Benzodiazepine dependence in primary care

摘要

Since the first benzodiazepines were marketed in the late 1950s, their use has steadily increased, culminating in one benzodiazepine, diazepam, being one of the most widely prescribed drugs of all time. Often these drugs were prescribed long term for complaints such as anxiety, depression and ordinary life stresses. Since their potential for dependence and addiction have become readily apparent, the question of the correct use of benzodiazepines as anxiolytics and hypnotics by GPs has been hotly debated in the UK. Many doctors still feel more comfortable prescribing benzodiazepines than methadone to problem users. Strategies for discontinuation start with GPs, who are still the main prescribers.