Among the antidementia drugs, only memantine has a sedative effect. In addition, it also has the effect of prolonging sleep time. However, there are no reports of prolonging sleep time upon commencement of the drugs. Therefore, this study was conducted to investigate the effect of memantine on sleep time for short periods and low doses upon commencement of the drugs. Patients included in this retrospective study were those who commenced therapy taking either memantine 5 mg once daily or galantamine 4 mg twice daily during hospitalization. Galantamine was used as a comparison. The evaluation was made by averaging the sleep time scores (1 to 5 points) for 3 days before and after commencement of the drugs. There was no difference in sleep time scores before commencement between the two groups [memantine group 4.3 (3.7–4.7)/galantamine group median 4.7 (interquartile range 3.3–4.7): p = 0.838]. The memantine group had significantly higher scores after commencement [memantine group 4.7 (4.3–5.0) galantamine group 4.3 (3.0–4.7): p = 0.036]. Memantine may have a sleep-prolonging effect for short periods and low doses.
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References
S. G. Di Santo, F. Prinelli, F. Adorni, et al., “A meta-analysis of the efficacy of donepezil, rivastigmine, galantamine, and memantine in relation to severity of Alzheimer’s disease,” J. Alzheimer’s Dis., 35, No. 2, 349–361 (2013).
B. Reisberg, R. Doody, A. Stöffler, et al., “Memantine in moderate-to-severe Alzheimer’s disease,” N. Engl. J. Med., 348, No. 14, 1333–1341 (2003).
Y. Nakamura, S. Kitamura, A. Homma, et al., “Efficacy and safety of memantine in patients with moderate-to-severe Alzheimer’s disease: Results of a pooled analysis of two randomized, double-blind, placebo-controlled trials in Japan,” Expert Opin. Pharmacother., 15, No. 7, 913–925 (2014).
I. Ishikawa, H. Shinno, N. Ando, et al., “The effect of memantine on sleep architecture and psychiatric symptoms in patients with Alzheimer’s disease,” Acta Neuropsychiatr., 28, No. 3, 157–164 (2016).
M. M. Ohayon, M. A. Carskadon, C. Guilleminault, and M. V. Vitiello, “Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: Developing normative sleep values across the human lifespan,” Sleep, 27, No. 7, 1255–1273 (2004).
S. Ancoli-Israel, L. Parker, R. Sinaee, et al., “Sleep fragmentation in patients from a nursing home,” J. Gerontol., 44, No. 1, M18-21 (1989).
Y. Kabeshita, H. Adachi, M. Matsushita, et al., “Sleep disturbances are key symptoms of very early stage Alzheimer disease with behavioral and psychological symptoms: a Japan multi-center cross-sectional study (J-BIRD),” Int. J. Geriatr. Psychiatry, 32, No. 2, 222–230 (2017).
M. I. Naharci, A. Ozturk, H. Yasar, et al., “Galantamine improves sleep quality in patients with dementia,” Acta Neurol. Belg., 115, No. 4, 563–568 (2015).
N. Thavichachart, K. Phanthumchinda, S. Chankrachang, et al., “Efficacy study of galantamine in possible Alzheimer’s disease with or without cerebrovascular disease and vascular dementia in Thai patients: A slow-titration regimen,” Int. J. Clin. Pract., 60, No. 5, 533–540 (2006).
S. Ikehara, H. Iso, C. Date, et al., “Association of sleep duration with mortality from cardiovascular disease and other causes for Japanese men and women: The JACC study,” Sleep, 32, No. 3, 295–301 (2009).
A. Periclou, D. Ventura, N. Rao, and W. Abramowitz, “Pharmacokinetic study of memantine in healthy and renally impaired subjects,” Clin. Pharmacol. Ther., 79, No. 1, 134–143 (2006).
J. B. Schulz, M. Rainer, H. H. Klünemann, et al., “Sustained effects of once-daily memantine treatment on cognition and functional communication skills in patients with moderate to severe Alzheimer’s disease: Results of a 16-week open-label trial,” J. Alzheimer’s Dis., 25, No. 3, 463–475 (2011).
C. Fox, M. Crugel, I. Maidment, et al., “Efficacy of memantine for agitation in Alzheimer’s dementia: A randomised double-blind placebo controlled trial,” PLoS One, 7, No. 5, e35185 (2012).
P. Rahimzadeh, F. Imani, N. Nikoubakht, et al., “A comparative study on the effi cacy of oral memantine and placebo for acute postoperative pain in patients undergoing dacryocystorhinostomy (DCR),” Anesthesiol. Pain Med., 7, No. 3, e45297 (2017).
M. Abbasinazari, L. Adib-Eshgh, A. Rostami, et al., “Memantine in the prevention or alleviation of electroconvulsive therapy induces cognitive disorders: A placebo controlled trial,” Asian J. Psychiatr., 15, 5–9 (2015).
M. Wang, A. H. Wong, and F. Liu, “Interactions between NMDA and dopamine receptors: A potential therapeutic target,” Brain Res., 1476, 154–163 (2012).
R. Spanagel, B. Eilbacher, and R. Wilke, “Memantine-induced dopamine release in the prefrontal cortex and striatum of the rat – a pharmacokinetic microdialysis study,” Eur. J. Pharmacol., 262, No. 1–2, 21–26 (1994).
J. S. Vidal, J. M. Lacombe, J. F. Dartigues, et al., “Evaluation of the impact of memantine treatment initiation on psychotropics use: A study from the French national health care database,” Neuroepidemiology, 31, No. 3, 193–200 (2008).
L. J. Seppala, A. M. A. T. Wermelink, M. de Vries, et al., “Fall-riskincreasing drugs: A systematic review and meta-analysis: II. Psychotropics,” J. Am. Med. Dir. Assoc., 19, No. 4, 371.e11–371.e17 (2018).
Q. He, X. Chen, T. Wu, et al., “Risk of dementia in long-term benzodiazepine users: Evidence from a meta-analysis of observational studies,” J. Clin. Neurol., 15, No. 1, 9–19 (2019).
D. M. Fick, T. P. Semla, M. Steinman, et al., “American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults,” J. Am. Geriatr. Soc., 67, No. 4, 674–694 (2019).
S. Laberge and A. M. Crizzle, “A literature review of psychotropic medications and alcohol as risk factors for falls in community dwelling older adults,” Clin. Drug Investig., 39, No. 2, 117–139 (2019).
M. Y. Liu, S. N. Meng, H. Z. Wu, et al., “Pharmacokinetics of single-dose and multiple-dose memantine in healthy Chinese volunteers using an analytic method of liquid chromatography-tandem mass spectrometry,” Clin. Ther., 30, No. 4, 641–653 (2008).
M. A. Miller, B. N. Renn, F. Chu, and N. Torrence, “Sleepless in the hospital: A systematic review of non-pharmacological sleep interventions,” Gen. Hosp. Psychiatry, 59, 58–66 (2019).
J. Yin, X. Jin, Z. Shan, et al., “Relationship of sleep duration with allcause mortality and cardiovascular events: A systematic review and dose-response meta-analysis of prospective cohort studies,” J. Am. Heart Assoc., 6, No. 9, 1–15 (2017).
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Mori, K., Yoshida, M., Tomita, K. et al. Sleep-Prolonging Effect of Memantine for Short Periods and Low Doses. Neurosci Behav Physi 51, 1027–1031 (2021). https://doi.org/10.1007/s11055-021-01161-8
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DOI: https://doi.org/10.1007/s11055-021-01161-8