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Research

Long-term use of benzodiazepines and Z drugs: a qualitative study of patients’ and healthcare professionals’ perceptions and possible levers for change

Aliaksandra Mokhar, Silke Kuhn, Janine Topp, Jörg Dirmaier, Martin Härter and Uwe Verthein
BJGP Open 2019; 3 (1): bjgpopen18X101626. DOI: https://doi.org/10.3399/bjgpopen18X101626
Aliaksandra Mokhar
1Scientific Associate, Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, , Germany
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  • For correspondence: a.mokhar@uke.de
Silke Kuhn
2Researcher, Department of Psychiatry and Psychotherapy, Center for Interdisciplinary Addiction Research, University Medical Center Hamburg-Eppendorf, , Germany
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Janine Topp
3Scientific Associate, Institute for Health Services Research in Dermatology and Nursing, University Medical Center Hamburg-Eppendorf, , Germany
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Jörg Dirmaier
4Research Group Leader, Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, , Germany
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Martin Härter
5Institute Director, Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, , Germany
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Uwe Verthein
6Head of Center for Interdisciplinary Addiction Research, Department of Psychiatry and Psychotherapy, Center for Interdisciplinary Addiction Research, University Medical Center Hamburg-Eppendorf, , Germany
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  • Long term use of benzodiazepines
    David Syme
    Published on: 02 March 2019
  • Published on: (2 March 2019)
    Long term use of benzodiazepines
    • David Syme, General Practitioner, Freelance

    This is an interesting study and a useful contribution to the literature.
    Sadly, it tends to reinforce the view, of both patients and physicians, that there is no point in withdrawing these drugs when they have been prescribed for a long time for elderly people. This, despite abundant evidence of long-term harms and a lack of evidence of long-term benefit.
    Of course there can be difficulties in withdrawing these drugs and they shouldn't just be stopped without any discussion. However there is abundant advice as to how to withdraw them. (Convert all benzodiazepines or Z-drugs to Diazepam and then withdraw slowly, over a period of weeks or months.) It's important to take the patients with you on this and for all partners in a practice to agree that withdrawal will take place. It just takes the will to do it. Not doing this is Bad Medicine indeed...

    Competing Interests: None declared.
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Long-term use of benzodiazepines and Z drugs: a qualitative study of patients’ and healthcare professionals’ perceptions and possible levers for change
Aliaksandra Mokhar, Silke Kuhn, Janine Topp, Jörg Dirmaier, Martin Härter, Uwe Verthein
BJGP Open 2019; 3 (1): bjgpopen18X101626. DOI: 10.3399/bjgpopen18X101626

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Long-term use of benzodiazepines and Z drugs: a qualitative study of patients’ and healthcare professionals’ perceptions and possible levers for change
Aliaksandra Mokhar, Silke Kuhn, Janine Topp, Jörg Dirmaier, Martin Härter, Uwe Verthein
BJGP Open 2019; 3 (1): bjgpopen18X101626. DOI: 10.3399/bjgpopen18X101626
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Keywords

  • benzodiazepines
  • elderly
  • healthcare professional
  • Qualitative research
  • Z drugs
  • General practice

More in this TOC Section

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  • GP decisions to participate in emergencies: a randomised vignette study
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