Table 1.
Summary of studies on the interaction between sleep-related medicines and substance use
Drug | Authors | Study | Effect on sleep | Effect on substance use |
---|---|---|---|---|
Mirtazapine | Afshar et al.121 | The efficacy of mirtazapine in the treatment of cocaine dependence with comorbid depression | Improved sleep, Lower sleep latency | no more effective than placebo in reducing cocaine use |
Pregabalin | Guay122 | Pregabalin in neuropathic pain: a more "pharmaceutically elegant" gabapentin? | Treatment of insomnia | Abuse potential |
Feltner et al.123 | Long-term efficacy of pregabalin in generalized anxiety disorder | Treatment of insomnia | Abuse potential | |
Montgomery and Kasper124 | Pharmacotherapy update: pregabalin in the treatment of generalized anxiety disorder | Treatment of insomnia | Abuse potential | |
Carbamazepine + Tiapride | Gartenmaier et al.125 | Treatment of alcohol withdrawal syndrome with combined carbamazepine and tiapride in a patient with probable sleep apnoe syndrome | Ameliorated severe disturbances in sleep with awakening during the night | No alcohol withdrawal complications occurred |
Lorazepam | Morgan and Malison126 | Pilot study of lorazepam and tiagabine effects on sleep, motor learning, and impulsivity in cocaine abstinence | Increased total sleep time, Significantly enhanced light sleep | Worsened withdrawal symptoms, including next-day impulsivity and overnight, sleep-dependent motor learning |
Quetiapine | Litten et al.127 | A double-blind, placebo-controlled trial to assess the efficacy of quetiapine fumarate xr in very heavy-drinking alcohol-dependent patients | Improvement of poor sleep | No efficacy in reducing alcohol consumption |
Trazodone | Friedmann et al.128 | Trazodone for sleep disturbance after alcohol detoxification: A double‐blind, placebo‐controlled trial | Short‐term benefit on sleep quality | No improvements in alcohol consumption in the post detoxification period, Increased drinking when stopped |
Zolpidem | Bottlender et al.129 | Zolpidem dependence in a patient with former polysubstance abuse | Treatment of persistent insomnia, Developed tolerance with an increasing dose and frequency of zolpidem intake | Led to dependence with withdrawal symptoms upon dose reduction |