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1 lis 2016 · This article summarizes legitimate reasons for prescribing benzodiazepines in the elderly, serious associated risks of prescribing them, particularly when not indicated, barriers physicians encounter in changing their prescription patterns, and evidence-based strategies on how to discontinue benzodiazepines in older patients.
Benzodiazepines and other types of sedative-hypnotics, such as Z-drugs, are no longer recommended for treating insomnia in older adults and are considered inappropriate. 2 In addition to causing memory impairment, falls, fractures and motor vehicle accidents, 3 – 6 data now show that sedative-hypnotics account for a substantial number of ...
19 paź 2018 · Klonopin (clonazepam), used to control and prevent seizures, is also prescribed for panic attacks. For sleep problems, benzodiazepines approved by the Food and Drug Administration are...
1 sty 2024 · We evaluated the effectiveness of low-dose clonazepam with CBT-i and high-dose clonazepam in older adults with moderately severe insomnia and found that group B (0.5 mg clonazepam with CBT-i) had a significantly higher reduction in ISI and SUDS mean scores than group A (clonazepam 1mg).
1 mar 2004 · Indications for the use of benzodiazepines are the same for elderly patients as for younger ones. Generalized anxiety disorder, adjustment disorder, anxiety, and insomnia are the most common indications. However, benzodiazepines are also prescribed for multiple concomitant physical and psychological problems.
• For those who have been taking a long half-life benzodiazepine for only a short-term (e.g. up to 4 weeks of clorazepate or clonazepam), taper over 1 week • Alprazolam • For doses <4mg/day, taper by no more than 0.5mg every 3 days or no more than 0.25mg every week
for elderly patients is that “older adults have increased sensitivity to benzodiazepines and decreased metabolism of long-acting agents; in general, all benzodiazepines increase risk of cognitive impairment, delirium, falls, fractures, and motor vehicle crashes in older adults.”1 The panel strongly recommends that short-
