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Sleep apnea: treatment with protriptyline.

Abstract
Fourteen patients with an average of more than 60 episodes of upper airway obstruction during night sleep were treated with a nonsedating tricyclic antidepressant, protriptyline. Frequency and duration of recorded apneas decreased in 11 cases, and satisfactory control of sleep apnea was maintained with medical therapy alone in 8 of these 11 patients for 7 to 15 months. Potential adverse effects of protriptyline, particularly on the cardiovascular system, limit its use in this illness. These results indicate the possibility of pharmacologic reversal of sleep-induced incoordination of the upper airway.
AuthorsR W Clark, H S Schmidt, S F Schaal, H Boudoulas, D E Schuller
JournalNeurology (Neurology) Vol. 29 Issue 9 Pt 1 Pg. 1287-92 (Sep 1979) ISSN: 0028-3878 [Print] United States
PMID573409 (Publication Type: Journal Article, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Dibenzocycloheptenes
  • Protriptyline
Topics
  • Adult
  • Aged
  • Airway Obstruction (drug therapy)
  • Apnea (drug therapy)
  • Dibenzocycloheptenes (therapeutic use)
  • Female
  • Humans
  • Male
  • Middle Aged
  • Protriptyline (therapeutic use)
  • Sleep Wake Disorders (drug therapy)

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