Ref (type) | Population | Outcome, Interventions | Results and statistical analysis | Effect size | Favours |
Adverse effects | |||||
Systematic review |
830 people aged 60 years or over with insomnia |
Adverse effects
with any sedative |
Significance not assessed |
||
Systematic review |
712 people aged 60 years or over with insomnia 10 RCTs in this analysis |
Cognitive adverse effects
with benzodiazepines, zopiclone, zaleplon, or zolpidem with placebo Absolute results not reported |
OR 4.78 95% CI 1.47 to 15.47 P <0.01 |
Moderate effect size | placebo |
Systematic review |
1016 people aged 60 years or over with insomnia 13 RCTs in this analysis |
Psychomotor adverse effects
with benzodiazepines, zopiclone, zaleplon, or zolpidem with placebo Absolute results not reported |
OR 2.25 95% CI 0.93 to 5.41 P = 0.07 |
Not significant | |
Systematic review |
829 people aged 60 years or over with insomnia 7 RCTs in this analysis |
Subjective morning or daytime fatigue
with benzodiazepines, zopiclone, zaleplon, or zolpidem with placebo Absolute results not reported |
OR 3.82 95% CI 1.88 to 7.80 P <0.001 |
Moderate effect size | placebo |
Systematic review |
829 people aged 60 years or over with insomnia 7 RCTs in this analysis |
Impairment on performance tasks the morning after treatment
with benzodiazepines, zopiclone, zaleplon, or zolpidem with placebo Absolute results not reported |
Mean difference: 0.14 95% CI 0.11 to 0.16 Reported as significant P value not reported |
Effect size not calculated | placebo |
RCT Crossover design 3-armed trial |
25 people aged 70 to 89 years with primary insomnia; 20 people completed at least 1 treatment arm |
Total number of adverse events
14 days
90 with temazepam 15 mg for 14 nights 90 with placebo |
P value not reported Reported as not significant |
Not significant |