Background: Reboxetine is a novel selective noradrenaline reuptake inhibitor. The antidepressive
properties of the substance are established. Methods: The influence of reboxetine on the sleep-EEG of eight patients with depression HAMD
(mean ± SD) 19.7 ± 1.5 (5 women, 3 men; age range 31 to 75 years) was investigated.
Sleep EEG was examined twice. The first examination was performed before starting
active medication. The second examination was subsequently performed when patients
received 8 to 10 mg reboxetine per day. Results: Conventional sleep-EEG analysis showed a significant increase in intermittent wakefulness
and sleep stage 2 and a decrease in sleep efficiency and REM time. Under reboxetine
no significant changes were observed in sleep-EEG spectral analysis. Conclusion: Our results indicate, that reboxetine induces sleep-EEG changes similar to those
after selective serotonin reuptake inhibitors (SSRI’s) by increasing intermittent
wakefulness and decreasing REM time.
References
- 1
Ansseau M, Kupfer D J, Reynolds C F, 3rd, Coble P A.
”Paradoxical” shortening of REM latency on first recording night in major depressive
disorder: clinical and polysomnographic correlates.
Biol Psychiatry.
1985;
20
135-145
- 2
Armitage R, Trivedi M, Rush A J.
Fluoxetine and oculomotor activity during sleep in depressed patients.
Neuropsychopharmacology..
1995;
12
159-165
- 3
Dencker S J.
The need for new and better antidepressants: Reboxetineoxetine a new option.
Acta Psychiatr Scand.
2000;
402 (suppl)
6-11
- 4
Farina B, Della Marca G, Mennuni G, Mazza S, De Risio S, Di Giannantonio M.
The effects of reboxetine on human sleep architecture in depression: preliminary results.
J Affect Disord.
2002;
71
273-275
- 5
Feige B, Voderholzer U, Riemann D, Dittmann R, Hohagen F, Berger M.
Fluoxetine and sleep EEG. Effects of a single dose, subchronic treatment, and discontinuation
in healthy subjects.
Neuropsychopharmacology.
2002;
26
246-258
- 6
Hobson J A, Stickgold R, Pace-Schott E F.
The neuropsychology of REM sleep dreaming.
Neuroreport.
1998;
9
R1-14
- 7
Hori T, Sugita Y, Koga E, Shirakawa S, Inoue K, Uchida S, Kuwahara H, Kousaka M, Kobayashi T,
Tsuji Y, Terashima M, Fukuda K, Fukuda N.
Proposed supplements and amendments to ‘A Manual of Standardized Terminology, Techniques
and Scoring System for Sleep Stages of Human Subjects’, the Rechtschaffen & Kales
(1968) standard.
Psychiatry Clin Neurosci.
2001;
55
305-310
- 8
Kupfer D J, Ehlers C L, Frank E, Grochocinski V J, McEachran A B.
EEG sleep profiles and recurrent depression.
Biol Psychiatry.
1991;
30
641-655
- 9
Nicholson A N, Pascoe P A.
5-Hydroxytryptamine and noradrenaline uptake inhibition: studies on sleep in man.
Neuropharmacology.
1986;
25
1079-1083
- 10
Nofzinger E A, Reynolds C F, 3rd, Thase M E, Frank E, Jennings J R, Fasiczka A L,
Sullivan L R, Kupfer D J.
REM sleep enhancement by bupropion in depressed men.
Am J Psychiatry.
1995;
152
274-276
- 11
Riemann D, Voderholzer U, Cohrs S, Rodenbeck A, Hajak G, Rüther E, Wiegand M H, Laakman G,
Baghai T, Fischer W, Hoffmann M, Hohagen F, Mayer G, Berger M.
Trimipramine in primary insomnia: results of a polysomnographic double-blind controlled
study.
Pharmacopsychiatry..
2002;
35
165-174
- 12
Rush A J, Armitage R, Gillin J C, Yonkers K A, Winokur A, Moldofsky H, Vogel G W,
Kaplita S B, Fleming J B, Montplaisir J, Erman M K, Albala B J, McQuade R D.
Comparative effects of nefazodone and fluoxetine on sleep in outpatients with major
depressive disorder.
Biol Psychiatry.
1998;
44
3-14
- 13
Silvestri R, Pace-Schott E F, Gersh T, Stickgold R, Salzman C, Hobson J A.
Effects of fluvoxamine and paroxetine on sleep structure in normal subjects: a home-based
nightcap evaluation during drug administration and withdrawal.
J Clin Psychiatry..
2001;
62
642-652
- 14
Sonntag A, Rothe B, Guldner J, Yassouridis A, Holsboer F, Steiger A.
Trimipramine and imipramine exert different effects on the sleep EEG and on nocturnal
hormone secretion during treatment of major depression.
Depression.
1996;
4
1-13
- 15
Stahl S M, Mendels J, Schwartz G E.
Effects of reboxetine on anxiety, agitation, and insomnia: results of a pooled evaluation
of randomized clinical trials.
J Clin Psychopharmacology..
2002;
22
388-392
- 16
Trivedi M H, Rush A J, Armitage R, Gullion C M, Grannemann B D, Orsulak P J, Roffwarg H P.
Effects of fluoxetine on the polysomnogram in outpatients with major depression.
Neuropsychopharmacology.
1999;
20
447-459
- 17
van Bemmel A L, Vermeeren M T, Ruigt G, Sennef C.
The acute effects of the noradrenaline reuptake inhibitor Org 4428 on EEG sleep in
healthy volunteers.
Neuropsychobiology.
1999;
40
107-114
- 18
von Bardeleben U, Steiger A, Gerken A, Holsboer F.
Effects of fluoxetine upon pharmacoendocrine and sleep EEG parameters in normal controls.
Int Clin Psychopharmacol.
1989;
4 (suppl 1)
1-5
- 19
Wong E H, Sonders M S, Amara S G, Tinholt P M, Piercey M F, Hoffmann W P, Hyslop D K,
Franklin S, Porsolt R D, Bonsignori A, Carfagna N, McArthur R A.
Reboxetineoxetine: a pharmacologically potent, selective, and specific norepinephrine
reuptake inhibitor.
Biol Psychiatry.
2000;
47
818-829
Axel SteigerM.D.
Max Planck Institute of Psychiatry
Kraepelinstr. 2-10
80804 Munich
Germany
Phone: +49 (89) 30622 236
Fax: +49(89) 30622 552
Email: steiger@mpipsykl.mpg.de