Psychopharmacology of sleep disorders

Handb Clin Neurol. 2019:165:345-364. doi: 10.1016/B978-0-444-64012-3.00021-6.

Abstract

The concept of psychopharmacology has particular applicability to the study of sleep because the states of sleep and wake are so intensely and complexly neurophysiologic in nature. Growing understanding of the structure and function of the neural pathways involved is increasing the capacity to devise targeted pharmacologic interventions to address maladaptions and malfunctions that result in various sleep-related disorders and better ways to promote or replicate sleep in situations where it is needed but does not occur naturally. In this chapter we review the neurobiology of sleep and wake states, and how this relates to understanding of common sleep problems and their pharmacologic treatment.

Keywords: Apnea; Circadian; Hypersomnia; Insomnia; Narcolepsy; Neurobiology; Parasomnia.

Publication types

  • Review

MeSH terms

  • Antipsychotic Agents / pharmacology
  • Antipsychotic Agents / therapeutic use
  • Brain / drug effects
  • Brain / physiology*
  • Circadian Rhythm / physiology*
  • Humans
  • Hypnotics and Sedatives / pharmacology
  • Hypnotics and Sedatives / therapeutic use
  • Psychopharmacology
  • Sleep / drug effects
  • Sleep / physiology*
  • Sleep Wake Disorders / drug therapy
  • Sleep Wake Disorders / physiopathology*
  • Sleep Wake Disorders / psychology*

Substances

  • Antipsychotic Agents
  • Hypnotics and Sedatives