Case report: Additional grounds for tighter regulation? A case series of five women with zolpidem dependence from a Brazilian women-specific substance use disorder outpatient service
2024

Case Series of Zolpidem Dependence in Women

Sample size: 5 publication Evidence: low

Author Information

Author(s): Gabriel Leal, Igor Studart, Caio Petrus Monteiro Figueiredo, Talita di Santi, Paulo Suen, Silvia Brasiliano, Patricia B. Hochgraf, Pedro Starzynski Bacchi

Primary Institution: Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil

Hypothesis

The study aims to describe a series of case reports of zolpidem dependence in an outpatient women-specific tertiary service for substance use disorder in Brazil.

Conclusion

The surge in zolpidem prescriptions may lead to a global health issue of dependence, highlighting the need for better management and treatment protocols.

Supporting Evidence

  • Patients displayed escalating oral zolpidem doses ranging from 60-900 mg/day.
  • Common withdrawal symptoms included rebound insomnia and social impairment.
  • Three patients had comorbid eating disorders.
  • None of the cases exhibited other substance use disorders.

Takeaway

This study looked at five women who became dependent on a sleep medicine called zolpidem, showing that it can be more dangerous than people think.

Methodology

Retrospective review of medical records of patients with a diagnosis of zolpidem dependence.

Limitations

The small number of patients and the short follow-up time.

Participant Demographics

All participants were women aged 25-45 with a history of zolpidem dependence.

Digital Object Identifier (DOI)

10.3389/fpsyt.2024.1456148

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