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. 2020 Apr;12(2):140–158. doi: 10.22122/ahj.v12i2.249

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