The Homeopathic Preparation Neurexan® vs. Valerian for the Treatment of Insomnia: An Observational Study

Insomnia is prevalent and complementary therapies are common, but data are lacking on the effectiveness and tolerability of preparations beyond valerian. Here we report on an open-label, prospective cohort study in 89 German centers offering both conventional and complementary therapies. Subjects re...

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Main Authors: Rainer Waldschütz, Peter Klein
Format: Article
Language:English
Published: Wiley 2008-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/tsw.2008.61
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author Rainer Waldschütz
Peter Klein
author_facet Rainer Waldschütz
Peter Klein
author_sort Rainer Waldschütz
collection DOAJ
description Insomnia is prevalent and complementary therapies are common, but data are lacking on the effectiveness and tolerability of preparations beyond valerian. Here we report on an open-label, prospective cohort study in 89 German centers offering both conventional and complementary therapies. Subjects received the homeopathic preparation Neurexan® or valerian for 28 days. Doses were at physicians' judgments. Sleep duration and latency were evaluated based on patients' sleep diaries over 14 days; sleep quality was evaluated at 28 ± 1 days. A total of 409 subjects were enrolled. The groups were balanced at baseline for age, sex, weight, and sleep disturbances. At day 14, both groups reported improved sleep latency and duration; latency was reduced from baseline by 37.3 ± 36.3 min with Neurexan and by 38.2 ± 38.5 min with valerian. The duration of sleep increased by 2.2 (±1.6) h in the Neurexan group and by 2.0 (±1.5) h in the valerian group. Differences between the groups in improvement on sleep duration were significantly in favor of Neurexan therapy at days 8, 12, and 14. At day 28, quality of sleep was improved in both groups with no significant differences between the treatments. Significantly more patients reported lack of daytime fatigue with Neurexan than with valerian therapies (49% vs. 32%; p < 0.05 for the comparison). For patients favorable towards a CAM-based therapy, Neurexan might be an effective and well-tolerated alternative to conventional valerian-based therapies for the treatment of mild to moderate insomnia.
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spelling doaj-art-194ae83be1a0424db25c7b6d25d893a82025-02-03T07:25:54ZengWileyThe Scientific World Journal1537-744X2008-01-01841142010.1100/tsw.2008.61The Homeopathic Preparation Neurexan® vs. Valerian for the Treatment of Insomnia: An Observational StudyRainer Waldschütz0Peter Klein1Hadwigstrasse 24, D - 78224 Singen, Germanyd.s.h. statistical services GmbH Bahnhofstrasse 20, D - 85296 Rohrbach, GermanyInsomnia is prevalent and complementary therapies are common, but data are lacking on the effectiveness and tolerability of preparations beyond valerian. Here we report on an open-label, prospective cohort study in 89 German centers offering both conventional and complementary therapies. Subjects received the homeopathic preparation Neurexan® or valerian for 28 days. Doses were at physicians' judgments. Sleep duration and latency were evaluated based on patients' sleep diaries over 14 days; sleep quality was evaluated at 28 ± 1 days. A total of 409 subjects were enrolled. The groups were balanced at baseline for age, sex, weight, and sleep disturbances. At day 14, both groups reported improved sleep latency and duration; latency was reduced from baseline by 37.3 ± 36.3 min with Neurexan and by 38.2 ± 38.5 min with valerian. The duration of sleep increased by 2.2 (±1.6) h in the Neurexan group and by 2.0 (±1.5) h in the valerian group. Differences between the groups in improvement on sleep duration were significantly in favor of Neurexan therapy at days 8, 12, and 14. At day 28, quality of sleep was improved in both groups with no significant differences between the treatments. Significantly more patients reported lack of daytime fatigue with Neurexan than with valerian therapies (49% vs. 32%; p < 0.05 for the comparison). For patients favorable towards a CAM-based therapy, Neurexan might be an effective and well-tolerated alternative to conventional valerian-based therapies for the treatment of mild to moderate insomnia.http://dx.doi.org/10.1100/tsw.2008.61
spellingShingle Rainer Waldschütz
Peter Klein
The Homeopathic Preparation Neurexan® vs. Valerian for the Treatment of Insomnia: An Observational Study
The Scientific World Journal
title The Homeopathic Preparation Neurexan® vs. Valerian for the Treatment of Insomnia: An Observational Study
title_full The Homeopathic Preparation Neurexan® vs. Valerian for the Treatment of Insomnia: An Observational Study
title_fullStr The Homeopathic Preparation Neurexan® vs. Valerian for the Treatment of Insomnia: An Observational Study
title_full_unstemmed The Homeopathic Preparation Neurexan® vs. Valerian for the Treatment of Insomnia: An Observational Study
title_short The Homeopathic Preparation Neurexan® vs. Valerian for the Treatment of Insomnia: An Observational Study
title_sort homeopathic preparation neurexan r vs valerian for the treatment of insomnia an observational study
url http://dx.doi.org/10.1100/tsw.2008.61
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