Short communication, Note
WHY BENZODIAZEPINES ARE STILL IN WIDE USE?
MIRELA VLASTELICA
; Private Psychiatric Oice, Split, School of Medicine, University of Split, Split, Croatia
MARIN JELASKA
; Health Center of Split-Dalmatia County, Split, Croatia
Abstract
The advent of benzodiazepines in the 1960s provided their wide use in neurology and psychiatry. They proved to be myorelaxant and anticonvulsive therapy in neurology; their anxiolytic and hypnotic properties have made them the treatment of choice for insomnia and anxiety problems; they have also been used in alcohol withdrawal and in anesthesia, and for a wide range of treatments in other clinical branches. However, reports giving rise to a prescription controversy including abuse, harmful effects, intoxication and dependence toward addiction appeared soon. On the other hand, the revolutionary appearance of selective
serotonin reuptake inhibitors (SSRIs) overshadowed benzodiazepines. According to recommendations of many scientiic and professional institutions, the use of benzodiazepines has been gradually excluded or reduced or limited to short-term use. However, clinical experience showed that benzodiazepines are frequently used for long-term treatment, and there are many reasons for this, e.g., prescribing tradition, patient preference, dificulties associated with benzodiazepine withdrawal (even in patients taking low doses) because they have a rapid clinical onset of action, and good eficacy with few initial adverse effects. Moreover, SSRIs as alternative drugs are associated with incomplete therapeutic response and more uncomfortable adverse effects. Some authors therefore point out that the rationale for the shift from benzodiazepines to SSRIs is inappropriate.
Keywords
benzodiazepines; dependence; long-term use
Hrčak ID:
97239
URI
Publication date:
14.2.2013.
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