The effect of pemoline on the electrical activity of the brain (electr
oencephalogram, EEG) was studied in relation to time since sleep and t
ime of day in 6 healthy subjects carrying out periods of work lasting
18 h. Power of the spontaneous EEG increased with time since sleep and
amplitude of the P3 event-related response decreased. The changes may
be interpreted as the reduction in alertness with time awake. In cont
rast, pemoline decreased power of the spontaneous EEG and increased th
e amplitude the P3 response, effects that are consistent with improved
alertness. The changes in brain activity were paralleled by effects o
n performance, in terms of percentage of correct responses and reactio
n time. Performance decreased with time awake, and was improved by pem
oline compared with placebo. The drug counteracted the adverse effects
of time since sleep, with the beneficial effect of the drug persistin
g over the 18-hour period of work. The findings emphasise that spontan
eous and event-related activity of the EEG may be used both to complem
ent measures of performance in the laboratory and to assess behaviour
in occupational situations where performance testing is impractical.