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donepezil and Sleep Apnea, Obstructive

donepezil has been researched along with Sleep Apnea, Obstructive in 4 studies

Donepezil: An indan and piperidine derivative that acts as a selective and reversible inhibitor of ACETYLCHOLINESTERASE. Donepezil is highly selective for the central nervous system and is used in the management of mild to moderate DEMENTIA in ALZHEIMER DISEASE.
donepezil : A racemate comprising equimolar amounts of (R)- and (S)-donepezil. A centrally acting reversible acetylcholinesterase inhibitor, its main therapeutic use is in the treatment of Alzheimer's disease where it is used to increase cortical acetylcholine.
2-[(1-benzylpiperidin-4-yl)methyl]-5,6-dimethoxyindan-1-one : A member of the class of indanones that is 5,6-dimethoxyindan-1-one which is substituted at position 2 by an (N-benzylpiperidin-4-yl)methyl group.

Sleep Apnea, Obstructive: A disorder characterized by recurrent apneas during sleep despite persistent respiratory efforts. It is due to upper airway obstruction. The respiratory pauses may induce HYPERCAPNIA or HYPOXIA. Cardiac arrhythmias and elevation of systemic and pulmonary arterial pressures may occur. Frequent partial arousals occur throughout sleep, resulting in relative SLEEP DEPRIVATION and daytime tiredness. Associated conditions include OBESITY; ACROMEGALY; MYXEDEMA; micrognathia; MYOTONIC DYSTROPHY; adenotonsilar dystrophy; and NEUROMUSCULAR DISEASES. (From Adams et al., Principles of Neurology, 6th ed, p395)

Research Excerpts

ExcerptRelevanceReference
" Twenty-three patients with mild-to-moderate Alzheimer disease and apnea-hypopnea index (AHI) > 5/h were allocated to two groups: donepezil treated (n = 11) and placebo treated (n = 12)."9.13Donepezil improves obstructive sleep apnea in Alzheimer disease: a double-blind, placebo-controlled study. ( Guilleminault, C; Moraes, W; Poyares, D; Sukys-Claudino, L; Tufik, S, 2008)
" Twenty-three patients with mild-to-moderate Alzheimer disease and apnea-hypopnea index (AHI) > 5/h were allocated to two groups: donepezil treated (n = 11) and placebo treated (n = 12)."5.13Donepezil improves obstructive sleep apnea in Alzheimer disease: a double-blind, placebo-controlled study. ( Guilleminault, C; Moraes, W; Poyares, D; Sukys-Claudino, L; Tufik, S, 2008)
"Donepezil treatment improved obstructive sleep apnea index, oxygen saturation, and sleepiness in parallel with a reduction in sleep efficiency."2.77Beneficial effect of donepezil on obstructive sleep apnea: a double-blind, placebo-controlled clinical trial. ( Guilleminault, C; Moraes, W; Poyares, D; Sukys-Claudino, L; Tufik, S, 2012)

Research

Studies (4)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's1 (25.00)29.6817
2010's3 (75.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Hunchaisri, N1
Chalermsuwiwattanakan, W1
Li, Y1
Owens, RL1
Sands, S1
Orr, J1
Moraes, W3
DeYoung, P1
Smales, E1
Jen, R1
Malhotra, A1
Sukys-Claudino, L2
Guilleminault, C2
Tufik, S2
Poyares, D2

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
The Impact of Arousal Threshold in Obstructive Sleep Apnea: Donepezil's Effects on the Arousal Threshold and on the Apnea Hypopnea Index[NCT02264353]Phase 444 participants (Actual)Interventional2014-09-30Completed
Donepezil Treatment for Sleep Apnea Patients: A Double Blind Placebo-Controlled Study[NCT00912457]Phase 460 participants (Anticipated)Interventional2007-03-31Recruiting
The Effect of Anticholinesterase Drugs on Sleep in Alzheimer's Disease Patients[NCT00480870]Phase 465 participants (Actual)Interventional1999-04-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Apnea Hypopnea Index (AHI)

The Apnea-Hypopnea Index or Apnoea-Hypopnoea Index (AHI) is an index used to indicate the severity of sleep apnea. It is represented by the number of apnea and hypopnea events per hour of sleep. The apneas (pauses in breathing) must last for at least 10 seconds and be associated with a decrease in blood oxygenation. A higher AHI value indicates more severe sleep apnea (NCT02264353)
Timeframe: 14 days (during overnight sleep study after donepezil or placebo is given)

Interventionevents/hour (Mean)
Donepezil50.0
Placebo51.8

Loop Gain

The sensitivity of the ventilatory control system (loop gain) was quantified by fitting a simplified mathematical model to the spontaneous ventilatory pattern of obstructive sleep apnea (OSA). The sensitivity of the ventilatory control system (loop gain) was quantified by fitting a simplified mathematical model to the spontaneous ventilatory pattern of OSA 21. Loop gain is reflected in the size of the ventilatory overshoot following a ventilatory perturbation (hypopnea/apnea), where loop gain = response/disturbance. Ventilatory fluctuations are estimated using the square-root transformed nasal pressure waveform. Loop gain was reported as the ventilatory response to a 1 cycle/min disturbance (LG1); a value of LGn>1 yields periodic central apnea. Calculations were performed using MATLAB (NCT02264353)
Timeframe: 14 days (during overnight sleep study after donepezil or placebo is given)

InterventionUnitless (Mean)
Donepezil0.55
Placebo0.58

Respiratory Arousal Threshold

Arousal Threshold was measured as the average nadir epiglottic airway pressure immediately before electroencephalogram (EEG) arousal. It was measured with an epiglottic pressure catheter. The epiglottic catheter/balloon is linked in a pressure catheter inserted through the de-congested, anesthetized nostril and the tip of the catheter located at hypopharyngeal area. (NCT02264353)
Timeframe: 14 days (during overnight sleep study after donepezil or placebo is given)

Interventioncm H20 (Mean)
Donepezil-18.0
Placebo-18.9

Trials

4 trials available for donepezil and Sleep Apnea, Obstructive

ArticleYear
Efficacy of Donepezil in the Treatment of Obstructive Sleep Apnea: A Placebo-Controlled Trial.
    Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2016, Volume: 99 Suppl 8

    Topics: Adult; Aged; Cholinesterase Inhibitors; Donepezil; Female; Humans; Indans; Male; Middle Aged; Piperi

2016
The Effect of Donepezil on Arousal Threshold and Apnea-Hypopnea Index. A Randomized, Double-Blind, Cross-Over Study.
    Annals of the American Thoracic Society, 2016, Volume: 13, Issue:11

    Topics: Adult; Arousal; California; Cholinesterase Inhibitors; Cross-Over Studies; Donepezil; Double-Blind M

2016
Beneficial effect of donepezil on obstructive sleep apnea: a double-blind, placebo-controlled clinical trial.
    Sleep medicine, 2012, Volume: 13, Issue:3

    Topics: Adult; Aged; Cholinesterase Inhibitors; Donepezil; Double-Blind Method; Humans; Indans; Male; Middle

2012
Donepezil improves obstructive sleep apnea in Alzheimer disease: a double-blind, placebo-controlled study.
    Chest, 2008, Volume: 133, Issue:3

    Topics: Aged; Aged, 80 and over; Alzheimer Disease; Donepezil; Double-Blind Method; Female; Follow-Up Studie

2008