Could a common heart drug ease surgery risks for PTSD patients?
NCT ID NCT01555554
First seen Jul 02, 2026 · Last updated Jul 02, 2026
Summary
This study tests whether taking propranolol, a beta blocker, before and after surgery can reduce complications like delirium, kidney problems, and pain in people with post-traumatic stress disorder (PTSD). Participants are veterans scheduled for certain surgeries and will take the drug or a placebo for 14 days. The goal is to see if calming the body's stress response can lead to better surgical outcomes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Propranolol (a beta blocker)
- What this could lead to
- If it works, this could point toward a way to improve surgical recovery and reduce complications for people with PTSD.
- What could go wrong
- This is a small, early-phase trial, so results may not apply to everyone. Propranolol can cause side effects like low blood pressure and fatigue.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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59 people
The number who actually took part.
- Start date
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May 2012
- Finished
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Jun 2019
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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40 years and older
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Subjects scheduled for any surgical procedure under general anesthesia or combined general-regional anesthesia, with the exception of open-heart or intracranial surgery. Regional anesthesia includes: 1) Epidural anesthesia, 2) Sub-arachnoid block (spinal), or 3)any regional nerve block 2. Anticipated postoperative hospital admission (defined as at least one overnight hospital stay) Exclusion Criteria: Veterans will be excluded if: 1. They are on beta blocker therapy at the time of the preoperative baseline assessment 2. They report sensitivity or allergies to propranolol, or a history of PTSD exacerbation with prior propranolol therapy 3. Veterans who fulfill the AHA/ACC level I recommendation criteria for perioperative beta blocker therapy (e.g., metoprolol, atenolol) and should not be randomized to placebo group 4. Medical exclusions criteria: high grade heart block without pacemaker (all patients with 2nd and 3rd degree heart block), marked resting bradycardia (heart rate ≤ 55 beats per minute), blood pressure \< 100 mmHg, uncompensated congested heart failure, severe hyperactive airway disease, and Raynaud's disease 5. Pregnancy 6. Current use of medication that may involve potentially dangerous interaction with propranolol 7. Circumstances that, in the opinion of the principal investigator, would preclude participation in a study of this type (e.g. medical concerns or difficulty in long-term followup). 8. Open-heart surgery and intracranial surgery
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
San Francisco VA Medical Center
San Francisco, California, 94121, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can talk therapies quiet the trauma of violence?