Open pilot study of gabapentin versus trazodone to treat insomnia in alcoholic outpatients
- PMID: 12950711
- PMCID: PMC2967491
- DOI: 10.1046/j.1440-1819.2003.01161.x
Open pilot study of gabapentin versus trazodone to treat insomnia in alcoholic outpatients
Abstract
Alcohol-dependent outpatients with persisting insomnia were treated with either gabapentin or trazodone. Patients were assessed at baseline and after 4-6 weeks on medication using the Sleep Problems Questionnaire (SPQ). Of 55 cases initially treated, 9% dropped out due to morning drowsiness. Of the remaining 50 cases, 34 were treated with gabapentin (mean dose +/- SD = 888 +/- 418 mg) at bedtime and 16 were treated with trazodone (105 +/- 57 mg) at bedtime. Both groups improved significantly on the SPQ but the gabapentin group improved significantly more than the trazodone group. Controlled studies are warranted to replicate these findings.
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References
-
- Brower KJ. Insomnia, alcoholism and relapse. Sleep Med. Rev. in press. - PubMed
-
- Madrak LN, Rosenberg M. Zolpidem abuse. Am. J. Psychiatry. 2001;158:1330–1331. - PubMed
-
- Longo LP, Johnson B. Treatment of insomnia in substance abusing patients. Psychiatr. Ann. 1998;28:154–159.
-
- Karam-Hage M, Brower KJ. Gabapentin treatment for insomnia associated with alcohol dependence. Am. J. Psychiatry. 2000;157:151. - PubMed
-
- Janiri L, Hadjichristos A, Buonanno A, Rago R, Mannelli P, de Risio S. Adjuvant trazodone in the treatment of alcoholism: an open study. Alcohol Alcohol. 1998;33:362–365. - PubMed
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