Abstract

BackgroundBenzodiazepines carry the risk of inducing cognitive impairments, which may go unnoticed while profoundly disturbing social activity. Furthermore, these impairments are partly associated with the elimination half-life (EH) of the substance from the body. The object of the present study was to examine the effects of etizolam and ethyl loflazepate, with EHs of 6 h and 122 h, respectively, on information processing in healthy subjects.MethodsHealthy people were administered etizolam and ethyl loflazepate acutely and subchronically (14 days). The auditory P300 event-related potential and the neuropsychological batteries described below were employed to assess the effects of drugs on cognition. The P300 event-related potential was recorded before and after drug treatments. The digit symbol test, trail making test, digit span test and verbal paired associates test were administered to examine mental slowing and memory functioning.ResultsAcute administration of drugs caused prolongation in P300 latency and reduction in P300 amplitude. Etizolam caused a statistically significant prolongation in P300 latency compared to ethyl loflazepate. Furthermore, subchronic administration of etizolam, but not ethyl loflazepate, still caused a weak prolongation in P300 latency. In contrast, neuropsychological tests showed no difference.ConclusionsThe results indicate that acute administration of ethyl loflazepate induces less effect on P300 latency than etizolam.

Highlights

  • Benzodiazepines carry the risk of inducing cognitive impairments, which may go unnoticed while profoundly disturbing social activity

  • We studied the effects of anxiolytic benzodiazepines on neuropsychological functions and P300 components of auditory event-related potential (ERP) under acute and subchronic administration of ethyl loflazepate and etizolam

  • The subsequent one-way analysis of variance (ANOVA) on the changes of P300 amplitude revealed no significant difference among drug groups (Figure 1j-l), the magnitude of changes showed that etizolam (2 mg) produced a trend in reduction of amplitude

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Summary

Introduction

Benzodiazepines carry the risk of inducing cognitive impairments, which may go unnoticed while profoundly disturbing social activity. These impairments are partly associated with the elimination halflife (EH) of the substance from the body. Benzodiazepines have anxiolytic, sedative, anticonvulsant and myorelaxant properties, and have been widely prescribed in various clinical settings. These compounds, induce adverse effects such as oversedation, cognitive impairment, motor impairment and withdrawal. We studied the effects of anxiolytic benzodiazepines on neuropsychological functions and P300 components of auditory ERP under acute and subchronic administration of ethyl loflazepate and etizolam. The aim of the present study is to examine whether sedative or anxiolytic actions of benzodiazepines have some effects on ERP and neuropsychological tests

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