Drugs for insomnia beyond benzodiazepines: pharmacology, clinical applications, and discovery

T Atkin, S Comai, G Gobbi - Pharmacological reviews, 2018 - ASPET
Although the GABAergic benzodiazepines (BZDs) and Z-drugs (zolpidem, zopiclone, and
zaleplon) are FDA-approved for insomnia disorders with a strong evidence base, they have …

[HTML][HTML] Benzodiazepines, Z-drugs and the risk of hip fracture: A systematic review and meta-analysis

K Donnelly, R Bracchi, J Hewitt, PA Routledge… - PloS one, 2017 - journals.plos.org
Background Hip fractures in the older person lead to an increased risk of mortality, poorer
quality of life and increased morbidity. Benzodiazepine (BNZ) use is associated with …

An insight into Z-drug abuse and dependence: an examination of reports to the European medicines agency database of suspected adverse drug reactions

F Schifano, S Chiappini, JM Corkery… - International Journal of …, 2019 - academic.oup.com
Background Although originally marketed as safe alternatives to the habit-forming
benzodiazepines, growing numbers of zaleplon, zolpidem, and zopiclone (“Z-drugs”) clinical …

[HTML][HTML] Insomnia: pharmacologic therapy

E Matheson, BL Hainer - American family physician, 2017 - aafp.org
Insomnia accounts for more than 5.5 million visits to family physicians each year. Although
behavioral interventions are the mainstay of treatment, pharmacologic therapy may be …

[HTML][HTML] Understanding the mechanism of action and clinical effects of neuroactive steroids and GABAergic compounds in major depressive disorder

AJ Cutler, GW Mattingly, V Maletic - Translational Psychiatry, 2023 - nature.com
The pathophysiology of major depressive disorder (MDD) is thought to result from impaired
connectivity between key brain networks. Gamma-aminobutyric acid (GABA) is the key …

Herbal medicine for insomnia: a systematic review and meta-analysis

MJ Leach, AT Page - Sleep medicine reviews, 2015 - Elsevier
Insomnia is a prevalent sleep disorder that can profoundly impact a person's health and
wellbeing. Herbal medicine represents one of the most frequently used complementary and …

The orexin story and orexin receptor antagonists for the treatment of insomnia

C Muehlan, C Roch, C Vaillant… - Journal of Sleep …, 2023 - Wiley Online Library
Insomnia is present in up to one third of the adult population worldwide, and it can present
independently or with other medical conditions such as mental, metabolic, or cardiovascular …

Benzodiazepines and related sedatives

L Peng, KL Morford, XA Levander - Medical Clinics, 2022 - medical.theclinics.com
The first hypnotic barbiturate, barbital, was introduced into clinical practice in 1903, followed
by phenobarbital in 1912. 1 In subsequent years, multiple barbiturates were synthesized …

In the Zzz zone: the effects of Z-drugs on human performance and driving

N Gunja - Journal of Medical Toxicology, 2013 - Springer
Despite their improved pharmacokinetic profile, the Z-drugs, zolpidem, zopiclone, and
zaleplon, have a spectrum of adverse effects comparable to benzodiazepines. This review …

Effects of hypnotics on obstructive sleep apnea endotypes and severity: novel insights into pathophysiology and treatment

SG Carter, DJ Eckert - Sleep medicine reviews, 2021 - Elsevier
Impaired upper airway anatomy is the main cause of obstructive sleep apnea (OSA).
However, there are other important non-anatomical contributors or “endotypes” including …