• Panagiotis Oulis, George Konstantakopoulos, Anastasios V Kouzoupis, Vasilios G Masdrakis, Nikolaos A Karakatsanis, Evangelos Karapoulios, Konstantinos A Kontoangelos, and George N Papadimitriou.
• Department of Psychiatry, Eginition Hospital, Athens University Medical School, Greece. oulisp@med.uoa.gr
• Hum Psychopharmacol. 2008 Jun 1; 23 (4): 337-40.

ObjectiveTolerance, dependence, and adverse effects on cognitive functions are well-known consequences of long-term use of benzodiazepines (BDZ), especially at high doses, raising thorny therapeutic problems in their discontinuation. One promising pharmacological agent in BDZ discontinuation might be the newer anti-epileptic pregabalin, already successfully tested in the treatment of anxiety disorders.MethodsWe report on a sample of 15 patients with long-term, mostly high-dose dependence from BDZ, treated with pregabalin in an open-label study at doses 225-900 mg.ResultsAll patients discontinued successfully BDZ in 3-14 weeks, moreover with a significant reduction of their previous anxiety levels under BDZ. In addition, patients showed also a significant amelioration in their cognitive functioning. Pregabalin's side-effects were mild and transient, lasting only during the first 2 weeks of treatment.ConclusionAlthough preliminary, our findings suggest that pregabalin may be one new promising agent in the treatment of BDZ dependence.(c) 2008 John Wiley & Sons, Ltd.

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