Pagel J F
Rocky Mountain Sleep Disorders Center, Southern Colorado Family Medicine Residency Program, Department of Family Medicine, University of Colorado School of Medicine, PO Box 3065, Pueblo, CO 81005, USA.
Sleep Med Clin. 2017 Sep;12(3):383-393. doi: 10.1016/j.jsmc.2017.03.011. Epub 2017 Jun 10.
Daytime somnolence is among the most commonly reported drug side effects. The United States has the highest rate of motor vehicular accident (MVA) deaths with sedating drug use a factor in more than 30%. Sedating drug use extends beyond drugs of abuse to sedating medications. This paper presents pharmacodynamics, performance and driving tests, and MVAs for somnolence inducing agents classified as hypnotics, sedatives, and/or sedation as a side effect. This classification, based on the drug tendency to induce next-day sedation after nighttime use, can be cogently used by prescribers, pharmacists, regulatory agencies, and in direct to consumer marketing.
日间嗜睡是最常报告的药物副作用之一。美国机动车事故(MVA)死亡率最高,使用镇静药物是超过30%事故的一个因素。镇静药物的使用不仅包括滥用药物,还包括镇静类药物。本文介绍了被归类为催眠药、镇静剂和/或作为副作用的镇静作用的嗜睡诱导剂的药效学、性能和驾驶测试以及机动车事故情况。这种基于药物夜间使用后导致次日镇静倾向的分类,可供开处方者、药剂师、监管机构以及直接面向消费者的营销使用。