Skip to main content
Log in

Effects of triazolam on heart rate level and on phasic cardiac response to noise during sleep

  • Original Investigations
  • Published:
Psychopharmacology Aims and scope Submit manuscript

Abstract

The influence of triazolam on cardiac and respiratory activity of healthy male subjects was examined during nights disturbed by airplane noises and during undisturbed nights. Twenty-four subjects, divided into three groups of eight, slept in the laboratory for 7 nights (N0–N6). Following a double blind design, group A (control group) received a placebo every night. Group B received 0.25 mg triazolam and group C received 0.5 mg on nights N3, N4 and N5. On the other nights, they received a placebo. For all three groups, the nights N0, N3 and N5 were disturbed by 32 semi-randomly distributed airplane noises. Air and wall temperatures (20° C) and air humidity (10° C, 52%) were kept constant. Sleep measures, heart rate and respiratory rate were continuously recorded. Results showed that the largest dose of hypnotic drug produced an increase in tonic heart rate in the first part of each night throughout the treatment period (N3, N4, N5). When compared to baseline disturbed night N0, the phasic cardiac response to the noises was significantly attenuated on only the 1st treatment night (N3). Triazolam had no significant effect on nocturnal respiratory rate. No after-effects of the drug were observed for cardiac and respiratory activity on the withdrawal night (N6). The results suggest that, with regard to the drug action, there was either an increase in arousal threshold or a dissociation between long-lasting and short-lasting modifications of heart rate. Contrary to the single night attenuation of phasic cardiac responses, there was no drug tolerance for the hypnotic-related increase in tonic heart rate.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Allen GD, Everett GB, Butler LA (1976) Human cardiorespiratory and analgesic effects of intravenous diazepam and local anaesthesia. J Am Dent Assoc 92:744–747

    Google Scholar 

  • Baust W, Bohnert B (1969) The regulation of heart rate during sleep. Exp Brain Res 7:169–180

    Google Scholar 

  • Benke A, Balogh A, Reich-Hilscher B (1975) The effects of flunitrazepam (Rohypnol) on respiration. Wien Klin Wochenschr 87:656–658

    Google Scholar 

  • Bolme P, Fuxe K (1977) Possible involvement of GABA-mechanisms in central cardiovascular and respiratory control. Studies on the interaction between diazepam, picrotoxin and cloridine. Med Biol 55:301–309

    Google Scholar 

  • Braestrup C, Albrechtsen R, Squires RF (1977) High densities of benzodiazepine receptors in human cortical areas. Nature 269:702–704

    Google Scholar 

  • Cote P, Noble J, Bourassa MG (1976) Systemic vasodilatation following diazepam after combined sympathetic and parasympathetic blockade in patients with coronary heart disease. Cathet Cardiovasc Diagn 2:369–380

    Google Scholar 

  • Elliot HW, Navarro G, Kokka N, Nomof N (1975) Early phase I evaluation of sedatives, hypnotics or minor tranquilizers. In: Kagan F, Harwood T, Rickels K, Rudzik AD, Sorer M (eds) Hypnotics, methods of development and evaluation. Spectrum, New York, pp 87–105

    Google Scholar 

  • Eysenck HJ, Eysenck SBG (1971) Manuel Inventaire de Personnalité d'Eysenck (E.P.I.). Traduction et adaptation par Ganasia K, éditions du Centre de Psychologie Appliquée, Paris

    Google Scholar 

  • Gaddie J, Legge JS, Palmer KNV, Petrie JC, Wood RA (1972) Effects of nitrazepam in chronic obstructive bronchitis. Br Med J [Clin Res] 2:688–689

    CAS  PubMed  Google Scholar 

  • Gaillard JM, Schulz P, Tissot R (1973) Effects of three benzodiazepines (nitrazepam, flunitrazepam and bromazepam) on sleep of normal subjects, studied with an automatic sleep-scoring system. Pharmacopsychiatry 6:207–217

    Google Scholar 

  • Geisser S, Greenhouse SW (1958) An extension of Bor's results on the use of the F distribution in multivariate analysis. Ann Math Stat 29:885–891

    Google Scholar 

  • Gerold M, Cavero I, Riggenbach H, Wall M, Haeusler G (1976) Analysis of cardiac chronotopic responses to diazepam and bromazepam in conscious trained dogs. Eur J Pharmacol 35:361–364

    Google Scholar 

  • Horne JA, Ostberg O (1976) A self assessment questionnaire to determine morningness-eveningness in human circadian rhythm. Int J Chronobiol 4:97–110

    Google Scholar 

  • Johnson LC, Spinweber CL, Webb SC, Muzet AG (1987) Dose level effects of triazolam on sleep and response to a smoke detector alarm. Psychopharmacology 91:397–402

    Google Scholar 

  • Kales A, Kales JD, Bixler EO, Scharf MB, Russek E (1976) Hypnotic efficacy of triazolam: sleep laboratory evaluation of intermediate-term effectiveness. J Clin Pharmacol 16:399–406

    Google Scholar 

  • Kales A, Scharf MB, Kales JD, Soldatos CR (1979) Rebound insomnia. A potential hazard following withdrawal of certain benzodiazepines. JAMA 241:1692–1695

    Google Scholar 

  • Keefe FB, Johnson LC, Hunter EJ (1971) EEG and autonomic response pattern during waking and sleep stages. Psychophysiology 8:198–212

    Google Scholar 

  • Knipschild P (1977) Medical effects of aircraft noise. Int Arch Occup Environ Health 40:185–204

    Google Scholar 

  • Lambert J, Simonnet F, Vallet M (1980) Comportement dans l'habitat soumis au bruit. Rapport Institut de Recherche des Transports, Lyon, no 47

    Google Scholar 

  • Lang PJ, Hnatiow M (1962) Stimulus repetition and the heart rate response. J Comp Physiol Psychol 55:781–785

    Google Scholar 

  • Matthew H, Proudfoot A, Aitken RCB, Raeburn JA, Wright N (1969) Nitrazepam. A safe hypnotic. Br Med J [Clin Res] 3:23–25

    Google Scholar 

  • Model DG, Berry DJ (1974) Effects of chlordiazepoxide in respiratory failure due to chronic bronchitis. Lancet II:869–870

    Google Scholar 

  • Muzet A, Ehrhart J (1978) Amplitude des modifications cardiovasculaires provoquées par le bruit au cours du sommeil. Cœur Méd Interne 17:49–56

    Google Scholar 

  • Muzet A, Ehrhart J, Eschenlauer R, Lienhard JP (1980) Habituation and age differences of cardiovascular responses to noise during sleep. In: Sleep 1980, 5th European Congress of Sleep Research. Karger, Basel, pp 212–215

    Google Scholar 

  • Muzet A, Johnson LC, Spinweber CL (1982) Benzodiazepine hypnotics increase heart rate during sleep. Sleep 5:256–261

    Google Scholar 

  • Rao S, Sherbaniuk RW, Prasad K, Lee SJK, Sproule BJ (1973) Cardiopulmonary effects of diazepam. Clin Pharmacol Ther 14:182–189

    Google Scholar 

  • Rechtschaffen A, Kales A (1968) A manual of standardized terminology, techniques and scoring system for sleep stages of human subjects. Washington DC: US Government Printing Office (Public Health Service)

    Google Scholar 

  • Rozonov IUB (1976) Cardiovascular effects of diazepam and chlordiazepoxide in experiments of non narcotized animals. Farmacol Toksikol 39:163–167

    Google Scholar 

  • Rudolf M, Geddes DM, Turner JA, Saunders KB (1978) Depression of central respiratory drive by nitrazepam. Thorax 33:97–100

    Google Scholar 

  • Vasey MW, Thayer JF (1987) The continuing problem of false positives in repeated measures ANOVA in psychophysiology: a multivariate solution. Psychophysiology 24:479–486

    Google Scholar 

  • Veldkamp W, Straw RN, Metzler CM, Demissianos HV (1974) Efficacy and residual effect evaluation of a new hypnotic, triazolam. J Clin Pharmacol 14:102–111

    Google Scholar 

  • Vogel G, Thurmond A, Gibbons P, Edwards K, Sloan KB, Sexton K (1975) The effect of triazolam on the sleep of insomniacs. Psychopharmacologia 41:65–69

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Libert, J.P., Amoros, C., Muzet, A. et al. Effects of triazolam on heart rate level and on phasic cardiac response to noise during sleep. Psychopharmacology 96, 188–193 (1988). https://doi.org/10.1007/BF00177559

Download citation

  • Received:

  • Revised:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00177559

Key words

Navigation