Evidence map›Paper›PMID 19125238›Full record

Trial reportPsychopharmacology2009

A therapeutic dose of zolpidem reduces thalamic GABA in healthy volunteers: a proton MRS study at 4 T.

Stephanie C Licata, J Eric Jensen, David M Penetar, Andrew P Prescot, Scott E Lukas, Perry F Renshaw

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychopharmacology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Zolpidem for the Treatment of Dystonia.Frontiers in neurology · 2019
    Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. GABA-based evaluation of neurologic conditions: MR spectroscopy.AJNR. American journal of neuroradiology · 2013
    Review
  12. Reduced γ-aminobutyric acid in occipital and anterior cingulate cortices in primary insomnia: a link to major depressive disorder?Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2012
    Article
  13. Article
  14. In vivo magnetic resonance spectroscopy of GABA: a methodological review.Progress in nuclear magnetic resonance spectroscopy · 2012
    Review
  15. Review
  16. Treatment of Isolated Dystonia with Zolpidem.Movement disorders clinical practice
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Stephanie C LicataBehavioral Psychopharmacology Research Laboratory, McLean Hospital/Harvard Medical School, 115 Mill Street, Belmont, MA 02478, USA. slicata@mclean.harvard.edu
J Eric Jensen
David M Penetar
Andrew P Prescot
Scott E Lukas
Perry F Renshaw
Harvard University · USImaging Center · USMcLean Hospital · USUniversity of Utah · US

Funding

PHARMACOLOGICAL AND BEHAVIORAL INDICES OF DRUG ABUSEK05DA000343 · NIDA · MC LEAN HOSPITAL (BELMONT, MA) · PI LUKAS, SCOTT E · 1997 to 2008
$1.1M
fMRI Studies Investigating the Choice Effects of Sedative/HypnoticsK01DA023659 · NIDA · MCLEAN HOSPITAL · PI LICATA, STEPHANIE C · 2007 to 2010
$601k
NIDA NIH HHS K01 DA023659NIDA NIH HHS K01DA023659NIDA NIH HHS K05 DA000343NIDA NIH HHS K24DA151116
6 · The paper itself

Abstract

backgroundZolpidem is a nonbenzodiazepine sedative/hypnotic that acts at GABA(A) receptors to influence inhibitory neurotransmission throughout the central nervous system. A great deal is known about the behavioral effects of this drug in humans and laboratory animals, but little is known about zolpidem's specific effects on neurochemistry in vivo.

objectivesWe evaluated how acute administration of zolpidem affected levels of GABA, glutamate, glutamine, and other brain metabolites. MATERIALS AND

methodsProton magnetic resonance spectroscopy ((1)H MRS) at 4 T was employed to measure the effects of zolpidem on brain chemistry in 19 healthy volunteers. Participants underwent scanning following acute oral administration of a therapeutic dose of zolpidem (10 mg) in a within-subject, single-blind, placebo-controlled, single-visit study. In addition to neurochemical measurements from single voxels within the anterior cingulate (ACC) and thalamus, a series of questionnaires were administered periodically throughout the experimental session to assess subjective mood states.

resultsZolpidem reduced GABA levels in the thalamus, but not the ACC. There were no treatment effects with respect to other metabolite levels. Self-reported ratings of "dizzy," "nauseous," "confused," and "bad effects" were increased relative to placebo, as were ratings on the sedation/intoxication (PCAG) and psychotomimetic/dysphoria (LSD) scales of the Addiction Research Center Inventory. Moreover, there was a significant correlation between the decrease in GABA and "dizzy."

conclusionsZolpidem engendered primarily dysphoric-like effects and the correlation between reduced thalamic GABA and "dizzy" may be a function of zolpidem's interaction with alpha1GABA(A) receptors in the cerebellum, projecting through the vestibular system to the thalamus.

Indexed as

Administration, OralAdultBrain ChemistryFemalegamma-Aminobutyric AcidGlutamic AcidGlutamineGyrus CinguliHumansHypnotics and SedativesMagnetic Resonance ImagingMagnetic Resonance SpectroscopyMalePyridinesSingle-Blind MethodSurveys and Questionnairesgamma-Aminobutyric AcidGlutamic AcidGlutamineHypnotics and SedativesPyridinesZolpidem

Identifiers

PMID19125238
PMCPMC2818041
OpenAlexW2047968830

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.