Evidence map›Paper›PMID 21928913›Full record

ArticleExperimental and clinical psychopharmacology2012

Acute effects of zolpidem extended-release on cognitive performance and sleep in healthy males after repeated nightly use.

Bethea A Kleykamp, Roland R Griffiths, Una D McCann, Michael T Smith, Miriam Z Mintzer

Abstract readControlled Clinical Trial
In one paragraph

Article in Experimental and clinical psychopharmacology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Effect of Inhaled Lavender and Sleep Hygiene on Self-Reported Sleep Issues: A Randomized Controlled Trial.Journal of alternative and complementary medicine (New York, N.Y.) · 2015
    Trial
  2. Article
  3. Observational
  4. The GABANeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2023
    Article
  5. Effects of Alcohol Extracts FromFrontiers in nutrition · 2022
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Allosteric modulation of GABA(A) receptor subtypes:effects on visual recognition and visuospatial working memory in rhesus monkeys [corrected].Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2013
    Article
  11. In the Zzz zone: the effects of Z-drugs on human performance and driving.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2013
    Review
  12. Article
  13. Article
  14. Insomnia and Mild Cognitive Impairment.Gerontology & geriatric medicine
    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

5 authors.

Bethea A KleykampNational Institutes of Health, National Institute on Drug Abuse.
Roland R GriffithsDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine.
Una D McCannDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine.
Michael T SmithDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine.
Miriam Z MintzerDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine.

Funding

ZINC THERAPY FOR SCLERODERMA--PHASE I STUDYM01RR002719 · NCRR · JOHNS HOPKINS UNIVERSITY · PI EARLEY, CHRISTOPHER J · 1986 to 2007
$20.2M
HUMAN BEHAVIORAL PHARMACOLOGY OF SUBSTANCE ABUSET32DA007209 · NIDA · JOHNS HOPKINS UNIVERSITY · PI Eric C. Strain, Elise M Weerts · 1985 to 2026
$12.9M
Human Clinical Pharmacology of Emerging Drugs of Abuse (Club Drugs)R01DA003889 · NIDA · JOHNS HOPKINS UNIVERSITY · PI GRIFFITHS, ROLAND R · 1985 to 2017
$7.6M
Sleep Disturbance, Central Pain Modulation, and Clinical Pain in OsteoarthritisR01AR054871 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI SMITH, MICHAEL T · 2007 to 2011
$3.1M
Benzodiazepine Use/Abuse: Effects on Memory MechanismsR01DA011936 · NIDA · JOHNS HOPKINS UNIVERSITY · PI MINTZER, MIRIAM Z. · 1999 to 2008
$1.9M
NCRR NIH HHS M01 RR002719NCRR NIH HHS M01RR-02719NIAMS NIH HHS AR-054871NIAMS NIH HHS R01 AR054871NIDA NIH HHS DA-07209NIDA NIH HHS DA-11936NIDA NIH HHS R01 DA003889NIDA NIH HHS R01 DA011936NIDA NIH HHS T32 DA007209
6 · The paper itself

Abstract

The extended-release formulation of zolpidem (Ambien CR) is approved for the treatment of insomnia without a treatment duration limit. Acutely zolpidem impairs performance, and no research to date has examined whether tolerance develops to these performance impairments during nighttime awakening. The present double-blind, placebo-controlled study examined whether tolerance develops to zolpidem-induced acute performance impairment after repeated (22-30 days) nightly use. Effects of bedtime administration of zolpidem extended-release (ZOL; 12.5 mg) were tested on a battery of performance measures assessed during a forced nighttime awakening in 15 healthy male volunteers who completed overnight polysomnographic recording sessions in our laboratory at baseline and after approximately a month of at-home ZOL. As expected, bedtime ZOL administration was associated with changes in sleep architecture and impairments across all performance domains during nighttime testing (psychomotor function, attention, working memory, episodic memory, metacognition) with no residual next morning impairment. Tolerance did not develop to the observed ZOL-related impairments on any outcome. Possible evidence of acute abstinence effects after discontinuation of ZOL was observed on some performance and sleep outcomes. Overall, these findings suggest that performance is significantly impaired during nighttime awakening even after a month of nightly ZOL administration, and these impairments could significantly impact safety should nighttime awakening require unimpaired functioning (e.g., driving; combat-related activities in the military).

Indexed as

AdultAttentionCognitionDelayed-Action PreparationsDouble-Blind MethodHumansHypnotics and SedativesMaleMemory, EpisodicPolysomnographyPsychomotor PerformancePyridinesSleepTime FactorsYoung AdultZolpidemDelayed-Action PreparationsHypnotics and SedativesPyridinesZolpidem

Identifiers

PMID21928913
PMCPMC3280925

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.