2018
DOI: 10.5664/jcsm.7404
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Two Cases of Sleep-Related Eating Disorder Responding Promptly to Low-Dose Sertraline Therapy

Abstract: We report two cases of adult males with sleep-related eating disorder (SRED), with durations of 3 and 7 years, and without associated psychiatric history. In both cases, the use of low-dose (25 mg) sertraline taken at bedtime resulted in immediate, full and sustained resolution of symptoms at the latest follow-ups. The sertraline efficacy was of particular benefit for the patient reported on in case 2 who was a commercial airline pilot subjected to a highly restricted list of Federal Aviation Administration-ap… Show more

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Cited by 17 publications
(33 citation statements)
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“…Thus, nocturnal eating behavior and binge eating may possibly be related to the pathology of addiction, including smoking. As for SRED, several cases in which smoking cessation resulted in SRED have been reported [5,39]. In addition, sleep-related smoking concomitant with NES and/or SRED has been reported [40].…”
Section: Discussionmentioning
confidence: 99%
“…Thus, nocturnal eating behavior and binge eating may possibly be related to the pathology of addiction, including smoking. As for SRED, several cases in which smoking cessation resulted in SRED have been reported [5,39]. In addition, sleep-related smoking concomitant with NES and/or SRED has been reported [40].…”
Section: Discussionmentioning
confidence: 99%
“…In patients without these risks, it may have been helpful to interview the patient to identify sources of stress. Stress from family and relationships, abstinence from alcohol/opiates/cocaine, and cessation of cigarette smoking have been previously shown to induce SRED [ 31 ]. Thus, interviewing patients presenting with SRED for stress may have helped identify additional risk factors for SRED.…”
Section: Discussionmentioning
confidence: 99%
“…This agent decreases slow–wave activity (SWA), thereby improving sleep disorders, which occur during deep NREM with high SWA [ 14 , 38 ]. However, in some cases, clonazepam has caused SRED [ 31 , 38 ]. A new option may include selective serotonin reuptake inhibitors (SSRI), which have been beneficial in patients presenting with idiopathic SRED and depression [ 39 ].…”
Section: Discussionmentioning
confidence: 99%
“…Check for updates predisposing conditions of SRED include sleepwalking, restless leg syndrome, narcolepsy, obstructive sleep apnea (OSA), hypnotic medication use, and mental conditions such as major depressive disorder [2]. For patients with pre-disposing factors, pharmacologic treatments involve a combination of levodopa, bromocriptine, codeine, and clonazepam [2]. Dopaminergic agents are used as treatments since previous research indicate an underlying dopaminergic dysfunction for SRED.…”
Section: Case Reportmentioning
confidence: 99%
“…Sleep related eating disorder (SRED) is a parasomnia associated with the non-rapid eye movement (NREM) phase of sleep, characterized by recurrent episodes of eating after sleep onset with full or partial amnesia of the episode [1,2]. SRED can result in adverse events such as weight gain and be potentially dangerous since patients have reported driving while asleep [1][2][3][4]. Known ies to determine if melatonin can be used as a potential treatment for SRED.…”
Section: Introductionmentioning
confidence: 99%