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Serotoninergic agents in the treatment of isolated sleep paralysis.

S Snyder, G Hams

American Journal of Psychiatry September 1982 DOI: 10.1176/ajp.139.9.1202 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case study Case report Peer reviewed
Sample size 3
Population Individuals with isolated sleep paralysis
Interventions L-tryptophan amitriptyline imipramine
Topics Serotonin
Key findings In three reported cases, isolated sleep paralysis was controlled by L-tryptophan, given with or without amitriptyline. The authors suggest this may relate to increased central 5-hydroxytryptamine availability, noting that imipramine, which acts mainly on norepinephrine reuptake, was ineffective in the one case in which it was tried.

Abstract

The authors report three cases of isolated sleep paralysis controlled by L-tryptophan with or without amitriptyline. Both agents increase CNS 5-hydroxytryptamine availability, whereas imipramine, which was ineffective in the one case in which it was tried, affects predominantly norepinephrine reuptake.

Comparable studies

Other case reports and case series on serotonin, most cited first.

Study Year Design Participants
Lasting Neuropsychiatric Sequelae of (??)Methylenedioxymethamphetamine (???Ecstasy???) in Recreational Users Persons who ingested large doses of MDMA 1991 Case study n = 2
Striatal serotonin is depleted in brain of a human MDMA (Ecstasy) user Chronic MDMA user 2000 Case study n = 1
Death following ingestion of MDMA (ecstasy) and moclobemide People who died after ingesting moclobemide and MDMA 2003 Case series n = 4
Ecstasy Intoxication: An Overlap Between Serotonin Syndrome and Neuroleptic Malignant Syndrome A 19-year-old woman and 15 other cases reported in the literature 1996 Case report and literature review n = 16
Recurrent seizures and serotonin syndrome following "2C-I" ingestion. 19-year-old male who insufflated 2C-I 2013 Case report n = 1

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