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David J. Kupfer, MD; Richard J. Wyatt, MD; Frederick Synder, MD; John M. Davis, MD

Arch Gen Psychiatry. 1971;24(2):185-189.

Abstract
The effect of chlorpromazine on nine patients with sleep disturbance was investigated. The results showed that chlorpromazine given at bedtime coincided with a marked increase in actual sleep time as exemplified by a significant decrease in intermittent wakefulness. Total REM time was increased proportionately to the increase in actual sleep. In a more extensive study in four patients, it was found that the administration of daytime chlorpromazine (100 mg) had no direct effect on sleep as compared to placebo. In contrast, bedtime chlorpromazine was associated with significant changes in various sleep parameters. That the time course of chlorpromazine administration is responsible for the differential effect on sleep is supported by the preliminary investigation with plasma chlorpromazine levels.

Author Affiliations
Bethesda, Md

From the Laboratory of Clinical Psychobiology, Division of Clinical and Behavioral Research, National Institute of Mental Health, Bethesda, Md. Dr. Kupfer is now at the Department of Psychiatry, Yale University School of Medicine, New Haven, Conn. Dr. Wyatt is now at the Laboratory of Clinical Psychopharmacology, Special Mental Health Division, NIMH, St. Elizabeth's Hospital, Washington, DC. Dr. Davis is now at the Laboratory of Clinical Science, CBRS, NIMH, Bethesda, Md.

Footnotes
Accepted for publication June 2, 1970.

Reprint requests to Laboratory of Clinical Psychobiology, CBRP, NIMH, Bethesda, Md 20014 (Dr. Synder).

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