3 Signs of Deviant Benzo Prescribing
A group of French psychiatrist released two papers this month that looked at how often physicians prescribe benzodiazepines and hypnotic in ways that deviate from the guidelines. The result twenty to thirty percent of those prescriptions deviated, and the rate was even higher in chronic medical and psychiatric disorders, forty five to sixty eight percent. But what I found most useful in this paper was the definition of deviation based it on French guidelines, and whether you agree with them or not. I think it's aluminum for all of us to think about these guidelines, and how often were off the mark? Here are three qualities of deviant benzoate prescribing. One duration prescribing benzoate for longer than one month when used for sleep or longer than three months when used for anxiety. To half-life prescribing benzes with a half life longer than twenty hours in people who are over aged seventy, five or people who are over aged, sixty five, and have two or more active medical problems. Or over age, sixty five and taking five or more medications, so which bends does have a long half-life that would be die as a Pam Valium Kloner Pamplona. Pin Arousa. transgene clorox supplied librium, one of the longest half-lives quasi-penal Doro and arguably praise lamb xanax. Three, prescribing, two or more ben does at the same time. So how justified these guidelines! I agree with the one about the long half-life those do increase the risk of falls memory problems as well as the overdose risk when used with opioids, a short half life benzoate like Morozov Pam Outta van to Mazza, Pam restaurant will or one of the safest oxy's Pam Sarah is preferable particularly in the elderly, and while short term use of benzodiazepines ideal. There's at least one disorder where long term use. Use is acceptable. That's panic disorder panic. Disorder is where Benzodiazepines have the best evidence and two are FDA approved there. Unfortunately, they kind of have a long half Life Plaza Pam and I'll praise lamb, generalized anxiety, disorder and social anxiety disorder are close seconds when it comes to the best evidence for using benzes in anxiety disorders. They are controversial in PTSD and they don't work in OCD. Which is no longer classified as an anxiety disorder.