Cited by 62Sleep and related disordersDementia and Cognitive Impairment ResearchCircadian rhythm and melatonin

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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Crossref · 10.1111/psyg.12191

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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].”

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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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