Table 2.
Medications reported to induce RBD or lack of normal muscle atonia during REM sleep
| Class | Medication | RBD or abnormal muscle tone on PSG |
|---|---|---|
| SSRI antidepressant | Fluoxetine Paroxetine |
Both |
| SNRI antidepressant | Venlafaxine Mirtazepine |
Both |
| Tricyclic antidepressant | Nortriptyline Imipramine Clomipramine |
Worsening of pre-existing RBD or “hyperactivity” in REM |
| Monoamine oxidase inhibitor | Selegiline | |
| Beta-blocker | Atenolol Bisoprolol |
Both |
| Opioid (with serotonin reuptake inhibition properties) | Tramadol | Witnessed behaviors presumed by medical observer to be RBD |