Publications by authors named "H H Durrence"

Study Objectives: To examine and compare the arousability threshold and fall risk upon awakening of doxepin (6 mg) versus zolpidem (10 mg).

Methods: A total of 52 healthy adult males were included in a double-blind, placebo-controlled, four-way crossover study. The experimental procedure included four nights with polysomnography in the lab (zolpidem, doxepin, and their respective placebo conditions).

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Study Objectives: To evaluate the efficacy and safety of doxepin (DXP) 3 mg and 6 mg in adults diagnosed with primary insomnia.

Design And Methods: The study was a randomized, double-blind, parallel-group, placebo-controlled trial. Patients meeting DSM-IV-TR criteria for primary insomnia were randomized to 35 days of nightly treatment with DXP 3 mg (n=75), DXP 6 mg (n=73), or placebo (PBO; n=73), followed by 2 nights of single-blind PBO to evaluate discontinuation (DC) effects.

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Article Synopsis
  • The study assessed the effects of doxepin (1 mg and 3 mg) on elderly patients suffering from chronic primary insomnia over 12 weeks compared to a placebo.
  • Doxepin 3 mg showed notable improvements in key sleep metrics like wake time after sleep onset, total sleep time, and sleep efficiency, with these advantages being consistent throughout the study.
  • Both doses of doxepin were well tolerated, demonstrating positive outcomes in sleep quality and global impression scales, alongside low rates of discontinuation and similar safety profiles among the treatment groups.
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Sleep, demographics, health, and daytime functioning were examined in young old (60-74 years; n = 175) and old old (75-98 years; n = 147) community-dwelling seniors. Sleep diaries (2 weeks), 6 daytime functioning measures, and a demographics-health questionnaire were collected. The old old reported worse sleep than the young old.

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Study Objectives: Determine the comorbidity of insomnia with medical problems.

Design: Cross-sectional and retrospective.

Participants: Community-based population of 772 men and women, aged 20 to 98 years old.

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