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August 1, 1994Pharmacology & Toxicology

Drug and Ethanol Effects on the Clinical Test for Drunkenness: Single Doses of Ethanol, Hypnotic Drugs and Antidepressant Drugs

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Key result

Ethanol and drug-ethanol combinations impair drunkenness test performance more than single or combined drugs.

  • n=24

Why the study?

Data about the effects of psychotropic drugs on the clinical test for drunkenness are limited.

Do single doses of psychotropic drugs, ethanol, or their combinations impair performance on the clinical test for drunkenness compared to placebo?

Comparison

Single doses of psychotropic drugs, ethanol, and their combinations versus placebo

Design

Randomized double-blind cross-over trials

Follow-up

5 hours

Authors

TKTapio Kuitunen

Discussion

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Overview

Ethanol or drug-ethanol combinations warrant extra caution in performance evaluations; confirms the test's greater sensitivity versus moderate psychotropic drugs alone.

Study Design

Type

RCT (n=24)

Blinding

Double-blind

Randomization

Cross-over

Structured PICO

Do single doses of psychotropic drugs, ethanol, or their combinations impair performance on the clinical test for drunkenness compared to placebo?

P
Population
24 subjects across two randomized double-blind cross-over trials evaluating the effects of psychotropic drugs and ethanol on the clinical test for drunkenness.
I
Intervention
Single doses of psychotropic drugs (diazepam 15 mg, amitriptyline 50 mg, mirtazepine 15 mg, zopiclone 7.5 mg, triazolam 0.25 mg), ethanol (0.8 g/kg), or their combinations
C
Comparator
Placebo
O
Outcome
Performance on the clinical test for drunkenness (motor and vestibular subtests) and laboratory tests (digit symbol substitution, simulated driving, global psychomotor performance) at 2 hr and 5 hr after drug intakesurrogate

The clinical test for drunkenness is more sensitive to ethanol and drug-ethanol combinations than to moderate doses of psychotropic drugs alone.

Cite This Study

Tapio Kuitunen (1994) reported an RCT. Psychotropic drugs and ethanol vs. Placebo was evaluated on Performance on the clinical test for drunkenness and laboratory tests (digit symbol substitution, simulated driving, global psychomotor performance). Single doses of ethanol or drug-ethanol combinations impaired performance on the clinical test for drunkenness more than moderate doses of single drugs or drug-drug combinations.

synapsesocial.com/papers/6aaa1c1704e0d8bfdda4e113https://doi.org/10.1111/j.1600-0773.1994.tb00329.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A comparison of driving related skills impaired by ethanol and zopiclone2020 · 3 citations
  2. 2Investigating drug‐ethanol interactions.1984 · 25 citations
  3. 3Comparison of driving simulator performance with real driving after alcohol intake: A randomised, single blind, placebo-controlled, cross-over trial2013 · 119 citations
  4. 4The sensitivity of laboratory tests assessing driving related skills to dose-related impairment of alcohol: A literature review2016 · 67 citations
  5. 5Behavioral and Neurophysiological Signatures of Benzodiazepine-Related Driving Impairments2015 · 19 citations