Quazepam and temazepam: effects of short- and intermediate-term use and withdrawal

Clin Pharmacol Ther. 1986 Mar;39(3):345-52. doi: 10.1038/clpt.1986.51.

Abstract

Two benzodiazepine hypnotics, one with an intermediate elimination t1/2 (temazepam, 15 mg) and the other with a long t1/2 (quazepam, 15 mg), were evaluated in 22- night sleep laboratory studies. The effectiveness and side effects of these benzodiazepines were assessed during short- and intermediate term use. Subjects were also assessed for the presence of rebound insomnia after abrupt withdrawal. Quazepam, 15 mg, was significantly effective in improving sleep both with short- and intermediate-term use, but the effectiveness of temazepam was considerably less. Although temazepam was effective for maintaining sleep with short-term use, there was rapid development of tolerance for this effect with intermediate-term use. Temazepam did not produce any behavioral side effects during either drug condition. The only side effect associated with quazepam was a significant degree of daytime sleepiness. After its withdrawal, temazepam was associated with some sleep and mood disturbance on the first withdrawal night, whereas quazepam had carryover effectiveness.

Publication types

  • Clinical Trial
  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Anti-Anxiety Agents / therapeutic use*
  • Benzodiazepines / adverse effects
  • Benzodiazepines / metabolism
  • Benzodiazepines / therapeutic use*
  • Clinical Trials as Topic
  • Drug Evaluation
  • Half-Life
  • Humans
  • Kinetics
  • Middle Aged
  • Random Allocation
  • Sleep / drug effects
  • Sleep Initiation and Maintenance Disorders / drug therapy*
  • Substance Withdrawal Syndrome*
  • Temazepam / adverse effects
  • Temazepam / metabolism
  • Temazepam / therapeutic use*

Substances

  • Anti-Anxiety Agents
  • Benzodiazepines
  • Temazepam
  • quazepam