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Minipress (prazosin): Online prescriptions for PTSD and anxiety

Minipress (prazosin) is a medication originally developed for high blood pressure that's prescribed off-label for PTSD symptoms and certain anxiety disorders. Licensed psychiatric providers at Talkspace can evaluate your symptoms over video and provide an online Minipress prescription if appropriate, with fulfillment available locally or through Amazon Pharmacy.

An initial evaluation by a Talkspace psychiatric provider is required before medication is prescribed. If appropriate, medication will be prescribed for home delivery or for pickup at your local pharmacy. Medication prices are not included in the evaluation price. Talkspace psychiatric providers are unable to prescribe controlled substances and stimulants.

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Here’s how it works

Schedule a video assessment

Answer a few questions online, then meet virtually with a psychiatric provider within a week. Appointments covered by insurance are available for members 18 and older.

Get a diagnosis and prescription

During the appointment, your Talkspace provider will listen to and evaluate your symptoms and, if appropriate, prescribe medication. Build a plan together that feels right.

Begin treatment

Your prescription will be sent to your pharmacy, and you'll have follow-up appointments with the same psychiatric provider. 

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Is Minipress (prazosin) right for you?

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What is Minipress (prazosin) used for?

Minipress (prazosin) is used to treat both physical and mental health conditions. Although originally developed to manage high blood pressure, it's now commonly prescribed off-label for symptoms of PTSD and certain anxiety disorders. Prazosin is effective in treating:

Who shouldn't take prazosin?

Minipress (prazosin) isn't recommended for people who:

  • Have a known hypersensitivity to prazosin or other quinazoline-based medications
  • Are taking PDE5 inhibitors (such as sildenafil), which can compound blood-pressure-lowering effects (use with caution and physician guidance)
  • Are starting the medication and prone to fainting with the first dose, especially if standing quickly

What are the side effects of Minipress (prazosin)?

Medication may be prescribed when clinically appropriate based on an evaluation by a licensed healthcare provider.

The most common side effects of Minipress include:

  • Dizziness or lightheadedness
  • Fatigue or weakness
  • Nausea or upset stomach
  • Low blood pressure when standing up quickly (orthostatic hypotension)

You may experience side effects when you first begin taking Zoloft that lessen or dissipate once you’ve been taking it for several weeks or months. Treatment results may vary by individual.

Contact your healthcare provider immediately if you experience severe side effects, like fainting or difficulty breathing.

Meet the Talkspace licensed providers

Our network of therapists and psychiatric providers have specialization in 150+ conditions, treatment approaches, and mental health needs.

Meet the Talkspace licensed providers

Our network of therapists and psychiatric providers specialize in 150+ mental health conditions and treatment approaches. Get online therapy and medication management on one platform with ongoing care

Depression
Relationships
Anxiety & Stress
Parenting
LGBTQIA+
Chronic Illness
Eating Disorders
OCD
Anger Management
childhood abuse
Mood Disorders
trauma & Grief
Loneliness
Family Conflict
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Licensed Talkspace provider Elizabeth Keohan, LCSW-C

Elizabeth Keohan, LCSW-C

Licensed Talkspace provider Jill Daino, LCSW-R

Jill Daino, LCSW-R

Chief Medical Officer at Talkspace, Nikole Benders-Hadi

Nikole Benders-Hadi, MD, CMO

Medications we prescribe online

Talkspace psychiatric providers diagnose and treat a wide variety of mental health conditions, including anxiety, depression, ADHD, and others. For some people, their treatment involves medication. Your provider can prescribe you medication if appropriate for your treatment.
Note: Talkspace does not prescribe controlled substances.

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“I found a great therapist on Talkspace and she's noticed that I might be needing some help from a psychiatrist, so she placed a referral. I was able to see a psychiatric ARNP via video visit the next day! I'm definitely on my way to feeling better.

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Any questions?

Find trust-worthy answers on all things mental health at Talkspace.

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Do you need a prescription for Minipress (prazosin)?

Yes, you need a prescription from a licensed healthcare provider to take Minipress (prazosin). You can consult with Talkspace’s psychiatric providers online to determine whether this medication is right for your condition and symptoms.

What is Minipress (prazosin)?

Minipress (and its generic form, prazosin) is an FDA-approved alpha-adrenergic blocker that was originally developed to treat high blood pressure by relaxing blood vessels. It has since gained attention for its ability to impact the nervous system, making it an effective option for managing stress-related symptoms. By blocking the effects of norepinephrine at alpha-1 receptors in the brain, Minipress helps reduce the physical and mental strain caused by heightened stress responses.

Can I get Minipress (prazosin) online?

Yes! With Talkspace, you can schedule an online psychiatry appointment, discuss your symptoms with a licensed psychiatrist or nurse practitioner, and receive a prescription for Minipress (prazosin) online if they determine it appropriate.

Can I get Minipress (prazosin) over the counter?

No, Minipress (prazosin) is not available over the counter. Due to potential side effects and possible interactions with other medications, a healthcare provider needs to carefully evaluate it before it can be prescribed.

What is Minipress (prazosin) used to treat?

Minipress can be prescribed off-label to manage symptoms of PTSD, like nightmares, flashbacks, and hyperarousal. It’s also used to treat symptoms caused by anxiety disorders because it reduces physical stress responses, like increased heart rate or blood pressure.

Can I get a new Minipress (prazosin) prescription or prescription refill from Talkspace?

Yes, Talkspace can help you get new prescriptions and renewals for medications like Minipress. For any prescription, you’ll need to consult with a licensed Talkspace psychiatrist or nurse practitioner through a video appointment. After that consultation, they’ll evaluate whether the medication is right for you.

Can I use my health insurance for online Minipress (prazosin) prescriptions and refills?

You can typically use insurance for Talkspace-prescribed medications like Minipress (prazosin). Most major insurance providers cover Talkspace's online psychiatry services. To see if Talkspace’s online psychiatry is covered by insurance, check your eligibility here. 

Be sure to check with your insurance provider for specific coverage details. 

How much does Minipress (prazosin) cost?

The cost of Minipress (prazosin) online depends on several factors, including pharmacy location, insurance coverage, dosage requirements, and whether you’re using the generic drug prazosin or the brand-name version, Minipress. Contact your pharmacy or insurance provider to get exact pricing details.

How do you take Minipress (prazosin)?

Minipress is taken orally at bedtime to minimize dizziness during the day. Although the dosage can vary based on individual needs, it typically starts low and gradually increases as needed under medical supervision. This approach helps avoid discomforting side effects, like low blood pressure or fainting spells. It is essential to follow your doctor’s instructions carefully when taking this medication.

Is prazosin discontinued?

No, prazosin is not discontinued. This drug (and its brand name, Minipress) is available in pharmacies across the United States. However, one of the brand-name versions has experienced supply disruptions. For example, Pfizer's Hypovase® (prazosin) 1mg tablets were discontinued in May 2021. Additionally, Hypovase® 500 microgram tablets faced stock shortages from late November 2021 until mid-January 2022 due to manufacturing issues.

Is prazosin a controlled drug?

No, prazosin is not classified as a controlled substance, which means it’s not considered highly addictive. However, it still requires a prescription and monitoring when used.

Disclaimer
Talk to your psychiatrist or healthcare professional about the possible risks and benefits associated with the above medications before starting treatment. It’s up to your psychiatric clinician’s professional judgment whether medication is prescribed. If you are in a life threatening situation – don’t use this site. Call +1 (800) 273-8255 or use these resources to get immediate help.