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British Journal of Clinical Pharmacology logoLink to British Journal of Clinical Pharmacology
. 1981 Feb;11(2):159–169. doi: 10.1111/j.1365-2125.1981.tb01120.x

Morphine-like insomnia from heroin in nondependent human addicts.

D C Kay, W B Pickworth, G L Neider
PMCID: PMC1401583  PMID: 7213520

Abstract

1 This study was performed because dose-related effects of heroin on human sleep had not been described previously, and to discover if heroin produces a morphine-like insomnia. 2 After three adaptation nights, the sleep of seven male nondependent opiate addicts was studied following i.m. doses of heroin (3, 6, 12 mg/70 kg), morphine (10, 20 mg/70 kg) or placebo at weekly intervals in a randomized double-blind crossover design. 3 Heroin produces a dose-related increase in wakefulness, drowsiness episodes, muscle tension, and shifts in sleep-waking states. 4 Heroin produces a dose-related decrease in total sleep, sleep efficiency, delta sleep and REM sleep (REMS). 5 Heroin is about twice as potent as morphine in producing this type of insomnia. 6 'Morphine insomnia' appears to be a characteristic initial effect of several opioids, at least in nondependent opiate addicts, and might serve as a model insomnia for evaluation of hypnotics.

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Selected References

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