Your doctor would know.
Typically, meds are a crapshoot, and you can acclimate easily to a lot of them. Sometimes you acclimate even when it isn't expected (I have done this)-especially if it's a stubborn condition (in my case, it's insomnia).
When I say a "crapshoot" I don't mean there's no process, but that it can be hard finding something that works withg you and sticks, because psychological medication is largely based on brain chemistry, which is difficult to analyze without some pretty invasive surgery. I don't know a single doctor who would go for brain surgery simply to analyze what would be the best medication to use.
Instead, they're left with what you self describe for symptoms (and we're really often not our best judge*) and then pairing it with what medications treat those descriptions. Don't feel discouraged, it can take time, but with a good doctor and some patience, an answer can be found.
There are a few calming sorts of meds, I've tried a few, I'm currently on 50mgs of seroquel (I had to take it down from 100 because it was zonking me out almost all day) and 2mgs of prazosin for recent nightmares and some pretty wild (unprovoked) moodswings. From what I understand low doses of Praz are starting to be pretty standard for PTSD cases-it generally works to help lower one's adrenaline if it's believed to be in excess. Seroquel is an antipsychotic-which isn't as scary as it sounds, it mostly slows you down a bit so you're less likely for your internal thought processes to hit lightspeed-which can often be the case with the hyperawareness portion of PTSD.
As you spend a lot of time on the road, keep in mind many of the medications may make you drowsy or impair your driving if you're not used to them. Be cautious for the first ten days after you start a new medication, because your reflexes might be impaired. Typically it's advised you don't drive even with something as simple as an antihistamine, so take it with a grain of salt.
Because of my personal experiences, I cannot say enough about my prazosin dosages, but I don't find it makes me drowsy in the slightest, even though that's an expected side effect. With your night vocalizations and twitchy issues it might be something you can get your doctor to look at, but not being a doctor, I cannot make any kind of recommendation on medications. Only provide what I have experienced.
Something you may also want to look at-again because of you twitching and night vocalizations-is trying a higher carb diet. I know low carb is the thing for most right now, but it can stimulate dopamines, which can help you keep calmer and less likely to stress, just make sure to do it through healthy means, like veg, whole grains and that sort. That, I can recommend, because it's simply a diet change you can try that, if it doesn't work, can be switched with minimal affects to your health otherwise.
I hope some of this can help you out.
Typically, meds are a crapshoot, and you can acclimate easily to a lot of them. Sometimes you acclimate even when it isn't expected (I have done this)-especially if it's a stubborn condition (in my case, it's insomnia).
When I say a "crapshoot" I don't mean there's no process, but that it can be hard finding something that works withg you and sticks, because psychological medication is largely based on brain chemistry, which is difficult to analyze without some pretty invasive surgery. I don't know a single doctor who would go for brain surgery simply to analyze what would be the best medication to use.
Instead, they're left with what you self describe for symptoms (and we're really often not our best judge*) and then pairing it with what medications treat those descriptions. Don't feel discouraged, it can take time, but with a good doctor and some patience, an answer can be found.
There are a few calming sorts of meds, I've tried a few, I'm currently on 50mgs of seroquel (I had to take it down from 100 because it was zonking me out almost all day) and 2mgs of prazosin for recent nightmares and some pretty wild (unprovoked) moodswings. From what I understand low doses of Praz are starting to be pretty standard for PTSD cases-it generally works to help lower one's adrenaline if it's believed to be in excess. Seroquel is an antipsychotic-which isn't as scary as it sounds, it mostly slows you down a bit so you're less likely for your internal thought processes to hit lightspeed-which can often be the case with the hyperawareness portion of PTSD.
As you spend a lot of time on the road, keep in mind many of the medications may make you drowsy or impair your driving if you're not used to them. Be cautious for the first ten days after you start a new medication, because your reflexes might be impaired. Typically it's advised you don't drive even with something as simple as an antihistamine, so take it with a grain of salt.
Because of my personal experiences, I cannot say enough about my prazosin dosages, but I don't find it makes me drowsy in the slightest, even though that's an expected side effect. With your night vocalizations and twitchy issues it might be something you can get your doctor to look at, but not being a doctor, I cannot make any kind of recommendation on medications. Only provide what I have experienced.
Something you may also want to look at-again because of you twitching and night vocalizations-is trying a higher carb diet. I know low carb is the thing for most right now, but it can stimulate dopamines, which can help you keep calmer and less likely to stress, just make sure to do it through healthy means, like veg, whole grains and that sort. That, I can recommend, because it's simply a diet change you can try that, if it doesn't work, can be switched with minimal affects to your health otherwise.
I hope some of this can help you out.