Print

Print


Mel wrote:
>I have been prescribed Zolpidem because of frequent insomnia.Does anyone
>have any experience of this drug?
>
>Thanks
>
>Mel Ballantyne 59/13 selegiline, bromocriptine, sinemet ls, sinemet cr
> Fife UK

ZOLPIDEM or generic name (Ambien) was written up in the Lancet 26 April 1997.

The drug is also called STILNOX, and is available in France. Italy and
Swizterland. (When I last asked 1997, the drug was not available in
Australia)

It is a short term hypnotic for insomnia. In the Lancet report (which Joe
Bruman listed here) it reported that in a 61 yr old woman who had had PD
for 25 yrs, it improved her rigidity and akinesia substantially. She did
not get drowsy. They continued with her 10 mg Zolpidem  four times a day
and DISCONTINUED HER PD MEDICATION. For the past five years her PD symptoms
have been relieved without side effects.
In a subsequent double blind trial on ten other PWP, six improved.

They now suggest that Zolpidem may offer the pharmacological equivalent of
posteroventral pallidotomy in a sub-group of patients.

Zolpidem is a selective agonist of the neurotransmitter gamma-aminobutyric
(GABA), mainly active in the basal ganglia.

The suggestion that a GABA agonist might be helpful in PD appeared nearly
10 years ago but this is the first supporting evidence.

.................................
MY further reading from an Australian drug index which pharmacists use says
that:

Z is an imidazopyridine which is reported to have similar sedative
properties to the benzodiazepines (Diazepam) but minimal anxiolytic, muscle
relaxant and anticonvulsant properties.  Some degree of amnesia has been
reported.

(Maybe the lady referred to above just forgot she had PD! -- just joking to
see how many of you read down to here...)

Seriously now....Dose may need to be reduced in the elderly and those with
renal disease or those with cirrhosis of the liver.

Common adverse effects: dizziness, light headedness, sommnolence, heachache
and gastro-intestinal effects such as nausea and vomiting.  Minimal morning
hangover effects.

Joy Graham