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Effects of Reboxetine on Sleep and Nocturnal Cardiac Autonomic Activity in Patients with Dysthymia
Abstract
Antidepressants may have sleep and autonomic side-effects. The acute and long-term effect of reboxetine (2 mg b.i.d.) on sleep and cardiac autonomic activity was compared with that of placebo in a single-blind study. Twelve patients affected by dysthymia underwent four polysomnographic studies at baseline (placebo); at night 3 (reboxetine; acute effect); at night 9 (reboxetine; intermediate-term effect); and at night 122 (reboxetine; chronic effect). After the first administration, reboxetine increased time awake after sleep onset, number of awakenings, percentage of stages 1 and 2 non-rapid eye movement (REM), and reduced the amount of stages 3–4 non-REM, but all these effects disappeared by continuing treatment. However, reboxetine caused a persistent suppression of REM sleep, which was accompanied by an increase of REM sleep latency. The spectral analysis of heart ratevariability showed a trend towards an increase in sympathetic activity with both acute and intermediate reboxetine use. Long-term treatment with 4 mg reboxetine does not cause significant changes in cardiac autonomic function.
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One uncontrolled study showed evidence of transient sleep disruption, but persistent REM suppression, with 2mg (b.d.) of reboxetine in 12 dysthymic patients.
“No RCTs were found in the systematic review, but one uncontrolled study showed evidence of transient sleep disruption, but persistent REM suppression, with 2mg (b.d.) of reboxetine in 12 dysthymic patients (Ferini-Strambi et al., 2004), and (Kuenzel et al., 2004) found nocturnal disturbance and reduced sleep efficiency with reboxetine (8-10mg) in 8 depressed patients.”
From Antidepressants and their effect on sleep (2005) · cites this paper as Ferini-Strambi et al., 2004
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Depression, sleep physiology, and antidepressant drugs
Winokur, A., Gary, K. A., Rodner, S., Rae-Red, C., Fernando, A. T., & Szuba, M. P. (2001) · Depression and Anxiety · doi:10.1002/da.1043 · Cited by 179
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Antidepressants and their effect on sleep
Mayers, A. G., & Baldwin, D. S. (2005) · Human Psychopharmacology: Clinical and Experimental · doi:10.1002/hup.726 · Cited by 323
A review of the adverse effects and safety of noradrenergic antidepressants
Whiskey, E., & Taylor, D. (2013) · Journal of Psychopharmacology · doi:10.1177/0269881113492027 · Cited by 64
Metadata
- Authors
- Ferini-Strambi, L., Manconi, M., Castronovo, V., Riva, L., & Bianchi, A.
- Affiliations
- Sleep Disorders Center, Università Vita-Salute, IRCCS H San Raffaele, Italy
- Vita-Salute San Raffaele University (IT)
- Politecnico di Milano (IT)
- Venue
- Journal of Psychopharmacology
- Publisher
- SAGE Publications
- Published
- 2004-09
- Volume
- 18
- Issue
- 3
- Pages
- 417-422
- ISSN
- 0269-8811 (ISSN-L)
- 1461-7285
- OpenAlex
- W2063913201
- Cited by
- 17
- References
- 1
- Citations by year
- 2026: 1 · 2022: 1 · 2021: 2 · 2014: 1 · 2013: 1 · 2012: 3
- FWCI
- 1.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychopharmacology (publishedVersion)
- PubMed (publishedVersion)
- Virtual Community of Pathological Anatomy (University of Castilla La Mancha) (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- reboxetine, dysthymia, sleep, REM sleep suppression, REM latency, cardiac autonomic function, heart rate variability, sympathetic activity, antidepressant side effects, polysomnography, long-term treatment
- MeSH terms
- Reboxetine, Adult, Antidepressive Agents, Autonomic Nervous System, Circadian Rhythm, Female, Heart, Humans, Male, Middle Aged, Morpholines, Sleep Stages, Wakefulness, Single-Blind Method, Adrenergic Uptake Inhibitors, Dysthymic Disorder
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