Sleep-related eating disorder secondary to zolpidem

BMJ Case Rep. 2013 Feb 21:2013:bcr2012008003. doi: 10.1136/bcr-2012-008003.

Abstract

Sleep-related eating disorder (SRED) is characterised by eating episodes during the first period of the night sleep with partial loss consciousness, and amnesia. It can rarely be induced by some drugs, including zolpidem. We present a video report of a patient with a 1-year history of SRED caused by zolpidem causing important repercussions in the sleep structure and life quality. The night eating episodes ceased promptly with discontinuation of zolpidem. Upon the follow-up, the sleep structure improved and the daily consequences disappeared. As in few reported cases of zolpidem-induced SRED, our patient was suffering from the parasomnia for a long time before the diagnosis. Active exclusion of symptoms suggestive of SRED in patients under zolpidem treatment can avoid the deleterious effect of the sleep disorder.

Publication types

  • Case Reports

MeSH terms

  • Diagnosis, Differential
  • Eating / drug effects
  • Feeding and Eating Disorders / chemically induced*
  • Feeding and Eating Disorders / diagnosis
  • Feeding and Eating Disorders / physiopathology
  • Female
  • Humans
  • Hypnotics and Sedatives / adverse effects
  • Hypnotics and Sedatives / therapeutic use
  • Middle Aged
  • Polysomnography
  • Pyridines / adverse effects*
  • Pyridines / therapeutic use
  • Sleep / drug effects
  • Sleep Initiation and Maintenance Disorders / drug therapy
  • Sleep Initiation and Maintenance Disorders / physiopathology
  • Sleep Wake Disorders / chemically induced*
  • Sleep Wake Disorders / diagnosis
  • Sleep Wake Disorders / physiopathology
  • Zolpidem

Substances

  • Hypnotics and Sedatives
  • Pyridines
  • Zolpidem