Cr. Rush et al., DISCRIMINATIVE STIMULUS EFFECTS OF ZOLPIDEM IN PENTOBARBITAL-TRAINED SUBJECTS .2. COMPARISON WITH TRIAZOLAM AND CAFFEINE IN HUMANS, The Journal of pharmacology and experimental therapeutics, 280(1), 1997, pp. 174-188
In the present study, four non-drug-abusing humans were trained to dis
criminate between a hypnotic dose of pentobarbital, 100 mg, and placeb
o. After acquiring the pentobarbital-placebo discrimination, a range o
f doses of zolpidem, triazolam, pentobarbital and caffeine were tested
to determine whether they shared discriminative stimulus effects with
the training dose of pentobarbital. Zolpidem, a rapid-onset, short-du
ration, quickly eliminated imidazopyridine hypnotic agent, was tested
because its discriminative stimulus effects have been shown to differ
from those of classic sedative/hypnotic compounds in rodents, but not
in nonhuman primates. Triazolm and caffeine were included as positive
and negative controls, respectively. The subject-rated and performance
-impairing effects of zolpidem, triazolam, pentobarbital and caffeine
were assessed concurrently. These four subjects met the discrimination
criterion (greater than or equal to 80% correct drug identifications
on four consecutive sessions) in 4 to 18 (mean = 8.5) sessions, and th
e pentobarbital-placebo discrimination was well maintained during a te
st-of-novel-doses and test-of-novel-drugs phase (i.e., placebo and 100
mg pentobarbital occasioned 0-35% [mean = 17%] and 75-100% [mean = 85
%] drug-appropriate responding, respectively). Zolpidem, triazolam and
pentobarbital generally produced dose-related increases in pentobarbi
tal-appropriate responding and sedative-like, subject-rated drug effec
ts. Caffeine on average produced low levels of pentobarbital-appropria
te responding, although some doses of caffeine produced maximal pentob
arbital-appropriate responding in some subjects. Caffeine produced som
e stimulant-like (e.g., jittery, motivated, nervous and stimulated) su
bject-rated drug effects. Zolpidem and triazolam, and to a much lesser
extent pentobarbital, but not caffeine, impaired performance. These r
esults suggest that humans can acquire and maintain a pentobarbital-pl
acebo discrimination, and this discrimination is pharmacologically spe
cific. These results also suggest that despite the somewhat unique bio
chemical profile of zolpidem, its discriminative stimulus, subject-rat
ed and performance-pairing effects are similar to those of classic sed
ative/hypnotic compounds like the barbiturates and benzodiazepines. Fi
nally, the results observed in the present study with zolpidem, triazo
lam and caffeine demonstrate that the discriminative stimulus effects
of drugs observed with nonhuman primates can be systematically replica
ted in humans.