Benzodiazepine in the elderly
[DOC File]Fourth Annual Maine Benzodiazepine Study Group
https://info.5y1.org/benzodiazepine-in-the-elderly_1_8ba32f.html
The rates of comorbid substance abuse, e.g., alcohol, stimulants, depressants, etc., is lower in older patients; however, the overuse of medication may be higher because the risk of psychological dependency is greater in older people. Older patients who receive long-term benzodiazepine may be at higher risks for withdrawal than younger individuals.
Deprescribing Benzodiazepines in Elderly Patients #73
The writing is on the wall for benzodiazepine use. Greater numbers of drug deaths, increased risk behaviour for HIV and other communicable diseases, falls and accidents in the elderly are all previously unsuspected hazards. Recent years have seen a small but sustained reduction in the use of these drugs.
[DOC File]BENZODIAZEPINES:
https://info.5y1.org/benzodiazepine-in-the-elderly_1_cdba9c.html
Alternative (non-benzodiazepine) drug for . anxiety = buspirone (Buspar®), acting at 5-HT1A receptors (partial agonist) – has selective anxiolytic effect with no dependence, withdrawal, or EtOH interaction. Slow onset of action (2-4 weeks). Alternative (non-benzodiazepine) drug for . insomnia = zolpidem
[DOC File]Elderly Bipolar Patients
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For benzodiazepine withdrawal in elderly people with insomnia: 2 mg of controlled-release melatonin taken at bedtime for 6 weeks (the benzodiazepine dosage is reduced 50% during the second week, 75% during weeks 3 and 4, and stopped during weeks 5 and 6) and continued up to 6 months.
[DOCX File]Viktor's Notes – Benzodiazepines
https://info.5y1.org/benzodiazepine-in-the-elderly_1_9671f1.html
Clinicians should avoid long term benzodiazepine therapy in the bipolar with dementia. Small doses of short half-life benzodiazepines, like Ativan, can be. ... Elderly psychiatric patients exhibit high rates of alcohol abuse and prescription sedative overuse that produce delirium. Agitated, delirious patients can …
[DOC File]Patients not appropriate for offering benzodiazepine ...
https://info.5y1.org/benzodiazepine-in-the-elderly_1_c8c63d.html
Anne Smith, Medicare Rights Advocate, Legal Services for the Elderly. 1:30 The Pharmacy Safety Net and Medicare Part D. Kimberley Fox, Research Associate II, Muskie School of Public Service, University of Southern Maine . 2:00 Round Table Discussions: 1- Benzodiazepine Prescribing Guidelines. 2- Alternative Therapies to Benzodiazepines
The Commonwealth of Massachusetts Executive Office of ...
22. Wang PS, Bohn RL, Glynn RJ, Mogun H, Avorn J. Hazardous benzodiazepine regimens in the elderly: effects of half-life, dosage, and duration on risk of hip fracture. American Journal of Psychiatry 2001;158:892-8. 23.
[DOCX File]Patient Handouts - Redemption Psychiatry, LLC
https://info.5y1.org/benzodiazepine-in-the-elderly_1_207294.html
Ataxia with falls (and subsequent fractures in elderly) Figure 2: Patients not appropriate for offering benzodiazepine withdrawal 2. Those experiencing a current crisis. Having an illness for which the drug is required at the current time e.g. epilepsy. Diagnosis of psychosis or dementia. Known to …
How to recognise and treat benzodiazepine dependence
Increased risk in those with substance use disorder, respiratory disorders, suicide risk, sleep apnea, elderly individuals6,7 All benzodiazepines have the same side effects and drug interaction risks.
[DOC File]BENZODIAZEPINES
https://info.5y1.org/benzodiazepine-in-the-elderly_1_1c5015.html
in benzodiazepine overdose, flumazenil will reverse coma within 1-2 minutes. frequent administration may be necessary for reversal of long-acting benzodiazepines. adverse effects:
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