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Sleep and hypnotics: further experiments.

J I Evans, O Ogunremi

    British Medical Journal
    |August 8, 1970
    PubMed
    Summary
    This summary is machine-generated.

    Chloral hydrate, dichloral phenazone, and Mandrax were tested for their effects on sleep. Chloral hydrate notably reduced REM sleep, unlike the other drugs, with no withdrawal rebound observed.

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    Area of Science:

    • Pharmacology
    • Sleep Medicine
    • Neuroscience

    Background:

    • Clinical doses of amylobarbitone are known to affect sleep patterns.
    • Investigating the impact of other sedatives on sleep is crucial for understanding their therapeutic potential and side effects.

    Purpose of the Study:

    • To evaluate the effects of chloral hydrate, dichloral phenazone, and Mandrax on Rapid Eye Movement (REM) sleep.
    • To determine if these hypnotics cause REM sleep rebound upon withdrawal.
    • To explore the concept of a hypnotic dose threshold for REM sleep reduction.

    Main Methods:

    • Two experiments were conducted using healthy male subjects over 6-8 weeks.
    • Subjects received placebo or drugs (chloral hydrate, dichloral phenazone, Mandrax) during controlled periods.

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  • Sleep patterns, specifically REM sleep, were monitored, along with withdrawal effects.
  • Main Results:

    • Chloral hydrate significantly depressed REM sleep, though less consistently than amylobarbitone, with no observed withdrawal rebound.
    • Dichloral phenazone and Mandrax did not consistently depress REM sleep.
    • Mandrax showed a higher incidence of occasional low REM sleep nights compared to dichloral phenazone.

    Conclusions:

    • A potential dose threshold for hypnotic drugs exists, above which REM sleep reduction occurs.
    • Chloral hydrate may be clinically useful with a lower risk of withdrawal effects compared to other tested hypnotics.
    • Further research may enable the prescription of effective hypnotics while minimizing adverse withdrawal symptoms.