ABSTRACT:Zolpidem is an imidazopyridine nonbenzodiazepine hypnotic drug with a high affinity to the α1 subunit of the gamma amino butyric acid A receptor It is the first pharmacological option in the short-term management of sleep-onset insomnia. Initially considered a safer drug compared to benzodiazepines because of lower liability for abuse and dependence, recently, an increasing body of reports has questioned zolpidem's proneness to misuse. In this report, we describe a case of serious zolpidem abuse requiring pharmacological washout during hospitalization because of previous withdrawal seizures in a patient with chronic sleep-onset and maintenance insomnia.

译文

摘要:唑吡坦是一种对γ-氨基丁酸A受体的α1亚基具有高亲和力的咪唑并吡啶非苯并二氮杂类催眠药,它是短期治疗睡眠型失眠的第一个药理学选择。由于对滥用和依赖性的责任较低,最初被认为比苯二氮卓类药物更安全的药物,最近,越来越多的报道质疑唑吡坦是否容易滥用。在本报告中,我们描述了因长期睡眠发作和维持性失眠患者先前停药发作而需要在住院期间进行药理学冲洗的严重唑吡坦滥用病例。

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