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. 1983;16(Suppl 1):5S–10S. doi: 10.1111/j.1365-2125.1983.tb02265.x

Pharmacokinetic and clinical considerations in the choice of a hypnotic

R Amrein, M Eckert, H Haefeli, B Leishman
PMCID: PMC1428092  PMID: 6138081

Abstract

1 Not only has insomnia become much more frequent in the last hundred years but its causes have also changed considerably.

2 In the treatment of insomnia, benzodiazepines—because of their additional anxiolytic effect—offer substantial advantages over other sleep-inducing agents.

3 The residual fraction—the quotient of plasma concentration at 12 h after drug intake to maximum plasma concentration—makes it possible to differentiate between the benzodiazepines according to their suitability as anxiolytics or hypnotics.

4 Midazolam has the lowest residual fraction of all known benzodiazepines and thus, administered in the appropriate dosage, also has the shortest duration of activity.

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Selected References

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

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