The present study examined the acute behavioral effects and abuse potential of three drugs commonly used to treat sleep disorders,
trazodone, zolpidem and triazolam, and placebo in ten male volunteers with histories of alcohol and drug abuse. Trazodone
(100, 200 and 300 mg), a triazolopyridine antidepressant, was included because antidepressants are being used more frequently
to treat sleep disorders, but it is unclear whether they have a distinct behavioral pharmacologic profile relative to benzodiazepine
hypnotics. Zolpidem (15, 30 and 45 mg), an imidazopyridine hypnotic, was tested because it is the most commonly prescribed
hypnotic and purportedly has a unique benzodiazepine-receptor binding profile. Triazolam (0.25, 0.5 and 0.75 mg), a triazolobenzodiazepine
hypnotic, was included as the standard component because previous laboratory studies have demonstrated that it has at least
some abuse potential. Trazodone, zolpidem and triazolam generally produced comparable dose-related increases in scores on
the PCAG scale of the ARCI, which suggests the doses tested were equivalent on some behavioral dimension. The effects of trazodone
on subject-rated items thought to measure abuse potential (e.g., subject ratings of Willing to Take Again) were less than
those observed with triazolam. Zolpidem and triazolam produced comparable effects on these measures. The highest dose of zolpidem,
but not triazolam, increased ratings of Like Drug, Happy, Good Effects, Friendly, Elated, Carefree and Bad Effects. Triazolam
and zolpidem produced dose-dependent impairment on all of the performance tasks. Trazodone impaired performance on some, but
not all, of these tasks. Consistent with the pharmacokinetics of these compounds, the time-action functions of trazodone,
zolpidem and triazolam were similar on these measures. These data suggest that trazodone has less abuse potential than triazolam,
and may be a viable alternative to benzodiazepine hypnotics in individuals with histories of alcohol or drug abuse. By contrast,
despite its unique neuropharmacological profile, the acute behavioral effects and abuse potential of zolpidem are comparable
to those of triazolam.
Key words Trazodone - Zolpidem - Triazolam - Hypnotics - Abuse potential - Behavioral effect
Received: 20 June 1998 / Final version: 4 November 1998