Page last updated: 2024-11-05

zolpidem and Depression

zolpidem has been researched along with Depression in 25 studies

Zolpidem: An imidazopyridine derivative and short-acting GABA-A receptor agonist that is used for the treatment of INSOMNIA.
zolpidem : An imidazo[1,2-a]pyridine compound having a 4-tolyl group at the 2-position, an N,N-dimethylcarbamoylmethyl group at the 3-position and a methyl substituent at the 6-position.

Depression: Depressive states usually of moderate intensity in contrast with MAJOR DEPRESSIVE DISORDER present in neurotic and psychotic disorders.

Research Excerpts

ExcerptRelevanceReference
"To compare the effects of paroxetine with or without zolpidem on depression with insomnia."9.12[Effects of paroxetine with or without zolpidem on depression with insomnia: a multi-center randomized comparative study]. ( Chen, ZQ; Ji, JL; Liu, WJ; Mei, QY; Pan, JY; Tao, M; Wang, YP; Wei, J; Zhang, N; Zhao, ZX; Zheng, AL, 2007)
"These cases, plus prior case reports, suggest that a pharmacodynamic interaction between serotonin reuptake inhibition and zolpidem may lead to prolonged zolpidem-associated hallucinations in susceptible individuals."8.80Zolpidem-associated hallucinations and serotonin reuptake inhibition: a possible interaction. ( Burgess, JL; Elko, CJ; Robertson, WO, 1998)
"The REST-IT study found the addition of zolpidem-controlled release (CR) provided a significant reduction in observer-rated measurement of suicidal ideation (the Columbia Suicide Severity Rating Scale) in 103 depressed outpatients with insomnia and suicidal ideation, but without significant change in a self-report measure of suicidal ideation (the Scale for Suicide Ideation)."8.31The effect of zolpidem-CR on the suicide item of the Hamilton Rating Scale for Depression in outpatients with depression, insomnia and suicidal ideation: Lessons learned. ( Benca, RM; Dzurny, TN; Krystal, AD; Looney, SW; McCall, WV; McCloud, LL; Mercado, K; Rosenquist, PB, 2023)
"A retrospective cohort study was conducted using IBM MarketScan Commercial and Medicare Supplemental Databases to identify adults with: (1) ≥1 ICD-9/ICD-10 code for depression; (2) ≥1 commonly prescribed medication for insomnia (zolpidem immediate release [IR], zolpidem extended release [ER], trazodone, or benzodiazepines); and (3) ≥12 months of eligibility before and after initiating insomnia medication."8.12Incremental health care resource use and costs among adult patients with depression and treated for insomnia with zolpidem, trazodone, or benzodiazepines. ( Amari, DT; Frech, F; Gor, D; Juday, TR; Malhotra, M; Wickwire, EM, 2022)
"To investigate the association between zolpidem prescription and suicide attempts in people with depression."7.96Risks of suicide attempts after prescription of zolpidem in people with depression: a nationwide population study in South Korea. ( Choi, KW; Fava, M; Jeon, HJ; Kim, H; Kim, Y; Lee, H; Lee, U; Mischoulon, D; Myung, W; Na, EJ; Shin, MH, 2020)
"We examined the association of insomnia, eveningness, seasonality, and rhythmicity with suicidal ideation in 103 participants with depression, insomnia, and suicidality within a larger 8-week double-blinded randomized control trial primarily examining whether cautious use of zolpidem extended-release or placebo reduced suicidal ideation."5.34An exploratory analysis of the association of circadian rhythm dysregulation and insomnia with suicidal ideation over the course of treatment in individuals with depression, insomnia, and suicidal ideation. ( Benca, RM; Dickson, DA; Krystal, AD; McCall, WV; Rosenquist, PB; Rumble, ME, 2020)
" Participants were 160 individuals with chronic insomnia who received CBT alone or CBT plus medication (zolpidem) for an initial six-week therapy, followed by an extended six-month therapy."5.22Cognitive-behavior therapy singly and combined with medication for persistent insomnia: Impact on psychological and daytime functioning. ( Beaulieu-Bonneau, S; Bélanger, L; Guay, B; Ivers, H; Mérette, C; Morin, CM; Sánchez Ortuño, M; Savard, J; Vallières, A, 2016)
"To compare the effects of paroxetine with or without zolpidem on depression with insomnia."5.12[Effects of paroxetine with or without zolpidem on depression with insomnia: a multi-center randomized comparative study]. ( Chen, ZQ; Ji, JL; Liu, WJ; Mei, QY; Pan, JY; Tao, M; Wang, YP; Wei, J; Zhang, N; Zhao, ZX; Zheng, AL, 2007)
"These cases, plus prior case reports, suggest that a pharmacodynamic interaction between serotonin reuptake inhibition and zolpidem may lead to prolonged zolpidem-associated hallucinations in susceptible individuals."4.80Zolpidem-associated hallucinations and serotonin reuptake inhibition: a possible interaction. ( Burgess, JL; Elko, CJ; Robertson, WO, 1998)
"The REST-IT study found the addition of zolpidem-controlled release (CR) provided a significant reduction in observer-rated measurement of suicidal ideation (the Columbia Suicide Severity Rating Scale) in 103 depressed outpatients with insomnia and suicidal ideation, but without significant change in a self-report measure of suicidal ideation (the Scale for Suicide Ideation)."4.31The effect of zolpidem-CR on the suicide item of the Hamilton Rating Scale for Depression in outpatients with depression, insomnia and suicidal ideation: Lessons learned. ( Benca, RM; Dzurny, TN; Krystal, AD; Looney, SW; McCall, WV; McCloud, LL; Mercado, K; Rosenquist, PB, 2023)
"A retrospective cohort study was conducted using IBM MarketScan Commercial and Medicare Supplemental Databases to identify adults with: (1) ≥1 ICD-9/ICD-10 code for depression; (2) ≥1 commonly prescribed medication for insomnia (zolpidem immediate release [IR], zolpidem extended release [ER], trazodone, or benzodiazepines); and (3) ≥12 months of eligibility before and after initiating insomnia medication."4.12Incremental health care resource use and costs among adult patients with depression and treated for insomnia with zolpidem, trazodone, or benzodiazepines. ( Amari, DT; Frech, F; Gor, D; Juday, TR; Malhotra, M; Wickwire, EM, 2022)
" Retrospectively, both subjects suffered from psychiatric disorders and in case 2, the subject was treated for depression with doxepin."3.81Sleep self-intoxication and sleep driving as rare zolpidem-induced complex behaviour. ( Paulke, A; Toennes, SW; Wunder, C, 2015)
"Zolpidem use might unmask preclinical Parkinson's disease, especially in patients with depression."3.81Risk of Parkinson's disease following zolpidem use: a retrospective, population-based cohort study. ( Huang, HC; Kao, CH; Lin, KH; Lu, MK; Muo, CH; Sung, FC; Tsai, CH, 2015)
"A 47-year-old white man with a history of bipolar disorder was being maintained on citalopram 40 mg once daily and zolpidem 5 mg at bedtime."3.72Somnambulism due to probable interaction of valproic acid and zolpidem. ( Bhatia, SC; Petty, F; Ramaswamy, S; Sattar, SP, 2003)
"Zolpidem (Ambien), a relatively new nonbenzodiazepine sedative-hypnotic, was involved in the death of a 39-year-old obese male who was being treated for depression and insomnia."3.69Zolpidem tissue concentrations in a multiple drug related death involving Ambien. ( Benson, PA; Macapagal, EC; Meeker, JE; Som, CW, 1995)
"Past modafinil use was reported by 2."2.74Modafinil and zolpidem use by emergency medicine residents. ( Ankel, FK; Asplin, BR; Flottemesch, TJ; Ling, LJ; Mason, EJ; McBeth, BD; McNamara, RM, 2009)
"Zolpidem was well tolerated with no withdrawal symptoms during the second 7-day placebo treatment period."2.67A double-blind, comparative study of zolpidem and placebo in the treatment of insomnia in elderly psychiatric in-patients. ( Coquelin, JP; Curson, H; Shaw, SH, 1992)
"Diagnosis of insomnia is challenging because there can be many different causes and the clinical picture can be blurred by the presence of other psychiatric illnesses."2.40Pathophysiology and management of insomnia during depression. ( Kupfer, DJ, 1999)
"Nocturnal eating disorders are more common than previously thought."1.34Zolpidem and amnestic sleep related eating disorder. ( Najjar, M, 2007)
"To reduce withdrawal symptoms long-acting benzodiazepines were given to both patients."1.30[Dependency of non-benzodiazepine hypnotics. Two case reports]. ( Antonijevic, IA; Sonntag, A; Steiger, A; Ströhle, A, 1999)

Research

Studies (25)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's7 (28.00)18.2507
2000's6 (24.00)29.6817
2010's7 (28.00)24.3611
2020's5 (20.00)2.80

Authors

AuthorsStudies
Wickwire, EM1
Amari, DT1
Juday, TR1
Frech, F1
Gor, D1
Malhotra, M1
McCall, WV2
Mercado, K1
Dzurny, TN1
McCloud, LL1
Krystal, AD2
Benca, RM2
Rosenquist, PB2
Looney, SW1
Kim, H1
Kim, Y1
Myung, W1
Fava, M1
Mischoulon, D1
Lee, U1
Lee, H1
Na, EJ1
Choi, KW1
Shin, MH1
Jeon, HJ1
Schreiber, S1
Pick, CG1
Rumble, ME1
Dickson, DA1
Jonsson, BH1
Moore, TJ1
Mattison, DR1
El Zahaf, NA1
Salem Elhwuegi, A1
Paulke, A1
Wunder, C1
Toennes, SW1
Huang, HC1
Tsai, CH1
Muo, CH1
Lin, KH1
Lu, MK1
Sung, FC1
Kao, CH1
Morin, CM1
Beaulieu-Bonneau, S1
Bélanger, L1
Ivers, H1
Sánchez Ortuño, M1
Vallières, A1
Savard, J1
Guay, B1
Mérette, C1
McBeth, BD1
McNamara, RM1
Ankel, FK1
Mason, EJ1
Ling, LJ1
Flottemesch, TJ1
Asplin, BR1
Allison, KC1
Tarves, EP1
Sattar, SP1
Ramaswamy, S1
Bhatia, SC1
Petty, F1
Cotroneo, A1
Gareri, P1
Nicoletti, N1
Lacava, R1
Grassone, D1
Maina, E1
De Sarro, G1
Cabodi, S1
Ji, JL1
Liu, WJ1
Zhang, N1
Chen, ZQ1
Zheng, AL1
Mei, QY1
Pan, JY1
Zhao, ZX1
Tao, M1
Wang, YP1
Wei, J1
Winkelmayer, WC1
Mehta, J1
Wang, PS1
Najjar, M1
Meyer, C1
Meeker, JE1
Som, CW1
Macapagal, EC1
Benson, PA1
Elko, CJ1
Burgess, JL1
Robertson, WO1
Ströhle, A1
Antonijevic, IA1
Steiger, A1
Sonntag, A1
Kupfer, DJ1
Musshoff, F1
Schmidt, P1
Madea, B1
Shaw, SH1
Curson, H1
Coquelin, JP1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Reducing Suicidal Ideation Through Insomnia Treatment[NCT01689909]Phase 4103 participants (Actual)Interventional2012-12-06Completed
Behavioral and Pharmacological Treatment for Insomnia[NCT00042146]Phase 4160 participants Interventional2001-12-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Actigraphy

"This device measures arm motion over time, reported as average actigraphic activity Level. The scale is reported as a continuous measure ranging from 0-200, and reported as the average score for each hour for all 24-hours of the day. Higher score represent greater c=activity at that point in time" (NCT01689909)
Timeframe: 8 weeks of treatment

Interventionunits on a scale (Mean)
Scale for Suicide Ideation Score Greater Than or Equal to 6150
Scale for Suicide Ideation Score Less Than 6170

Basis-32 - the Daily Living and Role Functioning (DLRF) Subscale

This is one of the subscales of the Basis 32. It is self-administered. This subscale has 7 items, each scored 0-4. The totals score is an average of the scores of these 7 items. Higher scores indicate more difficulty with daily living and role functioning. (NCT01689909)
Timeframe: 8 weeks of treatment

Interventionunits on a scale (Least Squares Mean)
Zolpidem-CR1.51
Placebo1.60

Beck Hopelessness Scale (BHS)

The Beck Hopelessness Scale is self administered and has 20 'true/false' choices. Some items are reversed scored. The range of scores for the total is 0-20, with higher scores indicating greater hopelessness (NCT01689909)
Timeframe: 8 weeks of treatment

Interventionunits on a scale (Least Squares Mean)
Zolpidem-CR9.40
Placebo9.63

Columbia Suicide Severity Rating Scale (C-SSRS): the Suicidal Ideation Scale

"The suicide ideation scale of the C-SSRS is rated 0-5, with 0 meaning no suicidal ideation, 1 meaning a wish t be dead, 2 meaning non-specific active suicidal thoughts, 3 meaning active suicidal ideation with any methods but no plan or intent, 4 meaning active suicidal ideation with some intent but no specific plan, and 5 meaning active suicidal ideation with intent and a specific plan" (NCT01689909)
Timeframe: 8 weeks of treatment

Interventionunits on a scale (Least Squares Mean)
Zolpidem-CR0.5447
Placebo0.8067

Disturbing Dreams and Nightmares Severity Index (DDNSI)

This self-rated scale has 5 items, with asymmetric weighting of each item. The range of the total score is 0-37, with higher scores indicating worse nightmares (NCT01689909)
Timeframe: 8 weeks of treatment

Interventionunits on a scale (Least Squares Mean)
Zolpidem-CR5.74
Placebo6.44

Dysfunctional Beliefs and Attitudes About Sleep

The Dysfunctional Beliefs and Attitudes About Sleep scale has 16 items and is self administered. Each item is scored 0-10. The total score is an average of the scores of the 16 items. Hence the range of the total score is also 0-10, with higher scores indicating greater dysfunctional beliefs about sleep (NCT01689909)
Timeframe: 8 weeks of treatment

Interventionunits on a scale (Least Squares Mean)
Zolpidem-CR6.03
Placebo6.07

Hamilton Rating Scale for Depression (HAM-D)

This version of the Hamilton Rating Scale for Depression uses 24 items, with a possible total score ranging from 0-74, with higher scores indicating worse depression (NCT01689909)
Timeframe: 8 weeks of treatment

Interventionunits on a scale (Least Squares Mean)
Zolpidem-CR14.93
Placebo15.89

Insomnia Severity Index (ISI)

The Insomnia Severity Index is self rated. It has 7 items, each scored 0-4. Therefore the range of scores is 0-28, with higher scores indicating worse insomnia (NCT01689909)
Timeframe: 8 weeks of treatment

Interventionunits on a scale (Least Squares Mean)
Zolpidem-CR11.28
Placebo13.72

Scale for Suicide Ideation Index (SSI)

This is the total score for the Scale for Suicide Ideation. It has 19 items, each scored 0-2, for a maximum of 38 points. Higher scores indicate worse suicidal ideation (NCT01689909)
Timeframe: Over 8 weeks of treatment

Interventionunits on a scale (Least Squares Mean)
Zolpidem-CR4.66
Placebo5.25

Reviews

2 reviews available for zolpidem and Depression

ArticleYear
Zolpidem-associated hallucinations and serotonin reuptake inhibition: a possible interaction.
    Journal of toxicology. Clinical toxicology, 1998, Volume: 36, Issue:3

    Topics: Adolescent; Adult; Antidepressive Agents; Depression; Drug Interactions; Drug Therapy, Combination;

1998
Pathophysiology and management of insomnia during depression.
    Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists, 1999, Volume: 11, Issue:4

    Topics: Anti-Anxiety Agents; Benzodiazepines; Brain; Chronic Disease; Depression; Female; Humans; Hypnotics

1999

Trials

5 trials available for zolpidem and Depression

ArticleYear
An exploratory analysis of the association of circadian rhythm dysregulation and insomnia with suicidal ideation over the course of treatment in individuals with depression, insomnia, and suicidal ideation.
    Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2020, 08-15, Volume: 16, Issue:8

    Topics: Circadian Rhythm; Depression; Humans; Sleep Initiation and Maintenance Disorders; Suicidal Ideation;

2020
Cognitive-behavior therapy singly and combined with medication for persistent insomnia: Impact on psychological and daytime functioning.
    Behaviour research and therapy, 2016, Volume: 87

    Topics: Activities of Daily Living; Adult; Aged; Anxiety; Cognitive Behavioral Therapy; Combined Modality Th

2016
Modafinil and zolpidem use by emergency medicine residents.
    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2009, Volume: 16, Issue:12

    Topics: Adult; Akathisia, Drug-Induced; Amnesia; Anorexia; Benzhydryl Compounds; Central Nervous System Stim

2009
[Effects of paroxetine with or without zolpidem on depression with insomnia: a multi-center randomized comparative study].
    Zhonghua yi xue za zhi, 2007, Jun-19, Volume: 87, Issue:23

    Topics: Antidepressive Agents, Second-Generation; Depression; Drug Therapy, Combination; Female; Humans; Hyp

2007
A double-blind, comparative study of zolpidem and placebo in the treatment of insomnia in elderly psychiatric in-patients.
    The Journal of international medical research, 1992, Volume: 20, Issue:2

    Topics: Aged; Dementia; Depression; Dose-Response Relationship, Drug; Double-Blind Method; Female; Humans; H

1992

Other Studies

18 other studies available for zolpidem and Depression

ArticleYear
Incremental health care resource use and costs among adult patients with depression and treated for insomnia with zolpidem, trazodone, or benzodiazepines.
    Current medical research and opinion, 2022, Volume: 38, Issue:5

    Topics: Adult; Aged; Benzodiazepines; Delivery of Health Care; Depression; Female; Health Care Costs; Humans

2022
The effect of zolpidem-CR on the suicide item of the Hamilton Rating Scale for Depression in outpatients with depression, insomnia and suicidal ideation: Lessons learned.
    Psychiatry research, 2023, Volume: 330

    Topics: Depression; Humans; Outpatients; Psychiatric Status Rating Scales; Sleep Initiation and Maintenance

2023
Risks of suicide attempts after prescription of zolpidem in people with depression: a nationwide population study in South Korea.
    Sleep, 2020, 03-12, Volume: 43, Issue:3

    Topics: Depression; Humans; Prescriptions; Republic of Korea; Risk Factors; Suicide, Attempted; Zolpidem

2020
Trazodone and mirtazapine: A possible opioid involvement in their use (at low dose) for sleep?
    Medical hypotheses, 2020, Volume: 136

    Topics: Analgesics; Analgesics, Opioid; Animals; Antidepressive Agents; Depression; Disease Models, Animal;

2020
Nicotinic Acid Long-Term Effectiveness in a Patient with Bipolar Type II Disorder: A Case of Vitamin Dependency.
    Nutrients, 2018, Jan-27, Volume: 10, Issue:2

    Topics: Aged; Anticonvulsants; Antidepressive Agents; Bipolar Disorder; Depression; Dose-Response Relationsh

2018
Assessment of Patterns of Potentially Unsafe Use of Zolpidem.
    JAMA internal medicine, 2018, Sep-01, Volume: 178, Issue:9

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Depression; Dose-Response Relationship, Drug; Drug-Relat

2018
The effect of GABAmimetics on the duration of immobility in the forced swim test in albino mice.
    The Libyan journal of medicine, 2014, Volume: 9, Issue:1

    Topics: Alprazolam; Animals; Depression; Diazepam; Disease Models, Animal; Dose-Response Relationship, Drug;

2014
Sleep self-intoxication and sleep driving as rare zolpidem-induced complex behaviour.
    International journal of legal medicine, 2015, Volume: 129, Issue:1

    Topics: Adult; Amnesia; Antidepressive Agents, Tricyclic; Automobile Driving; Depression; Doxepin; Drug Over

2015
Risk of Parkinson's disease following zolpidem use: a retrospective, population-based cohort study.
    The Journal of clinical psychiatry, 2015, Volume: 76, Issue:1

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Benzodiazepines; Comorbidity; Depression; Female; Humans

2015
Treatment of night eating syndrome.
    The Psychiatric clinics of North America, 2011, Volume: 34, Issue:4

    Topics: Anorexia; Behavior Therapy; Circadian Rhythm; Cognitive Behavioral Therapy; Depression; Diet Records

2011
Somnambulism due to probable interaction of valproic acid and zolpidem.
    The Annals of pharmacotherapy, 2003, Volume: 37, Issue:10

    Topics: Bipolar Disorder; Citalopram; Depression; Drug Interactions; Drug Therapy, Combination; Humans; Male

2003
Effectiveness and safety of hypnotic drugs in the treatment of insomnia in over 70-year old people.
    Archives of gerontology and geriatrics, 2007, Volume: 44 Suppl 1

    Topics: Aged; Cognition Disorders; Dementia; Depression; Drug Administration Schedule; Female; Health Status

2007
Benzodiazepine use and mortality of incident dialysis patients in the United States.
    Kidney international, 2007, Volume: 72, Issue:11

    Topics: Adult; Aged; Anti-Anxiety Agents; Anxiety; Benzodiazepines; Cohort Studies; Depression; Female; Foll

2007
Zolpidem and amnestic sleep related eating disorder.
    Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2007, Oct-15, Volume: 3, Issue:6

    Topics: Amnesia, Anterograde; Compulsive Behavior; Depression; Feeding and Eating Disorders; Female; Humans;

2007
New drugs. In the realm of the brain.
    The American journal of nursing, 1993, Volume: 93, Issue:8

    Topics: Central Nervous System Agents; Depression; Humans; Hypnotics and Sedatives; Migraine Disorders; Paro

1993
Zolpidem tissue concentrations in a multiple drug related death involving Ambien.
    Journal of analytical toxicology, 1995, Volume: 19, Issue:6

    Topics: Administration, Oral; Adult; Depression; Drug Overdose; Fatal Outcome; Gas Chromatography-Mass Spect

1995
[Dependency of non-benzodiazepine hypnotics. Two case reports].
    Der Nervenarzt, 1999, Volume: 70, Issue:1

    Topics: Adult; Azabicyclo Compounds; Benzodiazepines; Depression; Humans; Hypnotics and Sedatives; Male; Mid

1999
Fatality caused by a combined trimipramine-citalopram intoxication.
    Forensic science international, 1999, Dec-06, Volume: 106, Issue:2

    Topics: Antidepressive Agents, Second-Generation; Antidepressive Agents, Tricyclic; Citalopram; Depression;

1999