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Psychiatric Times. Vol. 21 No. 2
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Treating Insomnia in Patients With Substance Use/Abuse Disorders

By Maher Karam-Hage, M.D. | February 1, 2004

Dr. Karam-Hage is clinical assistant professor of psychiatry at the University of Michigan. He is also medical director of Chelsea Arbor Addiction Treatment Center, a joint program between the University of Michigan and Chelsea Community Hospital.

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References

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Brower KJ (2001), Alcohol's effects on sleep in alcoholics. Alcohol Res Health 25(2):110-125.

Brower KJ, Aldrich MS, Hall JM (1998), Polysomnographic and subjective sleep predictors of alcoholic relapse. Alcohol Clin Exp Res 22(8):1864-1871.

Brower KJ, Aldrich MS, Robinson EA et al. (2001), Insomnia, self-medication, and relapse to alcoholism. Am J Psychiatry 158(3):399-404.

Brower KJ, Kim HM, Karam-Hage M et al. (2003), A double-blind randomized clinical trial of gabapentin vs. placebo for treating alcohol dependence. Biol Psychiatry 53(8S):84S-85S.

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Gillin JC, Smith TL, Irwin M et al. (1994), Increased pressure for rapid eye movement sleep at time of hospital admission predicts relapse in nondepressed patients with primary alcoholism at 3-month follow-up. Arch Gen Psychiatry 51(3):189-197.

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Karam-Hage M, Brower KJ (2000), Gabapentin treatment for insomnia associated with alcohol dependence. Am J Psychiatry 157(1):151 [letter].

Karam-Hage M, Brower KJ (2003), Open pilot study of gabapentin versus trazodone to treat insomnia in alcoholic outpatients. Psychiatry Clin Neurosci 57(5):542-544.

Kupfer DJ, Reynolds CF 3rd (1997), Management of insomnia. N Engl J Med 336(5):341-346 [see comment].

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Liappas IA, Malitas PN, Dimopoulos NP et al. (2003), Zolpidem dependence case series: possible neurobiological mechanisms and clinical management. J Psychopharmacol 17(1):131-135.

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NIAAA (1998), Alcohol Alert: Alcohol and Sleep. Pub 98-41. Available at: www.niaaa.nih.gov/publications/aa41.htm. AccessedJan. 8, 2004.

Roehrs T, Roth T (1995), Alcohol-induced sleepiness and memory function. Alcohol Health Res World 19(2):130-135.

Rush CR, Baker RW, Wright K (1999), Acute behavioral effects and abuse potential of trazodone, zolpidem and triazolam in humans. Psychopharmacology (Berl) 144(3):220-233.

Schmitz MM, Sepandj A, Pichler PM, Rudas S (1996), Disrupted melatonin-secretion during alcohol withdrawal. Prog Neuropsychopharmacol Biol Psychiatry 20(6):983-995.

Smith MT, Perlis ML, Park A et al. (2002), Comparative meta-analysis of pharmacotherapy and behavior therapy for persistent insomnia. Am J Psychiatry 159(11):5-11.

Thase ME (1999), Antidepressant treatment of the depressed patient with insomnia. J Clin Psychiatry 60(suppl 17):28-31; discussion 46-48.

Vitiello MV (1997), Sleep, alcohol and alcohol abuse. Addict Biol 2(2):151-158.


 
TOPIC INDEX

Addiction Medicine
Alzheimer Disease
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Bipolar Disorder
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DSM-5
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Health Care Reform
Major Depressive
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Personality Disorders
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