Reducing the risks when using benzodiazepines to treat insomnia: A public health approach.

IF 3.4 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Cleveland Clinic Journal of Medicine Pub Date : 2024-05-01 DOI:10.3949/ccjm.91a.23061

Vania Modesto-Lowe, Margaret M Chaplin, Roberto León-Barriera, Lakshit Jain

引用次数: 0

Abstract

Benzodiazepines are widely used but can cause considerable harm, including sedation, addiction, falls, fractures, and cognitive impairment, especially with long-term use and in elderly patients. The authors propose a public health approach to reduce the potential for harm when using benzodiazepines to treat insomnia. Primary prevention involves judicious patient selection and patient education. Secondary prevention requires keeping the duration of use as short as possible according to guidelines. Tertiary prevention, for patients who have been taking a benzodiazepine for a long time, uses shared decision-making to introduce a gradual and carefully monitored taper.

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降低使用苯并二氮杂卓治疗失眠症的风险：公共卫生方法。

苯二氮卓类药物被广泛使用，但会造成相当大的伤害，包括镇静、成瘾、跌倒、骨折和认知障碍，尤其是长期使用和老年患者。作者提出了一种公共卫生方法，以减少使用苯二氮卓类药物治疗失眠症时可能造成的伤害。一级预防包括明智地选择患者和对患者进行教育。二级预防要求根据指南尽可能缩短使用时间。三级预防针对长期服用苯二氮卓类药物的患者，采用共同决策的方式，在仔细监测下逐步减量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cleveland Clinic Journal of Medicine 医学-医学：内科

CiteScore

3.80

自引率

0.00%

发文量

109

审稿时长

6-12 weeks

期刊介绍： The mission of Cleveland Clinic Journal of Medicine (CCJM) is to provide its readers with up-to-date, practical, clinical information relevant to internal medicine, cardiology, and related fields. Consistent with this mission, CCJM focuses on timely review articles and other content that has a continuing-education orientation rather than on original research or case reports. CCJM authors, drawn from Cleveland Clinic and other top medical institutions throughout the world, are asked to identify new findings that are changing the practice of medicine and to advise readers how to apply them in daily patient care. Authors are chosen for their experience, acquired through caring for patients, teaching other physicians, and researching clinical questions.