The effects of fluoxetine on the polysomnogram of depressed outpatients: a pilot study.
The effects of fluoxetine (FLU) and its active metabolite, norfluoxetine (NFLU), on the polysomnogram (PSG) of nine depressed outpatients (eight with major depression; one with bipolar II, depressed phase disorder) were investigated by contrasting PSG values prior to treatment and during administration of FLU. The PSG changes were correlated with daily dose, cumulative dosage, single serum concentrations, and the total area under the serum concentration curve (AUC) of both FLU and NFLU. Fluoxetine clearly increased both stage 1 sleep time and rapid-eye-movement (REM) latency and decreased both percent REM and REM density. With a few exceptions, the cumulative dosage of FLU and the AUC of FLU and NFLU were better predictors of the changes in awake and movement time in the PSG than single-sample concentrations of FLU and NFLU taken at the time of PSG assessment.
Hendrickse
W A
WA
Mental Health Clinical Research Center, University of Texas Southwestern Medical Center, Dallas.
Roffwarg
H P
HP
Grannemann
B D
BD
Orsulak
P J
PJ
Armitage
R
R
Cain
J W
JW
Battaglia
J
J
Debus
J R
JR
Rush
A J
AJ
D000328:Adult; D003866:Depressive Disorder / Q000188:drug therapy / Q000503:physiopathology*; D005260:Female; D005473:Fluoxetine / Q000031:analogs & derivatives / Q000494:pharmacology* / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D017286:Polysomnography / Q000187:drug effects*; D011930:Reaction Time / Q000187:drug effects / Q000502:physiology; D012890:Sleep / Q000187:drug effects / Q000502:physiology
D005473:Fluoxetine; C036139:norfluoxetine