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Open AccessFeature PaperReview

Benzodiazepines II: Waking Up on Sedatives: Providing Optimal Care When Inheriting Benzodiazepine Prescriptions in Transfer Patients

by Jeffrey Guina 1,2,* and Brian Merrill 2
1
Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI 48109, USA
2
Department of Psychiatry, Wright State University Boonshoft School of Medicine, Dayton, OH 45417, USA
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2018, 7(2), 20; https://doi.org/10.3390/jcm7020020
Received: 17 November 2017 / Revised: 21 December 2017 / Accepted: 5 January 2018 / Published: 30 January 2018
(This article belongs to the Section Pharmacology)
This review discusses risks, benefits, and alternatives in patients already taking benzodiazepines when care transfers to a new clinician. Prescribers have the decision—sometimes mutually agreed-upon and sometimes unilateral—to continue, discontinue, or change treatment. This decision should be made based on evidence-based indications (conditions and timeframes), comorbidities, potential drug-drug interactions, and evidence of adverse effects, misuse, abuse, dependence, or diversion. We discuss management tools involved in continuation (e.g., monitoring symptoms, laboratory testing, prescribing contracts, state prescription databases, stages of change) and discontinuation (e.g., tapering, psychotherapeutic interventions, education, handouts, reassurance, medications to assist with discontinuation, and alternative treatments). View Full-Text
Keywords: benzodiazepine; sedative; hypnotic; anxiolytic; psychopharmacology; alprazolam; clonazepam; evidence-based; taper; monitor benzodiazepine; sedative; hypnotic; anxiolytic; psychopharmacology; alprazolam; clonazepam; evidence-based; taper; monitor
MDPI and ACS Style

Guina, J.; Merrill, B. Benzodiazepines II: Waking Up on Sedatives: Providing Optimal Care When Inheriting Benzodiazepine Prescriptions in Transfer Patients. J. Clin. Med. 2018, 7, 20.

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