Page last updated: 2024-11-05

zolpidem and Minimally Conscious State

zolpidem has been researched along with Minimally Conscious State in 22 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.

Research Excerpts

ExcerptRelevanceReference
"Case reports of the use of zolpidem in Permanent Vegetative States (PVS) have led to interest by the media and court judgements defining treatment with such drugs."5.35Zolpidem in a minimally conscious state. ( Dawson, K; Lewis, S; McDonald, C; Pentland, B; Pringle, AM; Singh, R; Smith, S, 2008)
"Zolpidem is a unique nonbenzodiazepine sedative hypnotic drug that selectively binds to omega-1 gamma-aminobutyric acid receptors in the brain."5.35Transient reversal of anoxic brain injury-related minimally conscious state after zolpidem administration: a case report. ( Ring, H; Shames, JL, 2008)
"Zolpidem is an effective medicine to restore brain function in patients in vegetative state after brain injury, especially for those whose brain injuries are mainly in non-brain-stem areas."5.19Zolpidem arouses patients in vegetative state after brain injury: quantitative evaluation and indications. ( Cai, K; Chen, D; Du, B; Shan, A; Zhang, Y; Zhong, X, 2014)
" Zolpidem is a nonbenzodiazepine hypnotic used to treat insomnia that has also been observed to paradoxically improve arousal in those with DOC, such as the vegetative or minimally conscious states."4.95Improved Arousal and Motor Function Using Zolpidem in a Patient With Space-Occupying Intracranial Lesions: A Case Report. ( Bomalaski, MN; Smith, SR, 2017)
"Sutton and Clauss presented a detailed review about the effectiveness of zolpidem, discussing recoveries from brain damage due to strokes, trauma and hypoxia."3.88Zolpidem efficacy and safety in disorders of consciousness. ( Estévez, M; Machado, C; Rodriguez-Rojas, R, 2018)
"The study investigates the effect of zolpidem (CAS 82626-48-0) on brain injuries and cerebellar diaschisis."3.72Effect of zolpidem on brain injury and diaschisis as detected by 99mTc HMPAO brain SPECT in humans. ( Clauss, RP; Nel, WH, 2004)
"To study the Zolpidem arousing effect in persistent vegetative state (PVS) patients combining clinical evaluation, autonomic assessment by heart rate variability (HRV), and EEG records."2.79Zolpidem arousing effect in persistent vegetative state patients: autonomic, EEG and behavioral assessment. ( Carballo, M; Carrick, FR; Chinchilla, M; DeFina, P; Estévez, M; Gutiérrez, J; Leisman, G; Machado, A; Machado, C; Melillo, R; Olivares, A; Pérez-Cruz, N; Pérez-Nellar, J; Rodríguez, R; Schiavi, A, 2014)
"Zolpidem was associated with a tendency towards reduced responsiveness in patients with persistent vegetative states."2.75Zolpidem for persistent vegetative state--a placebo-controlled trial in pediatrics. ( Egan, JR; Gill, D; Gillis, J; Howman-Giles, R; London, K; Scheinberg, A; Snyman, N, 2010)
" In drug responders, repeated dosing appears to maintain consciousness."2.74Incidence of clinically significant responses to zolpidem among patients with disorders of consciousness: a preliminary placebo controlled trial. ( Myers, R; Whyte, J, 2009)
"Zolpidem has been used with mixed effects in patients presenting with Prolonged Disorders of Consciousness (PDOC)."1.51An analysis of the effects of using Zolpidem and an innovative multimodal interdisciplinary team approach in prolonged disorders of consciousness (PDOC). ( Cronin, H; Delargy, M; Galligan, I; Gray, D; McCann, A; O'Connor, R; O'Toole, C, 2019)
"Zolpidem is a non-benzodiazepine drug used for the therapy of insomnia, which has selectivity for stimulating the effect of GABA-A receptors."1.39Zolpidem induces paradoxical metabolic and vascular changes in a patient with PVS. ( Alvarez, L; Carballo, M; Carrick, FR; Chinchilla, M; DeFina, P; Estevez, M; Machado, C; Pavon, N; Perez-Nellar, J; Rodriguez-Rojas, R, 2013)
"We also consider "vegetative state" a pejorative term that should be replaced."1.38A Cuban perspective on management of persistent vegetative state. ( Beltrán, C; Carballo, M; Estévez, M; Fleitas, M; Gutiérrez, J; Machado, C; Olivares, A; Pando, A; Pérez-Nellar, J; Rodríguez, R, 2012)
"Case reports of the use of zolpidem in Permanent Vegetative States (PVS) have led to interest by the media and court judgements defining treatment with such drugs."1.35Zolpidem in a minimally conscious state. ( Dawson, K; Lewis, S; McDonald, C; Pentland, B; Pringle, AM; Singh, R; Smith, S, 2008)
"Zolpidem is a unique nonbenzodiazepine sedative hypnotic drug that selectively binds to omega-1 gamma-aminobutyric acid receptors in the brain."1.35Transient reversal of anoxic brain injury-related minimally conscious state after zolpidem administration: a case report. ( Ring, H; Shames, JL, 2008)
"Zolpidem is an omega 1 specific indirect GABA agonist that is used for insomnia, but may have efficacy in brain damage."1.33Drug induced arousal from the permanent vegetative state. ( Clauss, R; Nel, W, 2006)

Research

Studies (22)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's7 (31.82)29.6817
2010's13 (59.09)24.3611
2020's2 (9.09)2.80

Authors

AuthorsStudies
Gao, Q1
Hao, J1
Kang, X1
Yuan, F1
Liu, Y1
Chen, R1
Liu, X1
Li, R1
Jiang, W1
Spiegel, DR1
Ahuja, K1
Reid, FE1
Hegde, S1
Carbaugh, E1
Tran, V1
Forte, S1
Strauss, E1
Lagbo, J1
Lau, J1
Fins, JJ1
Machado, C5
Estévez, M5
Rodriguez-Rojas, R2
Delargy, M1
O'Connor, R1
McCann, A1
Galligan, I1
Cronin, H1
Gray, D1
O'Toole, C1
Du, B1
Shan, A1
Zhang, Y1
Zhong, X1
Chen, D1
Cai, K1
Alvarez, L1
Carballo, M4
Perez-Nellar, J4
Pavon, N1
Chinchilla, M3
Carrick, FR2
DeFina, P2
Rodríguez, R3
Leisman, G1
Melillo, R1
Schiavi, A1
Gutiérrez, J3
Machado, A2
Olivares, A2
Pérez-Cruz, N1
Calabrò, RS1
Aricò, I1
De Salvo, S1
Conti-Nibali, V1
Bramanti, P1
Bomalaski, MN1
Smith, SR1
Whyte, J1
Myers, R1
Clauss, RP2
Georgiopoulos, M1
Katsakiori, P1
Kefalopoulou, Z1
Ellul, J1
Chroni, E1
Constantoyannis, C1
Snyman, N1
Egan, JR1
London, K1
Howman-Giles, R1
Gill, D1
Gillis, J1
Scheinberg, A1
Portela, L1
García-Roca, MC1
Beltrán, C2
Fleitas, M1
Pando, A1
Nel, WH1
Clauss, R1
Nel, W1
Dyer, C1
Cohen, SI1
Duong, TT1
Singh, R1
McDonald, C1
Dawson, K1
Lewis, S1
Pringle, AM1
Smith, S1
Pentland, B1
Shames, JL1
Ring, H1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Adjuvant Acupuncture Therapy in Patients With Severe Head Injury: a Randomized Controlled Trial[NCT01773291]24 participants (Actual)Interventional2013-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Glasgow Coma Scale (GCS)

"Eye response (E)~There are four grades starting with the most severe:~No eye opening~Eye opening in response to pain stimulus.~Eye opening to speech.~Eyes opening spontaneously Verbal response (V)~There are five grades starting with the most severe:~No verbal response~Incomprehensible sounds.~Inappropriate words.~Confused.~Oriented. Motor response (M)~There are six grades:~No motor response~Decerebrate posturing accentuated by pain~Decorticate posturing accentuated by pain~Withdrawal from pain~Localizes to pain~Obeys commands~The sum of the score was measured (3 - 15) before and after treatment during hospitalization. The higher score, the better outcome." (NCT01773291)
Timeframe: 6 weeks

Interventionunits on a scale (Mean)
Acupuncture3.14
Laser Acupuncture3.11
Control Group4.67

Muscle Power (MP)

"Medical Research Council (MRC) muscle-grading scale Grade MRC grade of muscle strength 0 No movement~Flicker of movement only~Movement possible when assisted by gravity or gravity is eliminated~Movement possible against gravity but without imposed resistance~Weak movement possible against gravity~Normal movement against gravity and against imposed resistance~The 4 muscle groups were assessed on the 0 to 5 scale and scores were summed before and after treatment during hospitalization. The total score ranges from 0-20, with higher score indicating better outcome." (NCT01773291)
Timeframe: 6 weeks

Interventionunits on a scale (Mean)
Acupuncture4.29
Laser Acupuncture4.33
Control Group2.83

Reviews

3 reviews available for zolpidem and Minimally Conscious State

ArticleYear
Improved Arousal and Motor Function Using Zolpidem in a Patient With Space-Occupying Intracranial Lesions: A Case Report.
    PM & R : the journal of injury, function, and rehabilitation, 2017, Volume: 9, Issue:8

    Topics: Arousal; Brain Neoplasms; Consciousness Disorders; Follow-Up Studies; GABA-A Receptor Agonists; Huma

2017
Vegetative state and minimally conscious state: a review of the therapeutic interventions.
    Stereotactic and functional neurosurgery, 2010, Volume: 88, Issue:4

    Topics: Baclofen; Consciousness; Electric Stimulation Therapy; Humans; Persistent Vegetative State; Pyridine

2010
Increased arousal in a patient with anoxic brain injury after administration of zolpidem.
    American journal of physical medicine & rehabilitation, 2008, Volume: 87, Issue:3

    Topics: Adult; Arousal; GABA Agonists; Humans; Hypoxia, Brain; Male; Persistent Vegetative State; Pyridines;

2008

Trials

4 trials available for zolpidem and Minimally Conscious State

ArticleYear
Zolpidem arouses patients in vegetative state after brain injury: quantitative evaluation and indications.
    The American journal of the medical sciences, 2014, Volume: 347, Issue:3

    Topics: Adult; Brain; Brain Injuries; Cerebrovascular Circulation; Cysteine; Female; Humans; Hypnotics and S

2014
Zolpidem arousing effect in persistent vegetative state patients: autonomic, EEG and behavioral assessment.
    Current pharmaceutical design, 2014, Volume: 20, Issue:26

    Topics: Adolescent; Adult; Autonomic Nervous System; Double-Blind Method; Electroencephalography; Female; He

2014
Incidence of clinically significant responses to zolpidem among patients with disorders of consciousness: a preliminary placebo controlled trial.
    American journal of physical medicine & rehabilitation, 2009, Volume: 88, Issue:5

    Topics: Adult; Brain Injuries; Double-Blind Method; Female; GABA Agonists; Glasgow Coma Scale; Humans; Male;

2009
Zolpidem for persistent vegetative state--a placebo-controlled trial in pediatrics.
    Neuropediatrics, 2010, Volume: 41, Issue:5

    Topics: Adolescent; Brain; Cerebrovascular Circulation; Child; Child, Preschool; Double-Blind Method; GABA-A

2010

Other Studies

15 other studies available for zolpidem and Minimally Conscious State

ArticleYear
EEG dynamics induced by zolpidem forecast consciousness evolution in prolonged disorders of consciousness.
    Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology, 2023, Volume: 153

    Topics: Consciousness; Consciousness Disorders; Electroencephalography; Humans; Persistent Vegetative State;

2023
A Case of Ovarian Teratoma-Induced N-Methyl-D-Aspartate Receptor Antibody Encephalitis Presenting With Psychosis and Catatonia, Progressing to the Minimally Conscious State and Successfully Treated With Adjunctive Zolpidem.
    The primary care companion for CNS disorders, 2023, 08-01, Volume: 25, Issue:4

    Topics: Anti-N-Methyl-D-Aspartate Receptor Encephalitis; Autoantibodies; Catatonia; Encephalitis; Female; Hu

2023
Mosaic Decisionmaking and Reemergent Agency after Severe Brain Injury.
    Cambridge quarterly of healthcare ethics : CQ : the international journal of healthcare ethics committees, 2018, Volume: 27, Issue:1

    Topics: Brain Injuries; Communication; Decision Making; Ethics, Medical; Humans; Hypnotics and Sedatives; Ma

2018
Zolpidem efficacy and safety in disorders of consciousness.
    Brain injury, 2018, Volume: 32, Issue:4

    Topics: Brain; Consciousness; Humans; Hypoxia; Persistent Vegetative State; Stroke; Zolpidem

2018
An analysis of the effects of using Zolpidem and an innovative multimodal interdisciplinary team approach in prolonged disorders of consciousness (PDOC).
    Brain injury, 2019, Volume: 33, Issue:2

    Topics: Adult; Awareness; Chronic Disease; Consciousness Disorders; Female; Humans; Hypnotics and Sedatives;

2019
Zolpidem induces paradoxical metabolic and vascular changes in a patient with PVS.
    Brain injury, 2013, Volume: 27, Issue:11

    Topics: Adult; Female; GABA-A Receptor Agonists; Hemodynamics; Humans; Magnetic Resonance Imaging; Magnetic

2013
Transient awakening from vegetative state: is high-dose zolpidem more effective?
    Psychiatry and clinical neurosciences, 2015, Volume: 69, Issue:2

    Topics: Female; GABA-A Receptor Agonists; Heart Arrest; Humans; Middle Aged; Persistent Vegetative State; Py

2015
Neurotransmitters in coma, vegetative and minimally conscious states, pharmacological interventions.
    Medical hypotheses, 2010, Volume: 75, Issue:3

    Topics: Antidepressive Agents, Tricyclic; Baclofen; Coma; Dopamine Agents; GABA Agonists; gamma-Aminobutyric

2010
Autonomic, EEG, and behavioral arousal signs in a PVS case after Zolpidem intake.
    The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques, 2011, Volume: 38, Issue:2

    Topics: Arousal; Autonomic Nervous System; Blood Pressure; Brain Waves; Electroencephalography; Female; Hear

2011
A Cuban perspective on management of persistent vegetative state.
    MEDICC review, 2012, Volume: 14, Issue:1

    Topics: Brain; Brain Stem; Cuba; Electroencephalography; Humans; Hypnotics and Sedatives; Magnetic Resonance

2012
Effect of zolpidem on brain injury and diaschisis as detected by 99mTc HMPAO brain SPECT in humans.
    Arzneimittel-Forschung, 2004, Volume: 54, Issue:10

    Topics: Adult; Brain Injuries; Cerebellar Diseases; Cerebrovascular Circulation; Child, Preschool; Diabetes

2004
Drug induced arousal from the permanent vegetative state.
    NeuroRehabilitation, 2006, Volume: 21, Issue:1

    Topics: Adult; Arousal; Drug Administration Schedule; Follow-Up Studies; GABA Agonists; Glasgow Coma Scale;

2006
Husband says judge's ruling on wife's treatment was "inhumane".
    BMJ (Clinical research ed.), 2007, Jan-27, Volume: 334, Issue:7586

    Topics: Female; Humans; Hypnotics and Sedatives; Persistent Vegetative State; Pyridines; Right to Die; Unite

2007
Zolpidem in a minimally conscious state.
    Brain injury, 2008, Volume: 22, Issue:1

    Topics: Adult; Brain Injuries; Drug Evaluation; Humans; Male; Neurotransmitter Agents; Observer Variation; P

2008
Transient reversal of anoxic brain injury-related minimally conscious state after zolpidem administration: a case report.
    Archives of physical medicine and rehabilitation, 2008, Volume: 89, Issue:2

    Topics: Female; Humans; Hypnotics and Sedatives; Hypoxia; Middle Aged; Persistent Vegetative State; Pyridine

2008