Variables influencing patient satisfaction for hypnotics: difference between zolpidem and brotizolam. (14th May 2014)

• Record Type: Journal Article
• Authors: Hosono, T.; Homma, M.; Satoh, M.; Kohda, Y.
• Is Part Of: Journal of clinical pharmacy and therapeutics. Volume 39:Number 5(2014:Oct.)
• Page Start: 507
• Page End: 510
• Publication Date: 2014-05-14
• Subjects: Clinical pharmacology -- Periodicals; Chemotherapy -- Periodicals; 615
• DOI: 10.1111/jcpt.12174
• Languages: English
• ISSNs: 0269-4727

Abstract

<abstract abstract-type="main" id="jcpt12174-abs-0001"> <title>Summary</title> <sec id="jcpt12174-sec-0001" sec-type="section"> <title>What is known and objective</title> <p>The pharmacokinetics of zolpidem and brotizolam is affected by gender and age, that is, increased clearance in males taking zolpidem and younger subjects taking brotizolam. The purpose of this study was to determine the variables including gender and age influencing patient satisfaction for hypnotics, zolpidem and brotizolam.</p> </sec> <sec id="jcpt12174-sec-0002" sec-type="section"> <title>Methods</title> <p>The study included 329 patients who were treated with zolpidem (<italic>n</italic> = 172) and brotizolam (<italic>n</italic> = 157) for insomnia. Patients were interviewed to evaluate individual satisfaction and drug efficacy. The factors associated with dissatisfaction of zolpidem and brotizolam were identified using multiple logistic analysis.</p> </sec> <sec id="jcpt12174-sec-0003" sec-type="section"> <title>Results and discussion</title> <p>Of the participating patients, 40 (23%) and 41 (26%) complained of dissatisfaction with zolpidem and brotizolam, respectively. An insufficient amount of sleep (<6 h) and the number of awakenings were common factors cited for dissatisfaction for both drugs. Males were found to report a higher rate of dissatisfaction for zolpidem, whereas patients younger than 65 years and those receiving corticosteroid therapy reported a higher rate of dissatisfaction with brotizolam.</p> </sec> <sec id="jcpt12174-sec-0004" sec-type="section"> <title>What is new and conclusion</title> <p>These results suggested that patient satisfaction was different between zolpidem and brotizolam in terms of gender for zolpidem and age and corticosteroid co‐administration for brotizolam, which could be used to help choose a better drug among the two in patients with insomnia.</p> </sec> </abstract>