Evidence map›Paper›PMID 42087266›Full record

Trial reportFundamental & clinical pharmacology2026

Effect of a Single Oral Dose of Dexamphetamine or Zolpidem on Attention and Reaction Time in Healthy Men.

Veronika Pfoser-Poschacher, Michael Wolf, Michaela Bayerle-Eder, Teresa Wimmer, Daniela Boryshchuk, Christopher Gerner, Michael Wolzt

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Fundamental & clinical pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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

7 authors.

Veronika Pfoser-PoschacherDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0009-0006-5654-2329
Michael WolfDepartment of Analytical Chemistry, University of Vienna, Vienna, Austria.
Michaela Bayerle-EderDepartment of Clinical Pharmacology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Teresa WimmerDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.
Daniela BoryshchukInstitute of Medical Statistics, Center for Medical Data Science, Medical University of Vienna, Vienna, Austria.
Christopher GernerDepartment of Analytical Chemistry, University of Vienna, Vienna, Austria.
Michael WolztDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.

Funding

Department of Clinical Pharmacology, Medical University of Vienna, Austria
6 · The paper itself

Abstract

Psychotropic medicines are known to impair cognitive function acutely, but the specific effects of individual substances remain underexplored. This study investigates the effects of dexamphetamine and zolpidem on cognitive performance to quantify the potential risk of intake and their pharmacokinetic and pharmacodynamic relationship. This randomized, double-blind, placebo-controlled trial (EudraCT 2021-005381 - 17) included 60 healthy men aged 26 ± 5 (mean ± SD) years. Participants received a single oral dose of 30-mg dexamphetamine, 5-mg zolpidem, or placebo (n = 20 per group). Cognitive performance was assessed at baseline and 3 and 8 h after dosing using the computerized Psytest system. Dexamphetamine and zolpidem improved sustained attention, with significant reduction of omissions at 8 h. Reaction time improved in both groups, but zolpidem impaired phasic alertness. Working memory remained unchanged. Plasma concentration of dexamphetamine and zolpidem was 70.8 ± 10.4 ng/mL and 39.0 ± 20.7 ng/mL at 3 h and 45.9 ± 7.9 ng/mL and 8.7 ± 6.6 ng/mL at 8 h, respectively. No correlation between drug plasma concentration and cognitive performance measures was demonstrable. Dexamphetamine caused the strongest subjective effects and highest liking ratings, whereas zolpidem elicited greater subjective dislike. Tolerability was best with placebo, followed by zolpidem and dexamphetamine. Single therapeutic doses of dexamphetamine and zolpidem modestly affected cognitive function 3 h after intake, with no relationship between cognitive performance and the study medicines' plasma concentration. Both medicines improve cognition after 8 h but differed in subjective emotional effects. Nevertheless, generalizability is limited by the inclusion of healthy men only. Trial Registration: EudraCT: Nr: 2021-005381-17.

Indexed as

AttentionCentral Nervous System StimulantsDextroamphetamineReaction TimeZolpidemAdministration, OralAdultCognitionCognitive EnhancementDouble-Blind MethodHealthy VolunteersHumansMaleYoung AdultCentral Nervous System StimulantsDextroamphetamineZolpidemalertnessdexamphetaminepharmacokineticPsytestreaction timezolpidem

Identifiers

PMID42087266
PMCPMC13144445

What OpenQuestion holds

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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.