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Sedative-hypnotics and human performance

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Abstract

In 52 studies, performance data were obtained the next day following bedtime ingestion of a sedative-hypnotic or a placebo. Only eight of these studies used insomniac patients. Most studies used young adult males. Benzodiazepine hypnotics were most frequently administered and psychomotor performance was most often measured. Little consistent data are available on cognitive functioning and more complex behavior. Durg-related improvement in performance was not found, and, in comparing active drug to placebo, it is clear that all hypnotics, at some doses, produce decrements in performance the next day. Higher doses consistently showed a decrement, and this decrement was usually persistent over the entire day. Although long-acting drugs generally showed more performance decrement, half-life data were not consistent.

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References

  • Adams RG (1974) Pre-sleep ingestion of two hypnotic drugs and subsequent performance. Psychopharmacologia 40:185–190

    Google Scholar 

  • Allnutt MF, O'Connor PJ (1971) Comparison of the encephalographic, behavioral and subjective correlates of natural and drug-induced sleep at atypical hours. Aerospace Med 42:1006–1010

    Google Scholar 

  • Bixler EO, Scharf MB, Soldatos CR, Mitsky DJ, Kales A (1979) Effects of hypnotic drugs on memory. Life Sci 25:1379–1388

    Google Scholar 

  • Bixler EO, Scharf MB, Leo LA, Kales A (1975) Hypnotic drugs and performance. A review of theoretical and methodological considerations. In: Kagan F, Harwood T, Rickels K, Rudzik AD, Sorer H (eds) Hypnotics: Methods of development and evaluation. Spectrum, New York, pp 175–196

    Google Scholar 

  • Bond AJ, Lader MH (1972) Residual effects of hypnotics. Psychopharmacologia 25:117–132

    Google Scholar 

  • Bond AJ, Lader MH (1973) The residual effects of flurazepam. Psychopharmacologia 32:223–235

    Google Scholar 

  • Bond AJ, Lader MH (1975) Residual effects of flunitrzepam. Br J Clin Pharmacol 2:143–150

    Google Scholar 

  • Borland RG, Nicholson AN (1974) Human performance after a barbiturate (heptabarbitone). Br J Clin Pharmacol 1:209–215

    Google Scholar 

  • Borland RG, Nicholson AN (1975) Comparison of the residual effects of two benzodiazepines (nitrazepam and flurazepam hydrochloride) and pentobarbitone sodium on human performance. Br J Clin Pharmacol 2:9–17

    Google Scholar 

  • Borland RG, Nicholson AN (1977) Residual effects of potassium clorazepate, a precursor of nordiazepam. Br J Clin Pharmacol 4:86–89

    Google Scholar 

  • Borland RG, Nicholson AN, Wright CM (1975) Behavioural sequelae of methaqualone in man and in the monkey (Macaca mulatta). Br J Clin Pharmacol 2:131–141

    Google Scholar 

  • Castleden CM, George CF, Marcer D, Hallett C (1977) Increased sensitivity to nitrazepam in old age. Br Med J 1:10–12

    Google Scholar 

  • Church MW, Johnson LC (1979) Mood and performance of poor sleepers during repeated use of flurazepam. Psychopharmacology 61:309–316

    Google Scholar 

  • Clarke CH, Nicholson AN (1978) Immediate and residual effects in man of the metabolites of diazepam. Br J Clin Pharmacol 6:325–331

    Google Scholar 

  • Gilman AG, Goodman LS, Gilman A (1980) The pharmacological basis of therapeutics. MacMillan, New York, p 1843

    Google Scholar 

  • Hablitz JJ, Borda RP (1973) The effects of Dalmane (flurazepam hydrochloride) on the contingent negative variation. Electroencephalogr Clin Neurophysiol (Suppl) 33:317–320

    Google Scholar 

  • Harper CR, Kidera GJ (1972) Aviator performance and the use of hypnotic drugs. Aerospace Med 43:197–199

    Google Scholar 

  • Hartman BO, McKenzie RE (1966) Hangover effects of secobarbital on simulated pilotage performance. Aerospace Med 39:1121–1124

    Google Scholar 

  • Hindmarch I (1976) A sub-chronic study of the subjective quality of sleep and psychological measures of performance on the morning following night time medication with temazepam. Arzneim Forsch 26:2113–2116

    Google Scholar 

  • Hindmarch I (1977) A repeated dose comparison of three benzodiazepine derivatives (nitrazepam, flurazepam and flunitrazepam) on subjective appraisals of sleep and measures of psychomotor performance the morning following night-time medication. Acta Psychiatr Scand 56:373–381

    Google Scholar 

  • Hindmarch I (1979a) Some aspects of the effects of clobazam on human psychomotor performance. Br J Clin Pharmacol 7:77S-82S

    Google Scholar 

  • Hindmarch I (1979b) Effects of hypnotic and sleep-inducing drugs on objective assessments of human psychomotor performance and subjective appraisals of sleep and early morning behaviour. Br J Clin Pharmacol 8:43S-46S

    Google Scholar 

  • Hindmarch I (1980) Psychomotor function and psychoactive drugs. Br J Clin Pharmacol 10:189–209

    Google Scholar 

  • Hindmarch I, Clyde CA (1980) The effects of triazolam and nitrazepam on sleep quality, morning vigilance and psychomotor performance. Arzneim Forsch 30:1163–1166

    Google Scholar 

  • Hindmarch I, Hanks GW, Hewett AJ (1977a) Clobazam, a 1,5-benzodiazepine, and car-driving ability. Br J Clin Pharmacol 4:573–578

    Google Scholar 

  • Hindmarch I, Parrott AC (1978) The effect of a sub-chronic administration of three dose levels of a 1,5-benzodiazepine derivative, clobazam, on subjective assessments of sleep and aspects of psychomotor performance the morning following night time medication. Arzneim Forsch 28:2169–2172

    Google Scholar 

  • Hindmarch I, Parrott AC (1979) The effects of repeated nocturnal doses of clobazam, dipotassium chlorazepate and placebo on subjective ratings of sleep and early morning behaviour and objective measures of arousal, psychomotor performance and anxiety. Br J Clin Pharmacol 8:325–329

    Google Scholar 

  • Hindmarch I, Parrott AC (1980a) The effects of combined sedative and anxiolytic preparations on subjective aspects of sleep and objective measures of arousal and performance the morning following nocturnal medication. I: Acute doses. Arzneim Forsch 30:1025–1028

    Google Scholar 

  • Hindmarch I, Parrott AC (1980b) The effects of combined sedative and anxiolytic preparations on subjective aspects of sleep and objective measure of arousal and performance the morning following nocturnal medication. II: Repeated doses. Arzneim Forsch 30:1167–1170

    Google Scholar 

  • Hindmarch I, Parrott AC, Arenillas L (1977b) A repeated dose comparison of dichloralphenazone, flunitrazepam and amylobarbitone sodium on some aspects of sleep and early morning behaviour in normal subjects. Br J Clin Pharmacol 4:229–233

    Google Scholar 

  • Hindmarch I, Parrott AC, Hickey BJ, Clyde CA (1980) An investigation into the effects of repeated doses of temazepam on aspects of sleep, early morning behaviour and psychomotor performance in normal subjects. Drugs Exp Clin Res 6:399–406

    Google Scholar 

  • Kaplan HL, Forney RB, Hughes FW, Richards AB (1968) Comparative effects in human subjects of three hypnotics and placebo on mental and motor performance. Arch Int Pharmacodyn Ther 174:181–191

    Google Scholar 

  • Kleinknecht RA, Donaldson D (1975) A review of the effects of diazepam on cognitive and psychomotor performance. J Nerv Ment Dis 161:399–411

    Google Scholar 

  • Kornetsky C, Vates TS, Kessler EK (1959) A comparison of hypnotic and residual psychological effects of single doses of chlorpromazine and secobarbital in man. J Pharmacol Exp Ther 127:51–54

    Google Scholar 

  • Lahtinen U, Lahtinen A, Pekkola P (1978) The effect of nitrazepam on manual skill, grip strength, and reaction time with special reference to subjective evaluation of effects on sleep. Acta Pharmacol Toxicol Scand (Copenh) 42:130–134

    Google Scholar 

  • Linnoila M, Erwin CW, Logue PE (1980) Efficacy and side effects of flurazepam and a combination of amobarbital and secobarbital in insomniac patients. J Clin Pharmacol 20:117–123

    Google Scholar 

  • Malpas A, Legg NJ, Scott DF (1974) Effects of hypnotics on anxious patients. Br J Psychiatry 124:482–484

    Google Scholar 

  • Malpas A, Rowan AJ, Joyce CRB, Scott DF (1970) Persistent behavioural and electroencephalographic changes after single doses of nitrazepam and amylobarbitone sodium. Br Med J 2:762–764

    Google Scholar 

  • McKenzie RW, Elliott LL (1965) Effects of secobarbital and d-amphetamine on performance during a simulated air mission. Aerospace Med 36:774–779

    Google Scholar 

  • McNair DM (1973) Antianxiety drugs and human performance. Arch Gen Psychiatry 29:611–617

    Google Scholar 

  • Nicholson AN, Stone BM (1980) Activity of the hypnotics, flunitrazepam and triazolam, in man. Br J Clin Pharmacol 9:187–194

    Google Scholar 

  • Nicholson AN (1981) The use of short- and long-acting hypnotics in clinical medicine. Br J Clin Pharmacol 11:61S-69S

    Google Scholar 

  • Oswald I, Adam K, Borrow S, Idzikowski C (1979) The effects of two hypnotics on sleep, subjective feelings and skilled performance. In: Passouant P, Oswald I (eds) Pharmacology of the states of alertness. Pergamon, New York, pp 51–63

    Google Scholar 

  • Peck AW, Adams R, Bye C, Wilkinson RT (1976) Residual effects of hypnotic drugs: Evidence for individual differences on vigilance. Psychopharmacology 47:213–216

    Google Scholar 

  • Peck AW, Bye CE, Claridge R (1977) Differences between light and sound sleepers in the residual effects of nitrazepam. Br J Clin Pharmacol 4:101–108

    Google Scholar 

  • Pishkin V, Lovallo WR, Fishkin SM, Shurley JT (1980) Residual effects of temazepam and other hypnotic compounds on cognitive function. J Clin Psychiatry 41:358–363

    Google Scholar 

  • Roth T, Hartse KM, Saab PG, Piccione PM, Kramer M (1980a) The effects of flurazepam, lorazepam, and triazolam on sleep and memory. Psychopharmacology 70:231–237

    Google Scholar 

  • Roth T, Hartse KM, Zorick FJ, Kaffeman ME (1980b) The differential effects of short- and long-acting benzodiazepines upon nocturnal sleep and daytime performance. Arzneim Forsch 30:891–894

    Google Scholar 

  • Roth T, Kramer M, Lutz T (1977) The effects of hypnotics on sleep, performance, and subjective state. Drugs Exp Clin Res 1:279–286

    Google Scholar 

  • Roth T, Piccione P, Salis P, Kramer M, Kaffeman M (1979) Effects of temazepam, flurazepam and quinalbarbitone on sleep: Psychomotor and cognitive function. Br J Clin Pharmacol 8:47S-54S

    Google Scholar 

  • Saario I, Linnoila M, Maki M (1975) Interaction of drugs with alcohol on human psychomotor skills related to driving: Effect of sleep deprivation or two weeks' treatment with hypnotics. J Clin Pharmacol 15:52–59

    Google Scholar 

  • Saario I, Linnoila M (1976) Effect of subacute treatment with hypnotics, alone or in combination with alcohol, on psychomotor skills related to driving. Acta Pharmacol Toxicol Scand (Copenh) 38:382–392

    Google Scholar 

  • Salkind MR, Silverstone T (1975) A clinical psychometric evaluation of flurazepam. Br J Clin Pharmacol 2:223–226

    Google Scholar 

  • Siegler PE, Winstin D, Nodine JH (1966) Common hypnotics and a psychomotor performance task. Curr Ther Res 8:215–219

    Google Scholar 

  • Solomon F (1979) Sleeping pills, insomnia and medical practice. Institute of Medicine. National Academy of Sciences, Washington, D.C.

    Google Scholar 

  • Spinweber CL, Johnson LC (1982) Effects of triazolam (0.5 mg) on sleep, performance, memory, and arousal threshold. Psychopharmacology (in press)

  • Tansella M, Zimmermann-Tansella C, Lader M (1974) The residual effects of N-desmethyldiazepam in patients. Psychopharmacologia 38:81–90

    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 GW, Barker K, Gibbons P, Thurmond A (1976) A comparison of the effects of flurazepam 30 mg and triazolam 0.5 mg on the sleep of insomniacs. Psychopharmacology 47:81–86

    Google Scholar 

  • Walters AJ, Lader MH (1971) Hangover effect of hypnotics in man. Nature 229:637–638

    Google Scholar 

  • Wickstrøm E, Giercksky KE (1980) Comparative study of zopiclone, a novel hypnotic, and three benzodiazepines. Eur J Clin Pharmacol 17:93–99

    Google Scholar 

  • Wittenborn JR (1979) Effects of benzodiazepines on psychomotor performance. Br J Clin Pharmacol 7:61S-67S

    Google Scholar 

  • Zimmermann-Tansella C, Tansella M, Lader M (1976) The effects of chlordesmethyldiazepam on behavioral performance and subjective judgment in normal subjects. J Clin Pharmacol 16:481–488

    Google Scholar 

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Johnson, L.C., Chernik, D.A. Sedative-hypnotics and human performance. Psychopharmacology 76, 101–113 (1982). https://doi.org/10.1007/BF00435262

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