Digital Public Defence: Knut Johan Hjelmeland
Cand.med Knut Johan Hjelmeland at Institute of Clinical Medicine will be defending the thesis “Zopiclone impairment. Characterization and measurement in an experimental study” for the degree of PhD (Philosophiae Doctor).
The public defence will be held as a video conference over Zoom.
The defence will follow regular procedure as far as possible, hence it will be open to the public and the audience can ask ex auditorio questions when invited to do so.
Digital Trial Lecture – time and place
- First opponent: Professor Johan Ahlner, Universitetet i Linköping
- Second opponent: Senior Consultant Thor Hilberg, Fürst laboratorium
- Third member and chair of the evaluation committee: Associate Professor Mimi Stokke Opdal, University of Oslo
Chair of the Defence
Professor Emeritus Jan-Bjørn Osnes, Faculty of Medicine, University of Oslo
Researcher Gudrun Høiseth, Faculty of Medicine, University of Oslo
Zopiclone is a frequently prescribed hypnotic drug. Related to the therapeutic effects is impairment of cognitive functioning and psychomotor skills. Impairment caused by a drug is closely related to its concentration in blood, this is well documented for ethanol. Oral fluid (OF) is an attractive specimen due to the simplified sampling procedure.
This thesis is based on a double blind, placebo-controlled, crossover, randomized trial in 16 healthy male subjects. The subjects received 5 mg zopiclone, 10 mg zopiclone, 50 g ethanol or a placebo on different study days. 10 pairs of blood and OF samples (by using two different devices) were delivered during each study day. During the study day a simplified clinical test was performed twice and three times computerized tests (Connors Continuous Performance Test, Stockings of Cambridge Test and choice reaction test).
We found a dose- and concentration-related impairment of both zopiclone and ethanol for the simplified clinical tests and the computerized tests. The simplified clinical test was less able to detect impairment than the computerized tests. We found more impairment for 10 mg zopiclone than 50 g ethanol for automative behavior, while similar impairment for zopiclone 10 mg and 50 g ethanol was found for controlled and executive planning behavior. Tests that measure reaction time were more likely to be influenced by zopiclone, tests that measure impulsive responses were more likely to be affected by ethanol. Acute tolerance was found for zopiclone, but most clearly expressed for psychomotor tests categorized to measure automative behavior or reaction time.
The zopiclone concentration in OF was dependent on the OF sampler device. The OF/blood concentration ratio had large intra- and interindividual variation and range and was dependent on several variables, such as amount of OF delivered and intake of food. We found a prolonged excretion of zopiclone in OF, up to 14 days after intake of 10 mg zopiclone.
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