The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
Mirtazapine does not improve sleep disorders in Alzheimer's disease: results from a double‐blind, placebo‐controlled pilot study
Abstract
Aim: The aim of this study was to test the efficacy and safety of mirtazapine in the treatment of sleep disorders in patients with A lzheimer's disease by means of a randomized, double‐blind, placebo‐controlled trial. Measurements were obtained for 7 days before intervention (baseline) and for 2 weeks after the onset of treatment. Methods: A lzheimer's disease patients with sleep disorders (n = 24) received 15‐mg mirtazapine (n = 8) or placebo (n = 16) once daily at 2100 hours for 2 weeks. Patients were evaluated with actigraphy and structured scales before and after intervention. Historical control was employed. Results: Treatment with mirtazapine or placebo had no effect on cognitive and functional status as assessed by the M ini‐M ental S tate E xamination and the K atz scale, respectively. There were no differences between groups in the frequency or severity of the adverse events reported. Compared with the placebo group, mirtazapine users showed increased daytime sleepiness but no improvement in the duration or efficiency of nocturnal sleep after treatment. Conclusions: This study showed no significant therapeutic effects of 15‐mg mirtazapine in community‐dwelling A lzheimer's disease patients with sleep disorders. Instead, this study found evidence of worsening of daytime sleep patterns.
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In double-blind randomized placebo-controlled trials for sleep consolidation in AD, melatonin, ramelteon, or mirtazapine use did not produce significant improvement on sleep measures.
“While melatonin, ramelteon, or mirtazapine use did not produce significant improvement on sleep measures, trazodone, previously shown to enhance SWS by 50-56% on polysomnography in younger and older adults [10, 11], increased total sleep time by 42.5 minutes on actigraphy in patients with AD [12, 13].”
From Long-Term Trazodone Use and Cognition: A Potential Therapeutic Role for Slow-Wave Sleep Enhancers (2019) · cites this paper as [9]
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Bland, J. M., & Altman, D. G. (1994) · BMJ · doi:10.1136/bmj.308.6942.1499 · Cited by 547
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Management of Behavioral and Psychological Symptoms of Dementia
Bessey, L. J., & Walaszek, A. (2019) · Current Psychiatry Reports · doi:10.1007/s11920-019-1049-5 · Cited by 288
Long-Term Trazodone Use and Cognition: A Potential Therapeutic Role for Slow-Wave Sleep Enhancers
La, A. L., Walsh, C. M., Neylan, T. C., Vossel, K. A., Yaffe, K., Krystal, A. D., Miller, B. L., & Karageorgiou, E. (2019) · Journal of Alzheimer's Disease · doi:10.3233/jad-181145 · Cited by 83
The management of sleep disorders in dementia: an update
Kinnunen, K. M., Vikhanova, A., & Livingston, G. (2017) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000370 · Cited by 50
Metadata
- Authors
- Scoralick, F. M., Louzada, L. L., Quintas, J. L., Naves, J. O. S., Camargos, E. F., & Nóbrega, O. T.
- Affiliations
- Universidade de Brasília (BR)
- Graduate Program in Medical Sciences University of Brasilia Brasília Brazil
- Venue
- Psychogeriatrics
- Publisher
- Wiley
- Published
- 2016-01-27
- Volume
- 17
- Issue
- 2
- Pages
- 89-96
- ISSN
- 1346-3500 (ISSN-L)
- 1479-8301
- OpenAlex
- W2256264485
- Cited by
- 62
- References
- 1
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 3 · 2023: 5 · 2022: 6 · 2021: 11 · 2020: 14 · 2019: 6 · 2018: 4 · 2017: 2 · 2016: 2
- FWCI
- 4.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychogeriatrics (publishedVersion)
- PubMed (publishedVersion)
- Funders
- CNPq (550315/2008-0, 310157/2012-9)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- mirtazapine, Alzheimer's disease, sleep disorders, daytime sleepiness, nocturnal sleep, actigraphy, cognitive function, functional status, adverse events, community-dwelling patients
- MeSH terms
- Mirtazapine, Aged, Aged, 80 and over, Alzheimer Disease, Antidepressive Agents, Tricyclic, Brazil, Double-Blind Method, Female, Humans, Male, Mianserin, Neuropsychological Tests, Pilot Projects, Sleep Wake Disorders, Treatment Outcome, Actigraphy
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