Page last updated: 2024-11-05

trazodone and Sleep Apnea, Obstructive

trazodone has been researched along with Sleep Apnea, Obstructive in 8 studies

Trazodone: A serotonin uptake inhibitor that is used as an antidepressive agent. It has been shown to be effective in patients with major depressive disorders and other subsets of depressive disorders. It is generally more useful in depressive disorders associated with insomnia and anxiety. This drug does not aggravate psychotic symptoms in patients with schizophrenia or schizoaffective disorders. (From AMA Drug Evaluations Annual, 1994, p309)
trazodone : An N-arylpiperazine in which one nitrogen is substituted by a 3-chlorophenyl group, while the other is substituted by a 3-(3-oxo[1,2,4]triazolo[4,3-a]pyridin-2(3H)-yl)propyl 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
"Obstructive sleep apnea with comorbid ischemic stroke may be a distinctive phenotype which responds quite well to trazodone, decreasing OSA severity without increasing nocturnal hypoxia."9.41Trazodone improves obstructive sleep apnea after ischemic stroke: a randomized, double-blind, placebo-controlled, crossover pilot study. ( Chen, CL; Chen, CY; Yu, CC, 2021)
"Obstructive sleep apnea (OSA) is a highly prevalent type of sleep-disordered breathing, which is often comorbid with affective disorders such as anxiety."5.91Successful treatment of auto-trilevel positive airway pressure plus trazodone for obstructive sleep apnea complicated by anxiety disorder: a case report. ( He, X; Lang, Q; Pei, ZM; Yan, HY, 2023)
"Obstructive sleep apnea with comorbid ischemic stroke may be a distinctive phenotype which responds quite well to trazodone, decreasing OSA severity without increasing nocturnal hypoxia."5.41Trazodone improves obstructive sleep apnea after ischemic stroke: a randomized, double-blind, placebo-controlled, crossover pilot study. ( Chen, CL; Chen, CY; Yu, CC, 2021)
" Pitolisant, a novel histamine-3 receptor antagonist/inverse agonist, gained approval for the treatment of excessive daytime sleepiness in adults with narcolepsy as well as obstructive sleep apnea."5.05New pharmacologic agents for insomnia and hypersomnia. ( Earl, DC; Van Tyle, KM, 2020)
"Trazodone may increase arousal threshold without compromising upper airway muscles, which should improve OSA."2.80Trazodone Effects on Obstructive Sleep Apnea and Non-REM Arousal Threshold. ( Deyoung, PN; Edwards, BA; Malhotra, A; McSharry, DG; Orr, JE; Owens, R; Smales, ET; Velasquez, A; Wellman, A, 2015)
"Obstructive sleep apnea (OSA) is a highly prevalent type of sleep-disordered breathing, which is often comorbid with affective disorders such as anxiety."1.91Successful treatment of auto-trilevel positive airway pressure plus trazodone for obstructive sleep apnea complicated by anxiety disorder: a case report. ( He, X; Lang, Q; Pei, ZM; Yan, HY, 2023)
"Obstructive sleep apnea hypopnea syndrome (OSAHS) is a prevalent disorder, for which there are no universally effective pharmacotherapeutics."1.30The effects of trazodone with L-tryptophan on sleep-disordered breathing in the English bulldog. ( Fenik, P; Hendricks, JC; Pack, AI; Panckeri, K; Veasey, SC, 1999)

Research

Studies (8)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's1 (12.50)18.2507
2000's1 (12.50)29.6817
2010's3 (37.50)24.3611
2020's3 (37.50)2.80

Authors

AuthorsStudies
He, X1
Lang, Q1
Pei, ZM1
Yan, HY1
Earl, DC1
Van Tyle, KM1
Chen, CY1
Chen, CL1
Yu, CC1
Eckert, DJ1
Malhotra, A3
Wellman, A2
White, DP2
Smales, ET1
Edwards, BA1
Deyoung, PN1
McSharry, DG1
Velasquez, A1
Owens, R1
Orr, JE1
Brownlow, JA1
Harb, GC1
Ross, RJ1
Heinzer, RC1
Jordan, AS1
Lo, YL1
Dover, L1
Stevenson, K1
Veasey, SC1
Fenik, P1
Panckeri, K1
Pack, AI1
Hendricks, JC1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
The Effect of Trazodone on the Severity of Obstructive Sleep Apnea in Insomnic Stroke Patients With Depression[NCT04162743]Phase 422 participants (Actual)Interventional2019-02-01Completed
The Effects of Trazodone on the Severity of Obstructive Sleep Apnea[NCT01817907]15 participants (Actual)Interventional2013-03-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Apnea-Hypopnea Index

The Apnea-Hypopnea Index (AHI) is an index of sleep apnea severity that encompasses the frequency of apneas (cessations in breathing) and hypopneas (reductions in airflow). (NCT01817907)
Timeframe: Participants will be assessed on 2 nights over an average period of 2 weeks.

Interventionevents/hour (Mean)
Placebo38.7
Trazodone28.5

Arousal Threshold (cmH2O)

Subjects will have an epiglottic pressure catheter placed during their sleep studies. We will use the swing in the epiglottic pressure trace just prior to arousal to calculate the respiratory drive stimulus that is associated with an a respiratory induced arousal. (NCT01817907)
Timeframe: Participants will be assessed on 2 nights over an average period of 2 weeks.

InterventioncmH2O (Mean)
Placebo-19.3
Trazodone-20.3

Reviews

2 reviews available for trazodone and Sleep Apnea, Obstructive

ArticleYear
New pharmacologic agents for insomnia and hypersomnia.
    Current opinion in pulmonary medicine, 2020, Volume: 26, Issue:6

    Topics: Azepines; Carbamates; Dementia; Disorders of Excessive Somnolence; GABA-A Receptor Agonists; Humans;

2020
Treatment of Sleep Disturbances in Post-Traumatic Stress Disorder: A Review of the Literature.
    Current psychiatry reports, 2015, Volume: 17, Issue:6

    Topics: Antipsychotic Agents; Cognitive Behavioral Therapy; Dreams; Eye Movement Desensitization Reprocessin

2015

Trials

4 trials available for trazodone and Sleep Apnea, Obstructive

ArticleYear
Trazodone improves obstructive sleep apnea after ischemic stroke: a randomized, double-blind, placebo-controlled, crossover pilot study.
    Journal of neurology, 2021, Volume: 268, Issue:8

    Topics: Aged; Blood Pressure Monitoring, Ambulatory; Brain Ischemia; Cross-Over Studies; Double-Blind Method

2021
Trazodone increases the respiratory arousal threshold in patients with obstructive sleep apnea and a low arousal threshold.
    Sleep, 2014, Apr-01, Volume: 37, Issue:4

    Topics: Adult; Arousal; Continuous Positive Airway Pressure; Cross-Over Studies; Female; Humans; Hypnotics a

2014
Trazodone Effects on Obstructive Sleep Apnea and Non-REM Arousal Threshold.
    Annals of the American Thoracic Society, 2015, Volume: 12, Issue:5

    Topics: Adult; Aged; Antidepressive Agents, Second-Generation; Continuous Positive Airway Pressure; Cross-Ov

2015
Trazodone increases arousal threshold in obstructive sleep apnoea.
    The European respiratory journal, 2008, Volume: 31, Issue:6

    Topics: Adult; Arousal; Female; Humans; Male; Middle Aged; Polysomnography; Sleep Apnea, Obstructive; Sleep

2008

Other Studies

2 other studies available for trazodone and Sleep Apnea, Obstructive

ArticleYear
Successful treatment of auto-trilevel positive airway pressure plus trazodone for obstructive sleep apnea complicated by anxiety disorder: a case report.
    The Journal of international medical research, 2023, Volume: 51, Issue:8

    Topics: Anxiety; Anxiety Disorders; Female; Humans; Middle Aged; Sleep Apnea Syndromes; Sleep Apnea, Obstruc

2023
The effects of trazodone with L-tryptophan on sleep-disordered breathing in the English bulldog.
    American journal of respiratory and critical care medicine, 1999, Volume: 160, Issue:5 Pt 1

    Topics: Animals; Dogs; Dose-Response Relationship, Drug; Drug Therapy, Combination; Polysomnography; Respira

1999