Leutner V
Wien Med Wochenschr. 1989 Jun 15;139(11):274-9.
Knowledge of benefits and risks of these substances are important for a low-risk-treatment with hypnotics. Different questions occur, such as short- oder long-acting hypnotics? Disturbing interactions? Duration of therapy? Risks of amnesia? Insomnia of old people? Alternatives to Benzodiazepin-Hypnotics? In each case the application of these hypnotics should follow along the "3 S Line": straight indication, small dose, short application. There does not exist an universal principle of therapy for people who suffer from insomnia. This serious disease is often very agonizing for them. As a pharmacologic instrument there is yet no alternative to Benzodiazepines.
了解这些药物的益处和风险对于使用催眠药进行低风险治疗很重要。会出现不同的问题,比如使用短效还是长效催眠药?是否存在不良相互作用?治疗持续时间多久?失忆风险如何?老年人失眠问题如何处理?苯二氮䓬类催眠药的替代药物有哪些?在每种情况下,使用这些催眠药都应遵循“3S原则”:明确指征、小剂量、短疗程。对于失眠患者,不存在通用的治疗原则。这种严重的疾病常常让患者十分痛苦。作为一种药物手段,苯二氮䓬类药物尚无替代品。