Research from JAMA Internal Medicine — Reduction of Inappropriate Benzodiazepine Prescriptions Among Older Adults Through Direct Patient Education.
Trial Registration clinicaltrials.gov Identifier: NCT.
Design, Setting, and Participants Cluster randomized trial (EMPOWER [Eliminating Medications Through Patient Ownership of End Results] study ). Community pharmacies were randomly allocated to the intervention or control arm in nonstratified, blocked groups of 4. Participants (303 long-term users of benzodiazepine medication aged 65-95 years, recruited from 30 community pharmacies) were screened and enrolled prior to randomization: 15 pharmacies randomized to the educational intervention included 148 participants and 15 pharmacies randomized to the “wait list” control included 155 participants.
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Highlights. Benzodiazepines are useful for treating insomnia and anxiety, which people with bipolar disorder may experience. They are highly.
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Prescriptions for benzodiazepines have more than tripled and fatal overdoses have more than quadrupled in the past 20 years, researchers.
Bachhuber said the public and doctors need to be aware of the dangers of combining benzodiazepines with other substances and should keep in mind alternative treatments including therapy or safer medications.
Higher doses, more days of treatment and people combining their prescriptions with illegally obtained benzodiazepines may account for the increase in overdose deaths, the study team writes.
"Benzodiazepines have several known safety risks: in addition to overdose, they are conclusively linked to falls, fractures, motor vehicle accidents, and can lead to misuse and addiction," Bachhuber told Reuters Health by.
In those 20 years, the number of adults with benzodiazepine prescriptions grew by more than two thirds, from 8.1 million to 13.5 million, the researchers found.
New research suggests the practice of using benzodiazepines to treat psychiatric conditions should be abandoned as evidence suggests the.
Psych Central does not provide medical, mental illness, or psychological advice, diagnosis or treatment. Learn more.
Experts say the case for limiting the use of benzodiazepines is particularly compelling for patients 65 and older, who are more susceptible to falls, injuries, accidental overdose, and death when taking the drugs. The American Geriatric Society in 2012 labeled the drugs “inappropriate” for treating insomnia, agitation, or delirium because of those risks.
Alphonso will review current treatment protocols, outpatient benzodiazepine detox strategies, and alternative anxiety treatments at OMED 15, to be held October 17-21 in Orlando.