Cited by 68Sleep and related disordersSleep and Wakefulness ResearchAnesthesia and Sedative Agents

Hypnotics and Altered Sleep-Dream Patterns: I. All-night EEG Studies of Glutethimide, Methyprylon, and Pentobarbital

Kales, Anthony·1970·Archives of General Psychiatry

Abstract

THE increasing variety of and demand for sedative and hypnotic drugs have created a dilemma for the physician. Until recently, little sound scientific data was available to him which could be utilized in selecting appropriate drugs for the treatment of insomnia. Studies of the effects of drugs on sleep relied essentially on nurses' observations and subjective reports. With current all-night electrophysiological records, however, it is now possible to determine accurately when an individual is asleep, what type of sleep he is in and how sleep is affected by various drugs. Over the past several years, our laboratory has systematically evaluated a number of commonly used hypnotic agents. Preliminary reports of these investigations, primarily relating to rapid eye movement (REM) sleep alterations, have appeared elsewhere.1-3This paper presents a comparative analysis of studies relating the administration and withdrawal of three hypnotics in varying dosages to effects uponallsleep stages

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Crossref · 10.1001/archpsyc.1970.01750030019004

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  • New withdrawal symptoms described in the literature include flu-like symptoms, headaches, nausea, diarrhea, dizziness, decreased concentration, sleep disturbances, dysphoria, irritability, and restlessness.

    “New withdrawal symptoms described in the literature include flu-like symptoms, headaches, nausea, diarrhea, dizziness, decreased concentration, sleep disturbances, dysphoria, irritability, and restlessness [1,12,22] .”
  • New SSRI withdrawal symptoms have been found to occur after drug discontinuation with variable frequency and duration, depending on the SSRI which is discontinued.

    “New SSRI withdrawal symptoms have been found to occur after drug discontinuation with variable frequency and duration, depending on the SSRI which is discontinued [1,12,22] .”
  • A recurrent disabling withdrawal symptom described in the literature and online by patients is a sensory symptom of electric shock sensations and electric-like waves.

    “A recurrent disabling withdrawal symptom described in the literature and online by patients is a sensory symptom of electric shock sensations and electric-like waves [1,12,22,26] .”
  • New SSRI withdrawal symptoms usually reach a peak of onset between 36 and 96 h after SSRI reduction or discontinuation, and are reversible, lasting from a few hours up to 6 weeks.

    “They usually reach a peak of onset between 36 and 96 h after SSRI reduction or discontinuation, and are reversible, lasting from a few hours up to 6 weeks [1,12,22] .”

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References 9 · Cited by 68

Authors
Kales, A.
Affiliations
University of California, Los Angeles (US)
Corresponding author
Kales, Anthony
Venue
Archives of General Psychiatry
Published
1970-09-01
Volume
23
Issue
3
Pages
211
ISSN
0003-990X (ISSN-L)
OpenAlex
W2134899575
Cited by
68
References
9
Citations by year
2017: 1 · 2015: 1
FWCI
19.89
Type
journal article
Language
en
Open access
closed
Locations
  • Archives of General Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Sedative Agents
Keywords
hypnotics, insomnia, sleep stages, REM sleep, drug effects on sleep, hypnotic withdrawal, dose comparison
MeSH terms
Adult, Clinical Trials as Topic, Dreams, Electroencephalography, Electromyography, Electrooculography, Glutethimide, Humans, Hypnotics and Sedatives, Male, Pentobarbital, Placebos, Sleep, Sleep Stages, Sleep, REM

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