Hostname: page-component-8448b6f56d-gtxcr Total loading time: 0 Render date: 2024-04-18T09:39:13.967Z Has data issue: false hasContentIssue false

The effects of trazodone on sleep disturbances induced by brofaromine

Published online by Cambridge University Press:  16 April 2020

PMJ Haffmans
Affiliation:
Stichting RBC, location Monsterseweg, Monsterseweg 83, 2553the Hague, the Netherlands
MS Vos
Affiliation:
Stichting RBC, location Monsterseweg, Monsterseweg 83, 2553the Hague, the Netherlands
Get access

Summary

The effects of trazodone on subjective and objective sleep parameters were compared to those of placebo in a double-blind design in seven patients who developed insomnia during treatment with the selective and reversible MAO-A inhibitor, brofaromine. Trazodone significantly increased deep sleep and altered the architecture of sleep in these patients. Subjectively, patients reported a better and deeper sleep. No negative interactions between brofaromine and trazodone were observed and side-effects were minimal. A low dose of trazodone may be a safe and effective agent in the treatment of MAO-I induced insomnia.

Type
Short Communications
Copyright
Copyright © European Psychiatric Association 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Kurz, NM, Robinson, DSMonoamine oxidase inhibitors In: Georgotas, A, Cranco, R eds. Depression and mania: a comprehensive textbook 1988 New York: Elsevier 358371.Google Scholar
Steiger, A, Holsboer, F, Gerken, AResults of an open clinical trial of brofaromine (CGP II 305 A), a competitive, selective, and short acting inhibitor of MAO-A in major endogenous depression. Pharmacopsychiatry 1987 ; 20 : 262269.CrossRefGoogle Scholar
Nolen, WA, Haffmans, PMJ, Bouvy, PF, Duivenvoorden, HJMonoamine oxidase inhibitors in resistant major depression. J Affect Disord 1993 ; 28 : 189197.CrossRefGoogle ScholarPubMed
Hoencamp, E, Haffmans, PMJBrofaromine vs maprotiline plus lithium in treatment resistant depressed out patients. Psychiatry Res 1991 ; 36 : 333335.CrossRefGoogle Scholar
Hamilton, MA rating scale for depression. Acta Psychiatr Scand 1989 ; 73 Suppl 326 : 137.Google Scholar
Haffmans, PMJ, Knegtering, RThe selective reversible monoamine oxidase-A inhibitor brofaromine and sleep. J Clin Psychopharmacol 1993 ; 13 : 291292.CrossRefGoogle Scholar
van Bemmel, AL, van Diest, R, Mevius, GJThe effects of REM-sleep suppression on non-REM sleep intensity in depressed patients treated with trazodone. Biol Psychiatry 1991 ; 29 : 620620.Google Scholar
Ware, JC, Pittard, JTIncreased deep sleep after trazodone use: a double blind placebo controlled study in healthy young adults. J Clin Psychiatry 1990 ; 51 : 1822.Google ScholarPubMed
Wheatly, DTrazodone: alternative dose regimens and sleep. Pharmatherapeutica 1984 ; 3 : 607612.Google Scholar
Scharf, MB, Sachais, BASleep laboratory evaluation of the effects and efficacy of trazodone in depressed insomniac patients. J Clin Psychiatry 1990 ; 51 : 1317.Google ScholarPubMed
Mouret, J, Lemoine, P, Minuit, MPEffects of trazodone on the sleep of depressed subjects – a polygraphic study. Psychopharmacology 1988 ; 95 : 3743.CrossRefGoogle ScholarPubMed
Maj, J, Palider, W, Rawlow, ATrazodone, a central serotonin antagonist and agonist. J Neural Trans 1979 ; 44 : 237248.CrossRefGoogle ScholarPubMed
Zimmer, B, Daly, F, Benjamin, LMore on combination antidepressant therapy. Arch Gen Psychiatry 1984 ; 41 : 527528.Google ScholarPubMed
Nierenberg, AA, Keck, PEManagement of monoamine oxidase inhibitor-associated insomnia with trazodone. J Clin Psychopharmacol 1989 ; 9 : 4245.CrossRefGoogle ScholarPubMed
Jacobson, FMLow-dose trazodone as a hypnotic in patients treated with MAOIs and other psychotropics: a pilot study. J Clin Psychiatry 1990 ; 51 : 298302.Google Scholar
Fawcett, J, Epstein, P, Fiester, SJSymptoms, signs, side-effects checklist. Psychopharmacol Bull 1987 ; 23 : 322323.Google Scholar
Mulder, W, Wijnberg, JR, Hollander, JJMeasurements of subjective sleep quality. 5th European sleep congress 1980 Amsterdam: ESRGoogle Scholar
Rechtschaffen, A, Kales, AA manual of standardized terminology techniques and scoring system for sleep stages of human subjects US Department of Health, Education of Welfare 1980 Bethesda: Neurological Information NetworkGoogle Scholar
Waldmeier, PC, Baumann, PA, Delini-Stula, ACharacterization of a new, short acting and specific inhibitor of type A monoamine oxidase. Mod Probl Pharmacopsychiatr 1983 ; 19 : 3152.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.