Sleep Drug Shows No Abuse Potential

Rozerem Also Doesn't Cause Impairments Like Other Sleep Drugs

From the WebMD Archives

Oct. 2, 2006 -- New research shows that the sleep drug Rozerem has little potential for abuse.

The study also shows that Rozerem left its users both mentally and physically unimpaired, even at doses that were 20 times higher than recommended.

The FDA approved Rozerem in July 2005 as the first and only noncontrolled prescription drug for the treatment of insomniainsomnia in adults, largely due to the findings, which were first reported a year and a half ago.

Takeda Pharmaceuticals, which manufacturers the drug, kicked off an aggressive direct-to-consumer ad campaign a few months ago featuring the "dream" characters Abe Lincoln and a talking beaver telling a sleep-deprived man that his dreams missed him.

Unlike other sleep drugs, Rozerem works by targeting melatonin receptors in the brain. Melatonin is a hormone thought to help regulate sleep cycles.

"In many respects the other sleep medications on the market are basically 'me too' drugs," study researcher Roland R. Griffiths, PhD, tells WebMD. "There are subtle differences between them, but they all work in basically the same way and have the same side effects. This drug is completely different."

Former Abusers Didn't Get High

The side effects of traditional sleep drugs include a potential for abuse, as well as physical and mental impairment. Long-term users may also experience withdrawal symptoms when they stop taking these drug, including anxiety, irritability, and even seizures.

To determine if any of these side effects occur with Rozerem, Griffiths and colleagues from Johns Hopkins School of Medicine in Baltimore, Md., enlisted 14 adults with histories of sedative abuse.

The participants stayed at a residential research unit for 18 days, where they were treated each day in random order with either Rozerem in varying doses, the sleep drug Halcion in varying doses, or a placebo.

Throughout the day, the participants were questioned about how they felt on the drug, including whether they felt alert, sleepy, or high. They were also observed by researchers trained to detect behavior changes.

None of the doses of Rozerem tested, including one that was 20 times the recommended dose, showed any difference from the placebo in terms of physical impairment and impairment in thinking and memory.

Continued

When asked about the drug they had taken the previous day, 11 of the 14 participants (79%) guessed that the highest dosage of Rozerem was the placebo.

Griffiths says the drug may be particularly useful for treating sleep problems in people who have histories of drug abuse.

Older people with sleep problems may also be good candidates, because the mental and physical side effects of other sleep drugs are particularly dangerous for them.

The study, which was funded by Takeda Pharmaceuticals, is published in the October issue of the journal Archives of General Psychiatry.

The Business of Sleep

Sleep has become big business, with sales of prescription insomnia drugs more than doubling in the past five years.

According to the market research group IMS Health, 43.1 million prescriptions for sleep drugs were filled in 2005, compared with 29 million in 2001. That represented a jump in overall sales of brand-name sleep aids from $1.2 billion to $2.8 billion.

Sleep specialist David Neubauer, MD, tells WebMD that Rozerem is a welcome addition to current sleep medications.

"This isn't a drug that is going to help someone sleep all night long," he says. "That is not what it is designed to do. But it can help people who have trouble getting to sleep because of that evening arousal that most of us feel."

Neubauer is the associate director of the Johns Hopkins Sleep Disorders Center. He was not involved in the study.

WebMD Health News Reviewed by Louise Chang, MD on October 02, 2006

Sources

SOURCES: Johnson, M.W. Archives of General Psychiatry, October 2006; vol 63: pp 1149-1157. Roland R. Griffiths, PhD, professor of psychiatry and neuroscience, The Johns Hopkins University School of Medicine, Baltimore, Md. David Neubauer, MD, associate director, Johns Hopkins Sleep Disorders Center, Baltimore. Lance Longwell, public relations manager, IMS Health, pharmaceutical sales statistics.
© 2006 WebMD, Inc. All rights reserved.

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