone - Transcend Therapeutics - AdisInsight". adisinsight.springer.com.
  4. 1 2 3 Michael Haichin (2024). "Psychedelics Drug Development Tracker". Psychedelic Alpha. Retrieved 29 January 2025.
  5. "Tactogen Inc – Pipeline". Tactogen Inc. 8 February 2021. Retrieved 29 January 2025.
  6. Goodwin, Kate (30 September 2024). "MDMA Drug Developers Reprioritize Following Lykos Rejection in PTSD". BioSpace. Retrieved 31 January 2025. The company also hopes to improve tolerability with its program combining MDMA with citalopram, a selective serotonin reuptake inhibitor (SSRI) used to treat depression, for PTSD. Baggott anticipates beginning Phase II trials with the combo in 2025. [...] "The fact that Lykos didn't get their NDA approved on this cycle means that we are seriously considering prioritizing our novel compounds and waiting to move forward with our MDMA product," Baggott said. Tactogen's pipeline includes a number of preclinical molecules that Baggott said he believes will be superior to MDMA.
  7. Hillier, David (15 June 2023). "Why Psychedelics Work Differently for People on Antidepressants". VICE. Retrieved 31 January 2025. There are several studies that gave MDMA and an SSRI to healthy volunteers and compared the effects to MDMA alone. These studies show that even a single dose of an SSRI can reduce the psychological effects of MDMA by as much as 80 percent," says Matt Baggott, an MDMA research heavyweight and CEO of Tactogen, which develops MDMA-like compounds for medicinal use. [...] Interestingly, Baggott tells VICE that taking an SSRI after a MDMA roll "probably works" in alleviating a comedown. He points to animal studies that suggest SSRIs given shortly after MDMA may protect the brain from the negative effects of this overstimulation. He also ran a small, unpublished study with people who typically recorded a comedown post-MDMA, and did not normally take SSRIs. "When I gave them MDMA in a laboratory setting, they performed worse at a demanding cognitive task at both five and 26 hours after MDMA." In a separate session he gave them MDMA, followed three hours later by the SSRI citalopram. He says that this "prevented MDMA-induced performance difficulties without noticeably changing the main emotional effects of MDMA. This supports the idea that SSRIs can reduce the undesirable after-effects of MDMA.
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