a collaborative treatment between patient and health professional.the patient's decision and should not be forced by the doctor (2).achieved after changing the prescription from a short-acting to a long-acting preparation if appropriate e.g.but regimens beyond 6 months should be avoided although a 6 month schedule may be necessary for patients who have tried but failed to withdraw previously (4).dose tapering should be flexible and should be according to the patient's individual needs which are different in every case (1).carried out gradually - the length of the period of withdrawal is dependent on the dose of the benzodiazepine that is being withdrawn and the patient response to the withdrawal process.with withdrawal from benzodiazepines one sees recrudescence of anxiety, perceptual disturbances, panic attacks, cognitive impairment, seizures.The key feature in benzodiazepine dependence is emergence of withdrawal symptoms with dosage reduction or discontinuation (3). the following factors are associated with an increased risk of developing dependency:.both psychological and physical dependence may occur after few weeks or months of regular or repeated use (2).The improved safety profile of benzodiazepines compared to barbiturates has contributed to a high rate of prescription since the seventies.Īlthough benzodiazepines are highly effective for some disorders, people may develop tolerance leading to chronic consumption and dependence on the drug.
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