Journal of Nippon Medical School: Vol.69 No.3 page.262

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ArticleTitle 時間生物学的にみた抗うつ薬の作用: 健常者におけるtrazodoneとimipramineの脳波を用いた概日リズムにおよぼす影響

AuthorList 中村秀一^1,2, 山寺博史¹, 鈴木英朗¹, 遠藤俊吉¹

Affiliation ¹日本医科大学精神医学教室, ²多摩中央病院

Language JA

Volume 69

Issue 3

Year 2002

Page 262-267

Received October 5, 2001

Accepted December 19, 2001

Keywords trazodone, imipramine, circadian rhythm, sleep latency test, healthy male volunteers

Abstract The effects of the antidepressant drugs trazodone and imipramine on the circadian rhythm were studied by means of the sleep propensity test (SPT; sleep latency was examined by 35-minute EEG records at 09: 00, 11: 00, 13: 00, 15: 00, 17: 00). The subjects were 11 healthy male volunteers (mean age, 23.6 years old). The drugs were administered 4 times a day with single blind trials using an inactive placebo as a control. The dosages of the drugs were trazodone 50-100 mg/day and imipramine 20-40 mg/day. We discussed the circadian rhythm referring to previous polysomnograhy (PSG) studies using the same drugs and dosages with most of the same subjects. As a result, the mean sleep latency of SPT was the shortest at 09: 00 (p <0.1) with a placebo, at 11: 00 (p<0.05) with trazodone and at 13: 00 (not significantly) with imipramine administration. These results suggested that neither drug affected sleepiness. They affected the circadian rhythm during the daytime (="the" day rhythm). They delayed the day rhythm. Delay of the day rhythm was due to trazodone and have been caused by not only trazodon administration itself, but also by the increase of slow-wave sleep obtained in the previous night's PSG study. And the day-rhythm delay was due to imipramine and might have been caused by not only imipramine administration itself, but also by the decrease in the percentage of slow-wave sleep and REM sleep, and an increase in REM latency obtained in the previous night's PSG study. Therefore, we concluded that neither drug affected the tendency toward sleepiness, but did affect the day rhythm in healthy subjects.

Correspondence to Shuichi Nakamura, Department of Neuropsychiatry, Tama Chuou Hospital, 2-32-1 Renkouji, Tama-shi, Tokyo 206-0021, Japan
dada-syuichi@rio.odn.ne.jp

ArticleTitle	時間生物学的にみた抗うつ薬の作用: 健常者におけるtrazodoneとimipramineの脳波を用いた概日リズムにおよぼす影響
AuthorList	中村秀一^1,2, 山寺博史¹, 鈴木英朗¹, 遠藤俊吉¹
Affiliation	¹日本医科大学精神医学教室, ²多摩中央病院
Language	JA
Volume	69
Issue	3
Year	2002
Page	262-267
Received	October 5, 2001
Accepted	December 19, 2001
Keywords	trazodone, imipramine, circadian rhythm, sleep latency test, healthy male volunteers
Abstract	The effects of the antidepressant drugs trazodone and imipramine on the circadian rhythm were studied by means of the sleep propensity test (SPT; sleep latency was examined by 35-minute EEG records at 09: 00, 11: 00, 13: 00, 15: 00, 17: 00). The subjects were 11 healthy male volunteers (mean age, 23.6 years old). The drugs were administered 4 times a day with single blind trials using an inactive placebo as a control. The dosages of the drugs were trazodone 50-100 mg/day and imipramine 20-40 mg/day. We discussed the circadian rhythm referring to previous polysomnograhy (PSG) studies using the same drugs and dosages with most of the same subjects. As a result, the mean sleep latency of SPT was the shortest at 09: 00 (p <0.1) with a placebo, at 11: 00 (p<0.05) with trazodone and at 13: 00 (not significantly) with imipramine administration. These results suggested that neither drug affected sleepiness. They affected the circadian rhythm during the daytime (="the" day rhythm). They delayed the day rhythm. Delay of the day rhythm was due to trazodone and have been caused by not only trazodon administration itself, but also by the increase of slow-wave sleep obtained in the previous night's PSG study. And the day-rhythm delay was due to imipramine and might have been caused by not only imipramine administration itself, but also by the decrease in the percentage of slow-wave sleep and REM sleep, and an increase in REM latency obtained in the previous night's PSG study. Therefore, we concluded that neither drug affected the tendency toward sleepiness, but did affect the day rhythm in healthy subjects.
Correspondence to	Shuichi Nakamura, Department of Neuropsychiatry, Tama Chuou Hospital, 2-32-1 Renkouji, Tama-shi, Tokyo 206-0021, Japan dada-syuichi@rio.odn.ne.jp