Historique
Article de Périodique
A physician's guide to discontinuing benzodiazepine therapy (1990)
(Guide du médecin concernant l'arrêt du traitement aux benzodiazépines)
Auteur(s) :
DUPONT, R. L.
Année
1990
Page(s) :
600-603
Langue(s) :
Anglais
Refs biblio. :
17
Domaine :
Drogues illicites / Illicit drugs
Note générale :
Western Journal of Medicine, 1990, 152, (5), 600-603
Résumé :
FRANÇAIS :
Quelques conseils pratiques aux médecins pour le sevrage des benzodiazépines : diminution des doses, utilisation de benzodiazépines à longue vie, traitement des symptômes de sevrage par une médication adaptée.
ENGLISH:
Practicing physicians need to have practical techniques to help patients who want to stop using benzodiazepines. I have developed three approaches that usually work. The first, and most widely applicable, is gradually reducing the dose without adding any other medicine. Falling this, use one of the following two approaches, occasionally combining them : switch to a longer-acting, cross-tolerant medication (usually clonazepam or phenobarbital) or use medications to suppress the withdrawal symptoms, usually carbamazepine, propranolol or clonidine. If this fails, use inpatient detoxification. Chemically-dependent patients, including those abusing alcohol and taking higher than recommended doses of sedative-hypnotics, require special care during discontinuation. Aftercare is important for all long-term benzodiazepine users if they are to remain drug-free and live relatively comfortable lives. (Author's abstract)
Quelques conseils pratiques aux médecins pour le sevrage des benzodiazépines : diminution des doses, utilisation de benzodiazépines à longue vie, traitement des symptômes de sevrage par une médication adaptée.
ENGLISH:
Practicing physicians need to have practical techniques to help patients who want to stop using benzodiazepines. I have developed three approaches that usually work. The first, and most widely applicable, is gradually reducing the dose without adding any other medicine. Falling this, use one of the following two approaches, occasionally combining them : switch to a longer-acting, cross-tolerant medication (usually clonazepam or phenobarbital) or use medications to suppress the withdrawal symptoms, usually carbamazepine, propranolol or clonidine. If this fails, use inpatient detoxification. Chemically-dependent patients, including those abusing alcohol and taking higher than recommended doses of sedative-hypnotics, require special care during discontinuation. Aftercare is important for all long-term benzodiazepine users if they are to remain drug-free and live relatively comfortable lives. (Author's abstract)
Affiliation :
Inst. Behav. Hlth, Inc 6191 Executive blvd, Rockville, MD 20852
Etats-Unis. United States.
Etats-Unis. United States.