Circadian rhythm in Alzheimer disease after trazodone use

Chronobiol Int. 2015;32(9):1311-4. doi: 10.3109/07420528.2015.1077855. Epub 2015 Sep 16.

Abstract

A circadian rhythm is a cycle of approximately 24 h, responsible for many physiological adjustments, and ageing of the circadian clock contributes to cognitive decline. Rhythmicity is severely impaired in Alzheimer disease (AD) and few therapeutic attempts succeeded in improving sleep disorders in such context. This study evaluated sleep parameters by actigraphy in 30 AD patients before and after trazodone use for 2 weeks, and we show a significant improvement in relative rhythm amplitude (RRA), compatible with a more stable daytime behavioral pattern. So, trazodone appears to produce a stabilization of the circadian rhythms in individuals with AD.

Keywords: Alzheimer’s disease; Sleep disorders; chronobiology; circadian rhythm; dementia; outpatient care.

Publication types

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

MeSH terms

  • Actigraphy
  • Activity Cycles / drug effects*
  • Aged
  • Aged, 80 and over
  • Alzheimer Disease / diagnosis
  • Alzheimer Disease / drug therapy*
  • Alzheimer Disease / physiopathology
  • Female
  • Humans
  • Male
  • Sleep / drug effects*
  • Sleep Disorders, Circadian Rhythm / diagnosis
  • Sleep Disorders, Circadian Rhythm / drug therapy*
  • Sleep Disorders, Circadian Rhythm / physiopathology
  • Time Factors
  • Trazodone / adverse effects
  • Trazodone / therapeutic use*
  • Treatment Outcome

Substances

  • Trazodone