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苯二氮䓬(BZD)戒断综合征的治疗策略:综述。

Current Therapeutic Strategies for the Management of Benzodiazepine (BZD) Withdrawal Syndrome: A Review.

机构信息

Faculty of Pharmaceutical Sciences, Baba MastNath University, Rohtak, 124021, Haryana, India.

Amity Institute of Pharmacy, Amity University, Gurugram, 122413, Haryana, India.

出版信息

Curr Top Med Chem. 2024;24(18):1529-1541. doi: 10.2174/0115680266296096240408032738.

DOI:10.2174/0115680266296096240408032738
PMID:38738726
Abstract

Benzodiazepines are commonly prescribed drugs for numerous indications such as epilepsy, anti-anxiety, sleep aids, sedatives, and hypnotics. Although the well-tolerated effects of benzodiazepine are seen in many clinical instances, the severity of side effects reduces its quantifiable use. Benzodiazepines, which are medically useful but theoretically unsafe, are frequently recommended by medical practitioners for psychotic patients but have misuse and dependence liabilities. It is impelled as a debateable topic globally about which no one talks. These drugs are also known as silent killers because abruptly stopping them can result in tremors, muscle spasticity, and life-frightening seizures. These drugs are beneficial as well as risky. Nonclinical treatment is simple and well suited and provides support for patients suffering from side effects generated by benzodiazepine withdrawal. This review mainly focuses on antipsychotic drugs and their mechanisms, mortality, withdrawal, abuse, and management via clinical and nonclinical therapies.

摘要

苯二氮䓬类药物通常被开用于多种适应症,如癫痫、抗焦虑、助眠、镇静和催眠。尽管在许多临床情况下,苯二氮䓬类药物的耐受性良好,但副作用的严重程度限制了其量化使用。苯二氮䓬类药物在医学上有用但理论上不安全,经常被精神科医生推荐给精神病患者,但存在误用和依赖的风险。这是一个在全球范围内引发争议但无人谈论的话题。这些药物也被称为“沉默杀手”,因为突然停止使用它们可能导致震颤、肌肉痉挛和危及生命的癫痫发作。这些药物既有好处也有风险。非临床治疗简单且非常适合,并为因苯二氮䓬类药物戒断而产生副作用的患者提供支持。本综述主要关注抗精神病药物及其机制、死亡率、戒断、滥用以及通过临床和非临床治疗进行管理。

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本文引用的文献

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Benzodiazepine Discontinuation and Mortality Among Patients Receiving Long-Term Benzodiazepine Therapy.长期苯二氮䓬类药物治疗患者停药与死亡率。
JAMA Netw Open. 2023 Dec 1;6(12):e2348557. doi: 10.1001/jamanetworkopen.2023.48557.
2
Benzodiazepine use and risk of incident MCI and dementia in a community sample.苯二氮䓬类药物使用与社区样本中轻度认知障碍和痴呆的发生风险。
Int Psychogeriatr. 2024 Feb;36(2):142-148. doi: 10.1017/S1041610223000455. Epub 2023 May 26.
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Neurologic Music Therapy in Geriatric Rehabilitation: A Systematic Review.
老年康复中的神经音乐疗法:一项系统综述。
Healthcare (Basel). 2022 Oct 31;10(11):2187. doi: 10.3390/healthcare10112187.
4
A double-blind randomised crossover trial of low-dose flumazenil for benzodiazepine withdrawal: A proof of concept.一项低剂量氟马西尼用于苯二氮䓬类药物戒断的双盲随机交叉试验:概念验证。
Drug Alcohol Depend. 2022 Jul 1;236:109501. doi: 10.1016/j.drugalcdep.2022.109501. Epub 2022 May 20.
5
Benzodiazepine-Involved Overdose Deaths in the USA: 2000-2019.美国涉及苯二氮䓬类药物的过量死亡人数:2000-2019 年。
J Gen Intern Med. 2022 Jun;37(8):2103-2109. doi: 10.1007/s11606-021-07035-6. Epub 2022 Apr 12.
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Benzodiazepines: Uses, Dangers, and Clinical Considerations.苯二氮䓬类药物:用途、风险及临床考量
Neurol Int. 2021 Nov 10;13(4):594-607. doi: 10.3390/neurolint13040059.
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Cognitive Behavioral Therapy and Acceptance and Commitment Therapy for the Discontinuation of Long-Term Benzodiazepine Use in Insomnia and Anxiety Disorders.认知行为疗法和接纳与承诺疗法在失眠和焦虑障碍中停止长期苯二氮䓬类药物使用的应用。
Int J Environ Res Public Health. 2021 Sep 28;18(19):10222. doi: 10.3390/ijerph181910222.
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Art Therapy: A Complementary Treatment for Mental Disorders.艺术疗法:精神障碍的辅助治疗方法
Front Psychol. 2021 Aug 12;12:686005. doi: 10.3389/fpsyg.2021.686005. eCollection 2021.
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Implementation of a digital cognitive behavioral therapy for insomnia pathway in primary care.在初级保健中实施数字认知行为疗法治疗失眠的路径。
Contemp Clin Trials. 2021 Aug;107:106484. doi: 10.1016/j.cct.2021.106484. Epub 2021 Jun 12.
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Therapeutic Opportunities for Food Supplements in Neurodegenerative Disease and Depression.食品补充剂在神经退行性疾病和抑郁症中的治疗机会。
Front Nutr. 2021 May 14;8:669846. doi: 10.3389/fnut.2021.669846. eCollection 2021.