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苯二氮䓬类药物:依赖性及逐步戒断的治疗方法

Benzodiazépines: dépendance et approche thérapeutique pour un retrait graduel.

作者信息

Blais D, Pharm B, Pharm L P

出版信息

Can Fam Physician. 1987 Nov;33:2545-8.

PMID:21263995
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2218700/
Abstract

The extensive use of benzodiazepines in treating anxiety and insomnia makes clinicians ask themselves about the risk of addiction relating to these drugs.(1-3) Indeed, it is estimated that in Canada, the United-States, and Western Europe, between 10% and 20% of persons use tranquilizers or hypnotics (mostly benzodiazepines) during a one-year period. Of these persons 70% are 50 years of age or more. It has been noted that 15% of those persons have been using these drugs for more than 12 months.(4, 5) In 1980, Tyrer reported that 50% of the patients who receive a prescription for benzodiazepines renew that prescription without consulting their physician.(6) In this article, the authors briefly review the dependency, risk factors and clinical signs resulting from withdrawal of these drugs. They also define a rational therapeutic approach to discontinuing their use.

摘要

苯二氮䓬类药物在治疗焦虑和失眠方面的广泛应用,促使临床医生思考这些药物的成瘾风险。(1 - 3)事实上,据估计,在加拿大、美国和西欧,每年有10%至20%的人使用镇静剂或催眠药(主要是苯二氮䓬类药物)。在这些人中,70%的年龄在50岁及以上。据观察,其中15%的人使用这些药物的时间超过了12个月。(4, 5)1980年,泰勒报告称,50%接受苯二氮䓬类药物处方的患者在未咨询医生的情况下就续签了处方。(6)在本文中,作者简要回顾了这些药物停药后产生的依赖性、风险因素和临床症状。他们还确定了停用这些药物的合理治疗方法。

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Benzodiazépines: dépendance et approche thérapeutique pour un retrait graduel.苯二氮䓬类药物:依赖性及逐步戒断的治疗方法
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引用本文的文献

1
Benzodiazepines: dependence and a therapeutic approach to gradual withdrawal.苯二氮䓬类药物:依赖及逐渐撤药的治疗方法。
Can Fam Physician. 1990 Oct;36:1779-82.

本文引用的文献

1
Diazepam withdrawal syndrome: its prolonged and changing nature.地西泮戒断综合征:其病程迁延及症状变化的特点
Can Med Assoc J. 1982 Dec 1;127(11):1093-6.
2
Dependence on psychotropic drugs: an overview.对精神药物的依赖:概述
Postgrad Med J. 1984;60 Suppl 2:29-40.
3
Diazepam tapering in detoxification for high-dose benzodiazepine abuse.高剂量苯二氮䓬类药物滥用脱毒时的地西泮减量
Clin Pharmacol Ther. 1984 Oct;36(4):527-33. doi: 10.1038/clpt.1984.214.
4
Benzodiazepines--misuse, abuse and dependency.苯二氮䓬类药物——误用、滥用与依赖
Am Fam Physician. 1984 Nov;30(5):139-47.
5
Rebound anxiety in anxious patients after abrupt withdrawal of benzodiazepine treatment.焦虑症患者在苯二氮䓬类药物治疗突然停药后出现的反跳性焦虑。
Am J Psychiatry. 1984 Jul;141(7):848-52. doi: 10.1176/ajp.141.7.848.
6
Benzodiazepine withdrawal: an unfinished story.苯二氮䓬类药物戒断:一个未完成的故事。
Br Med J (Clin Res Ed). 1984 Apr 14;288(6424):1135-40. doi: 10.1136/bmj.288.6424.1135.
7
New concepts in benzodiazepine therapy: rebound anxiety and new indications for the more potent benzodiazepines.苯二氮䓬类药物治疗的新概念:反跳性焦虑及强效苯二氮䓬类药物的新适应症。
Prog Neuropsychopharmacol Biol Psychiatry. 1983;7(4-6):669-73. doi: 10.1016/0278-5846(83)90043-x.
8
Rational use of anxiolytic/sedative drugs.抗焦虑/镇静药物的合理使用。
Drugs. 1983 May;25(5):514-28. doi: 10.2165/00003495-198325050-00004.
9
Gradual withdrawal of diazepam after long-term therapy.长期治疗后地西泮的逐渐撤药。
Lancet. 1983 Jun 25;1(8339):1402-6. doi: 10.1016/s0140-6736(83)92355-3.
10
Benzodiazepine dependence. A review of the evidence.苯二氮䓬类药物依赖:证据综述
Drugs. 1983 Apr;25(4):385-98. doi: 10.2165/00003495-198325040-00003.