Skip to main content
British Journal of Clinical Pharmacology logoLink to British Journal of Clinical Pharmacology
. 1983 May;15(5):529–536. doi: 10.1111/j.1365-2125.1983.tb02086.x

Effect of the benzodiazepine antagonist Ro 15-1788 on flunitrazepam-induced sleep changes.

J M Gaillard, R Blois
PMCID: PMC1427719  PMID: 6134542

Abstract

1 The modifications of human sleep induced by benzodiazepines, and particularly by flunitrazepam, are complex. Stage 4 and paradoxical sleep are both decreased; however, these two effects have a different evolution during and after single or short-term drug administration. 2 The benzodiazepine antagonist Ro 15-1788 also tends to depress stage 4, but with immediate recovery in the post-drug night, and does not modify paradoxical sleep. 3 In combined administration, this drug totally reverses the hypnogenic effect of flunitrazepam, as well as its effect on paradoxical sleep but not the decrease of slow wave sleep. 4 Some of the benzodiazepine-induced alterations of sleep may be related to receptors different from central benzodiazepine receptors, or to mechanisms not directly connected to this type of receptors.

Full text

PDF
529

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bixler E. O., Kales A., Soldatos C. R., Kales J. D. Flunitrazepam, an investigational hypnotic drug: sleep laboratory evaluations. J Clin Pharmacol. 1977 Oct;17(10 Pt 1):569–578. doi: 10.1177/009127007701701004. [DOI] [PubMed] [Google Scholar]
  2. Bobillier P., Seguin S., Petitjean F., Buda C., Salvert D., Janin M., Chouvet G., Souchier C., Jouvet M. Augmentation de la consommation cérébral locale de glucose dans les plexus choroïdes au cours du sommeil lent chez le chat. C R Seances Acad Sci D. 1980 Jul 7;291(1):91–96. [PubMed] [Google Scholar]
  3. Braestrup C., Squires R. F. Specific benzodiazepine receptors in rat brain characterized by high-affinity (3H)diazepam binding. Proc Natl Acad Sci U S A. 1977 Sep;74(9):3805–3809. doi: 10.1073/pnas.74.9.3805. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Feinberg I., Fein G., Walker J. M., Price L. J., Floyd T. C., March J. D. Flurazepam effects on slow-wave sleep: stage 4 suppressed but number of delta waves constant. Science. 1977 Nov 25;198(4319):847–848. doi: 10.1126/science.21453. [DOI] [PubMed] [Google Scholar]
  5. Gaillard J. M. Comparison of two muscle relaxant drugs on human sleep: diazepam and parachlorophenylgaba. Acta Psychiatr Belg. 1977 May-Jun;77(3):410–425. [PubMed] [Google Scholar]
  6. Gaillard J. M. Temporal organization of human sleep: general trends of sleep stages and their ultradian cyclic components. Encephale. 1979;5(1):71–93. [PubMed] [Google Scholar]
  7. Gaillard J. M., Tissot R. EEG sleep studies of insomniacs under flunitrazepam treatment. Int Pharmacopsychiatry. 1975;10(4):199–207. doi: 10.1159/000468195. [DOI] [PubMed] [Google Scholar]
  8. Gaillard J. M., Tissot R. Principles of automatic analysis of sleep records with a hybrid system. Comput Biomed Res. 1973 Feb;6(1):1–13. doi: 10.1016/0010-4809(73)90059-1. [DOI] [PubMed] [Google Scholar]
  9. Gath I., Bar-On E., Rogowski Z., Bental E. Computerized analysis of sleep recordings applied to drug evaluation: midazolam in normal subjects. Clin Pharmacol Ther. 1981 Apr;29(4):533–541. doi: 10.1038/clpt.1981.75. [DOI] [PubMed] [Google Scholar]
  10. Hunkeler W., Möhler H., Pieri L., Polc P., Bonetti E. P., Cumin R., Schaffner R., Haefely W. Selective antagonists of benzodiazepines. Nature. 1981 Apr 9;290(5806):514–516. doi: 10.1038/290514a0. [DOI] [PubMed] [Google Scholar]
  11. Monti J. M., Altier H. Flunitrazepam (Ro 5-4200) and sleep cycle in normal subjects. Psychopharmacologia. 1973 Oct 15;32(4):343–349. doi: 10.1007/BF00429470. [DOI] [PubMed] [Google Scholar]
  12. Möhler H., Burkard W. P., Keller H. H., Richards J. G., Haefely W. Benzodiazepine antagonist Ro 15-1788: binding characteristics and interaction with drug-induced changes in dopamine turnover and cerebellar cGMP levels. J Neurochem. 1981 Sep;37(3):714–722. doi: 10.1111/j.1471-4159.1982.tb12546.x. [DOI] [PubMed] [Google Scholar]
  13. Nicholson A. N., Stone B. M. Activity of the hypnotics, flunitrazepam and triazolam, in man. Br J Clin Pharmacol. 1980 Feb;9(2):187–194. doi: 10.1111/j.1365-2125.1980.tb05832.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Petitjean F., Seguin S., des Rosiers M. H., Salvert D., Buda C., Janin M., Debilly G., Jouvet M., Bobillier P. Consommation cérebrale locale de glucose au cours de l'éveil et du sommeil lent chez le chat. C R Seances Acad Sci III. 1981 Jun 29;292(23):1211–1214. [PubMed] [Google Scholar]
  15. Polc P., Laurent J. P., Scherschlicht R., Haefely W. Electrophysiological studies on the specific benzodiazepine antagonist Ro 15-1788. Naunyn Schmiedebergs Arch Pharmacol. 1981 Jul;316(4):317–325. doi: 10.1007/BF00501364. [DOI] [PubMed] [Google Scholar]
  16. Regan J. W., Yamamura H. I., Yamada S., Roeske W. R. High affinity [3H]flunitrazepam binding: characterization, localization, and alteration in hypertension. Life Sci. 1981 Mar 2;28(9):991–998. doi: 10.1016/0024-3205(81)90744-x. [DOI] [PubMed] [Google Scholar]
  17. Schoemaker H., Bliss M., Yamamura H. I. Specific high-affinity saturable binding of [3H] R05-4864 to benzodiazepine binding sites in the rat cerebral cortex. Eur J Pharmacol. 1981 Apr 24;71(1):173–175. doi: 10.1016/0014-2999(81)90405-2. [DOI] [PubMed] [Google Scholar]

Articles from British Journal of Clinical Pharmacology are provided here courtesy of British Pharmacological Society

RESOURCES