• Cleve Clin J Med · May 2024

    Review

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

    • Vania Modesto-Lowe, Margaret M Chaplin, Roberto León-Barriera, and Lakshit Jain.
    • Department of Psychiatry, University of Connecticut, Farmington, CT; Medical Director, Hartford Behavioral Health, Hartford, CT.
    • Cleve Clin J Med. 2024 May 1; 91 (5): 293299293-299.

    AbstractBenzodiazepines 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.Copyright © 2024 The Cleveland Clinic Foundation. All Rights Reserved.

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