The effect of scopolamine hydrobromide (0.4 mg s.c.) on spontaneous ya
wning was studied in 16 male volunteers in a double-blind study. Scopo
lamine (or placebo) was given 60 min before (-60 min) placebo (physiol
ogical saline s.c.) (time 0 min) and yawning monitored from -15 to +60
min by recording displacement of the lower jaw and storing the traces
on diskettes. After placebo, the number of yawns was 5.3 +/- 1.4 (XBA
R +/- SE) and after scopolamine pretreatment 4.3 +/- 1.6 (p = NS). Dro
wsiness was assessed with the Stanford Sleepiness Scale and the Analog
Sleepiness Scale at -15, 0, +20, +40, +60 min. There was no significa
nt correlation between total sleepiness scores (area under the curve,
0 min to +60 min), peak sleepiness score or peak increment in sleepine
ss score and number of yawns on either scale. These data suggest that
(a) spontaneous yawning in man is not mediated by a central muscarinic
cholinergic link, and (b) the assumed relationship between drowsiness
and yawning remains to be verified experimentally.