Cr. Rush et al., TRAZODONE AND TRIAZOLAM - ACUTE SUBJECT RATED AND PERFORMANCE-IMPAIRING EFFECTS IN HEALTHY-VOLUNTEERS, Psychopharmacology, 131(1), 1997, pp. 9-18
The present study compared the acute subject-rated and performance-imp
airing effects of trazodone and triazolam in seven healthy humans. Tra
zodone (50, 100 and 200 mg), triazolam (0.125, 0.25, 0.50 mg) and plac
ebo were administered orally in a double-blind, crossover design. Drug
effects were measured approximately 30 min before drug administration
and repeatedly afterwards for 6 h. Trazodone and triazolam produced d
ose-related increases in subject-ratings of drug effect and sedation.
The absolute magnitude of trazodone's and triazolam's effects was comp
arable across these measures, which suggests the doses tested were equ
ivalent on some behavioral dimension. By contrast, triazolam, but not
trazodone, increased subject ratings of ''dizzy'', ''excited'', ''nerv
ous'', ''restless'', ''stomach turning'' and ''itchy skin''. Triazolam
, but not trazodone, significantly impaired learning, recall and perfo
rmance. The present findings suggest trazodone may be a viable alterna
tive to benzodiazepine hypnotics like triazolam, especially when needi
ng to minimize drug-induced impairment. Future research could extend t
he present findings by replicating them in a clinically relevant popul
ation such as individuals with histories of drug abuse.