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Clinical Trial
. 2003 Oct;57(5):542-4.
doi: 10.1046/j.1440-1819.2003.01161.x.

Open pilot study of gabapentin versus trazodone to treat insomnia in alcoholic outpatients

Affiliations
Clinical Trial

Open pilot study of gabapentin versus trazodone to treat insomnia in alcoholic outpatients

Maher Karam-Hage et al. Psychiatry Clin Neurosci. 2003 Oct.

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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Figures

Figure 1
Figure 1
Sleep problems questionnaire (SPQ) scores before and after medication treatment with trazodone vs. gabapentin. Matched letter pairs indicate significant (p<0.05) differences between baseline and follow-up for the trazodone (a) and gabapentin (b) groups, and between medication groups for change scores (c) and follow-up scores (d).

References

    1. Brower KJ. Insomnia, alcoholism and relapse. Sleep Med. Rev. in press. - PubMed
    1. Madrak LN, Rosenberg M. Zolpidem abuse. Am. J. Psychiatry. 2001;158:1330–1331. - PubMed
    1. Longo LP, Johnson B. Treatment of insomnia in substance abusing patients. Psychiatr. Ann. 1998;28:154–159.
    1. Karam-Hage M, Brower KJ. Gabapentin treatment for insomnia associated with alcohol dependence. Am. J. Psychiatry. 2000;157:151. - PubMed
    1. 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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