To test the respiratory effects of
benzodiazepines in an established animal model of
central apnea, we administered nonhypnotic and
hypnotic doses of
diazepam to nine adult male Sprague-Dawley rats chronically instrumented for sleep staging. In random order on separate days, rats were recorded following
intraperitoneal injection of: (1) saline; (2) 0.05 mg/kg
diazepam; or (3) 5 mg/kg
diazepam. Normalized inspiratory minute ventilation increased significantly during wakefulness and non-rapid eye movement (non-REM) sleep following each dose of
diazepam (p < 0.003 in each case) and following the highest dose during rapid eye movement (REM) sleep (p = 0.01). In accord with this respiratory stimulation, non-REM-related spontaneous and post-sigh
apnea expression decreased following each dose of
diazepam (p = 0.006 to 0.04), but REM-related
apnea expression was unaffected despite significant respiratory stimulation. The durations of non-REM and REM sleep were unaffected by the low dose, but following 5 mg/kg of
diazepam non-REM sleep was increased (p = 0.03) and REM sleep was decreased (p = 0.009). We conclude that both
hypnotic and non-
hypnotic doses of
benzodiazepines may be associated with suppression of sleep-related
central apnea. We further conclude that non-REM and REM-related
apneas arise from at least partially distinct mechanisms.