Coadministration of short-term zolpidem with sertraline in healthy women

J Clin Pharmacol. 1999 Feb;39(2):184-91. doi: 10.1177/00912709922007624.

Abstract

This study was undertaken to determine whether there are pharmacokinetic (PK) interactions between zolpidem, a hypnotic, and sertraline, an antidepressant. Twenty-eight healthy female volunteers received a single dose of zolpidem alone and five consecutive dose(s) of zolpidem 10 mg in the presence of chronic doses (19 days) of sertraline 50 mg. Using HPLC, plasma levels of zolpidem, sertraline, and N-desmethylsertraline were determined at different times throughout the study and PK parameters derived. Compared to zolpidem alone, the T 1/2 of the first dose of zolpidem in the presence of sertraline was reduced, the Cmax of the fifth zolpidem dose in the presence of sertraline was significantly increased, and its Tmax was significantly reduced. After five doses of zolpidem, the AUC of sertraline (-6%) and the Cmax of N-desmethylsertraline (+13%) were changed. There were no next-day effects of zolpidem on the Digit Symbol Substitution Test, and both drugs were well tolerated. Overall, coadministration of sertraline 50 mg and zolpidem 10 mg appears to be safe in healthy females but could result in a shortened onset of action and increased effect of zolpidem.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Analysis of Variance
  • Area Under Curve
  • Drug Interactions / physiology
  • Drug Therapy, Combination
  • Female
  • Humans
  • Hypnotics and Sedatives / administration & dosage
  • Hypnotics and Sedatives / blood
  • Hypnotics and Sedatives / pharmacokinetics*
  • Least-Squares Analysis
  • Psychomotor Performance / drug effects
  • Psychomotor Performance / physiology
  • Pyridines / administration & dosage
  • Pyridines / blood
  • Pyridines / pharmacokinetics*
  • Serotonin Uptake Inhibitors / administration & dosage
  • Serotonin Uptake Inhibitors / blood
  • Serotonin Uptake Inhibitors / pharmacokinetics*
  • Sertraline / administration & dosage
  • Sertraline / analogs & derivatives*
  • Sertraline / blood
  • Sertraline / pharmacokinetics*
  • Zolpidem

Substances

  • Hypnotics and Sedatives
  • Pyridines
  • Serotonin Uptake Inhibitors
  • Zolpidem
  • desmethylsertraline
  • Sertraline