The role of zolpidem in the treatment of insomnia Review article
Main Article Content
Abstract
Sleep disturbances, especially insomnia, affecting between 5–20% the adult population, may be defined as the experience of inadequate quality and quantity of sleep together with negative daytime consequences. Insomniacs are treated with psychotherapeutic, pharmacological, and behavioral approaches. Non-benzodiazepine hypnotics, binds selectivity α1 subunits of the GABAA receptor, especially zolpidem, have been approved for short-term treatment of primary insomnia, have confirmed higher efficacy in comparing to trazodone, safety and good tolerance and – in contrast to benzodiazepines – they shown an absence of tolerance and have no practically dependence potential. Zolpidem does not have active metabolites and does not accumulate during repeated administration.
Article Details
Copyright © by Medical Education. All rights reserved.
References
2. MacFarlane J., Morin C.M., Montplaisir J.: Hypnotics in insomnia: the experience of zolpidem. Clin. Ther. 2014; 1(11): 1676-1701.
3. Asnis G.M., Thomas M., Henderson M.A.: Pharmacotherapy treatment options for insomnia. A primer for Clinicians. Int. J. Mol. Sci. 2016; 17: 50.
4. Bateson A.N.: Further potential of the GABA receptor in the treatment of insomnia. Sleep Med. 2006; 7: S3-S9.
5. Gottesmann C.: GABA mechanisms and sleep. Neuroscience 2002; 111: 231-239.
6. Rush C.R., Baker R.W., Wright K.: Acute behavioral effects and abuse potential of trazodone, zolpidem and triazolam in humans. Psychopharmacology (Berlin) 1999; 144(3): 220-233.
7. Walsh J.K., Erman M., Erwin C.W. et al.: Subjective hypnotic efficacy of Trazodone and Zolpidem in DSM III-R primary insomnia. Human Psychopharmacology 1998; 13: 191-198.
8. Sanger D.J.: The pharmacology and mechanisms of action of new generation. Non-benzodiazepine hypnotic agents. CNS Drugs 2004; 18(supl. 1): 9-15.
9. Hajak G.A.: Comparative assessment of the risk and benefits of zolpidem. Drug Safety 1999; 21: 457-469.
10. American Academy of Sleep Medicine: International Classification of Sleep Disorders. 3rd ed. Darien, IL: American Academy of Sleep Medicine 2014.
11. Schutte-Rodin S., Broch L., Buysse D., Dorsey C.: Clinical guideline for the evaluation and management of chronic insomnia in adults. J. Clin. Sleep Med. 2008; 4: 487-504.
12. Rosner S., Soyka M., Hajak G. et al.: Zolpidem for insomnia. Zolpidem for Insomnia (Protocol) Copyright 2013 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.