Clinical Case Database / Category: Clinical Care
Benzodiazepines and Z drugs: managing inappropriate hypnotic prescribing in clinical practice
Publication details
Dr. Devender Singh Yadav, MBBS, DPM, Dr. Richard Huw Davies, MBChB, DGO, FRCPsych
Foundation Years Journal, volume 6, issue 6, p.6 (123Doc Education, London, June 2012)
Abstract
Inappropriate hypnotic prescribing is quiet common in clinical practice and is a widespread problem. This may lead to difficulty in withdrawing the drug if the patient has taken it for more than a few weeks. The use of hypnotics is associated with the development of tolerance, dependence and withdrawal symptoms.
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Authors
Dr. Devender Singh Yadav, MBBS, DPM
Speciality Doctor in Psychiatry
Dr. Richard Huw Davies, MBChB, DGO, FRCPsych
Consultant Psychiatrist and Honorary Lecturer
References
1. British National Formulary (BNF) 56 edition, September 2009, British Medical Association and Royal Pharmaceutical Society of Great Britain
2. National Institute of Clinical Excellence. Insomnia- newer hypnotic drugs. Zaleplon, zolpidem and zopiclone for the management of insomnia. Technology Appraisal 77 (April 2004): http://www.nice.org.uk. Accessed 01/04/2010
3. Taylor D, Paton C, Kapur S. The Maudsley Prescribing Guidelines, 10th edition. Informa healthcare. 2009; 248-250.
4. Committee on Safety of Medicines. Benzodiazepines, dependence and withdrawal symptoms. Current Problems 1988; 21: 1-2
5. Royal College of Psychiatrists. Benzodiazepines: risks, benefits and dependence: a re-evaluation. Council Report 59. (1997). http://www. rcpsych.ac.uk. Accessed 01/04/2010.
6. Voshaar RCO et al. Strategies for discontinuing long-term benzodiazepine use: meta-analysis. Br J Psychiatry 2006; 189: 213-20
7. Jacobs GD et al. Cognitive behaviour therapy and pharmacotherapy for insomnia: a randomized controlled trial and direct comparison. Arch Intern Med 2004; 164: 1888-96.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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