[Triazolam 0.25 mg versus loprazolam 1 mg in the treatment of common insomnia treated in general practice. Double-blind cross-over randomized trial]

Therapie. 1989 Mar-Apr;44(2):107-14.
[Article in French]

Abstract

In a double-blind cross over randomized study for the first two nights efficacy and safety of triazolam 0.25 mg and loprazolam 1 mg have been compared in 67 out-patients complaining of common insomnia and treated by general practitioners. After the second night patients had to choose one of the two treatments and were continuing a 3-week treatment period with the preferred one. In case of no preference they received one of the 2 drugs according to a new randomization. Cross over administration of the two drugs for the first two nights shows that with triazolam global help to get in sleep is greater (p = 0.016) and sleep latency is shorter (p = 0.07) than with loprazolam, and number of night awakenings is decreased (p = 0.02) compared to loprazolam. Patients felt more rested under triazolam (p = 0.015) than loprazolam. Triazolam (N = 31) is more frequently preferred than loprazolam (N = 19) p = 0.09. Preferred treatment continued to be effective during the following three weeks and quality of sleep improved drastically for all items compared to baseline data (p = 0.01). Both treatments are well tolerated (4 drop-outs for side-effects: 2 under each treatment). The one-week tapering period allows progressive withdrawal with rare reappearance of minimum sleep disorders (5 cases: 2 under triazolam, 3 under loprazolam).

Publication types

  • Clinical Trial
  • English Abstract
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Anti-Anxiety Agents / therapeutic use*
  • Benzodiazepines*
  • Benzodiazepinones / therapeutic use*
  • Double-Blind Method
  • Drug Evaluation
  • Family Practice
  • Female
  • Humans
  • Male
  • Random Allocation
  • Sleep Initiation and Maintenance Disorders / drug therapy*
  • Triazolam / therapeutic use*

Substances

  • Anti-Anxiety Agents
  • Benzodiazepinones
  • Benzodiazepines
  • Triazolam
  • triazulenone