Minimal rebound insomnia after treatment with 10-mg zolpidem. 1997

J C Ware, and J K Walsh, and M B Scharf, and T Roehrs, and T Roth, and G W Vogel
Sleep Disorders Center, Sentara Norfolk General Hospital, VA 23507, USA.

This study examined rebound insomnia after discontinuation of chronic use of zolpidem (10 mg), a short elimination half-life imidazopyridine. The zolpidem group was bracketed by a placebo group and a positive control group taking 0.5 mg of triazolam (twice the recommended dose), which is known to produce rebound insomnia. Ninety-nine patients with sleep complaints that were polysomnographically documented participated in the study. After randomization, patients completed a 2-night, single-blind, placebo baseline period, a 28-night double-blind treatment phase, and a 3-night, single-blind, placebo substitution period. Polysomnographic and subjective sleep variables indicated a lack of rebound insomnia for the zolpidem group. The positive triazolam control group had rebound insomnia only on the first discontinuation night. There was no significant correlation between rebound insomnia and the level of initial insomnia, the degree of response to treatment in week 4, or the amount of tolerance that developed during drug use. During the 4-week treatment period, efficacy diminished for both drugs. From these data, it cannot be determined whether the lack of rebound insomnia with zolpidem is a result of drug dose or some property of the drug such as receptor selectivity.

UI MeSH Term Description Entries
D006993 Hypnotics and Sedatives Drugs used to induce drowsiness or sleep or to reduce psychological excitement or anxiety. Hypnotic,Sedative,Sedative and Hypnotic,Sedatives,Hypnotic Effect,Hypnotic Effects,Hypnotics,Sedative Effect,Sedative Effects,Sedatives and Hypnotics,Effect, Hypnotic,Effect, Sedative,Effects, Hypnotic,Effects, Sedative,Hypnotic and Sedative
D007319 Sleep Initiation and Maintenance Disorders Disorders characterized by impairment of the ability to initiate or maintain sleep. This may occur as a primary disorder or in association with another medical or psychiatric condition. Disorders of Initiating and Maintaining Sleep,Insomnia,Sleeplessness,Chronic Insomnia,DIMS (Disorders of Initiating and Maintaining Sleep),Early Awakening,Insomnia Disorder,Nonorganic Insomnia,Primary Insomnia,Psychophysiological Insomnia,Rebound Insomnia,Secondary Insomnia,Sleep Initiation Dysfunction,Transient Insomnia,Awakening, Early,Dysfunction, Sleep Initiation,Dysfunctions, Sleep Initiation,Insomnia Disorders,Insomnia, Chronic,Insomnia, Nonorganic,Insomnia, Primary,Insomnia, Psychophysiological,Insomnia, Rebound,Insomnia, Secondary,Insomnia, Transient,Insomnias,Sleep Initiation Dysfunctions
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011725 Pyridines Compounds with a six membered aromatic ring containing NITROGEN. The saturated version is PIPERIDINES.
D004311 Double-Blind Method A method of studying a drug or procedure in which both the subjects and investigators are kept unaware of who is actually getting which specific treatment. Double-Masked Study,Double-Blind Study,Double-Masked Method,Double Blind Method,Double Blind Study,Double Masked Method,Double Masked Study,Double-Blind Methods,Double-Blind Studies,Double-Masked Methods,Double-Masked Studies,Method, Double-Blind,Method, Double-Masked,Methods, Double-Blind,Methods, Double-Masked,Studies, Double-Blind,Studies, Double-Masked,Study, Double-Blind,Study, Double-Masked
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000077334 Zolpidem An imidazopyridine derivative and short-acting GABA-A receptor agonist that is used for the treatment of INSOMNIA. Imidazo(1,2-a)pyridine-3-acetamide, N,N,6-trimethyl-2-(4-methylphenyl)-,Ambien,Amsic,Bikalm,Dalparan,N,N,6-Trimethyl-2-(4-methylphenyl)imidazo(1,2a)pyridine-3-acetamide hemitartrate,SL 80.0750,SL-800750-23-N,Stilnoct,Stilnox,Zodormdura,Zoldem,Zolirin,Zolpi-Lich,Zolpidem 1A Pharma,Zolpidem AbZ,Zolpidem Hemitartrate,Zolpidem Tartrate,Zolpimist,Zolpinox,SL 800750 23 N,Zolpi Lich
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

Related Publications

J C Ware, and J K Walsh, and M B Scharf, and T Roehrs, and T Roth, and G W Vogel
June 1994, Scandinavian journal of primary health care,
J C Ware, and J K Walsh, and M B Scharf, and T Roehrs, and T Roth, and G W Vogel
August 2004, European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology,
J C Ware, and J K Walsh, and M B Scharf, and T Roehrs, and T Roth, and G W Vogel
January 1996, European archives of psychiatry and clinical neuroscience,
J C Ware, and J K Walsh, and M B Scharf, and T Roehrs, and T Roth, and G W Vogel
July 2003, Human psychopharmacology,
J C Ware, and J K Walsh, and M B Scharf, and T Roehrs, and T Roth, and G W Vogel
July 1994, Pharmacopsychiatry,
J C Ware, and J K Walsh, and M B Scharf, and T Roehrs, and T Roth, and G W Vogel
April 1980, Science (New York, N.Y.),
J C Ware, and J K Walsh, and M B Scharf, and T Roehrs, and T Roth, and G W Vogel
April 1980, Science (New York, N.Y.),
J C Ware, and J K Walsh, and M B Scharf, and T Roehrs, and T Roth, and G W Vogel
April 2012, Expert opinion on pharmacotherapy,
J C Ware, and J K Walsh, and M B Scharf, and T Roehrs, and T Roth, and G W Vogel
April 1993, The Medical letter on drugs and therapeutics,
J C Ware, and J K Walsh, and M B Scharf, and T Roehrs, and T Roth, and G W Vogel
May 2009, Pharmacopsychiatry,
Copied contents to your clipboard!