Titre : Benzodiazépines

Benzodiazépines : Questions médicales fréquentes

Termes MeSH sélectionnés :

Hypnotics and Sedatives
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"text": "La prévention inclut une prescription prudente et une éducation sur les risques." } }, { "@type": "Question", "name": "Quels conseils donner aux patients sur l'utilisation des benzodiazépines ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Les patients doivent être informés des risques et de l'importance de suivre les prescriptions." } }, { "@type": "Question", "name": "Comment surveiller l'utilisation des benzodiazépines ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Les médecins doivent effectuer des suivis réguliers pour évaluer l'usage et les effets." } }, { "@type": "Question", "name": "Quelles stratégies non médicamenteuses peuvent aider ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Des techniques comme la méditation et l'exercice physique peuvent réduire l'anxiété." } }, { "@type": "Question", "name": "Comment sensibiliser sur les risques des benzodiazépines ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Des campagnes d'information et des ateliers peuvent sensibiliser le public aux risques." } }, { "@type": "Question", "name": "Comment traiter une dépendance aux benzodiazépines ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement inclut une désintoxication supervisée et une thérapie comportementale." } }, { "@type": "Question", "name": "Quelles alternatives existent aux benzodiazépines pour l'anxiété ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Les alternatives incluent les antidépresseurs et les thérapies cognitivo-comportementales." } }, { "@type": "Question", "name": "Comment réduire progressivement l'utilisation des benzodiazépines ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "La réduction doit être progressive, sous supervision médicale pour éviter le sevrage." } }, { "@type": "Question", "name": "Quels médicaments peuvent aider à gérer le sevrage ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Des médicaments comme le diazépam peuvent être utilisés pour atténuer les symptômes de sevrage." } }, { "@type": "Question", "name": "Quelle est la durée recommandée pour l'utilisation des benzodiazépines ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "L'utilisation est généralement recommandée pour une courte durée, souvent moins de 4 semaines." } }, { "@type": "Question", "name": "Quelles complications peuvent survenir avec l'usage prolongé ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "L'usage prolongé peut entraîner des troubles cognitifs et une dépendance sévère." } }, { "@type": "Question", "name": "Comment les benzodiazépines affectent-elles la santé mentale ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Elles peuvent aggraver des troubles mentaux comme la dépression et l'anxiété." } }, { "@type": "Question", "name": "Quels risques sont associés à l'association avec d'autres médicaments ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "L'association avec des opioïdes ou l'alcool augmente le risque de dépression respiratoire." } }, { "@type": "Question", "name": "Les benzodiazépines peuvent-elles provoquer des chutes chez les personnes âgées ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Oui, elles augmentent le risque de chutes et de fractures chez les personnes âgées." } }, { "@type": "Question", "name": "Quels effets à long terme sur la mémoire sont observés ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "L'usage prolongé peut entraîner des troubles de la mémoire et des difficultés d'apprentissage." } }, { "@type": "Question", "name": "Quels facteurs augmentent le risque de dépendance ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les antécédents de troubles mentaux et l'usage prolongé augmentent le risque de dépendance." } }, { "@type": "Question", "name": "Comment l'âge influence-t-il l'usage des benzodiazépines ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Les personnes âgées sont plus susceptibles de subir des effets secondaires et des complications." } }, { "@type": "Question", "name": "Quel rôle joue l'environnement social dans l'usage ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Un environnement stressant ou un manque de soutien social peut augmenter l'usage des benzodiazépines." } }, { "@type": "Question", "name": "Les antécédents familiaux influencent-ils l'usage ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des antécédents familiaux de dépendance peuvent augmenter le risque d'usage problématique." } }, { "@type": "Question", "name": "Comment les troubles de santé mentale affectent-ils l'usage ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Les personnes avec des troubles de santé mentale sont plus susceptibles d'utiliser des benzodiazépines." } } ] } ] }

Sous-catégories

24 au total
└─

Alprazolam

Alprazolam D000525 - D03.633.100.079.080.030
└─

Benzodiazépinones

Benzodiazepinones D001570 - D03.633.100.079.080.070
└─

Chlordiazépoxyde

Chlordiazepoxide D002707 - D03.633.100.079.080.150
└─

Clobazam

Clobazam D000078306 - D03.633.100.079.080.165
└─

Clorazépate dipotassique

Clorazepate Dipotassium D003009 - D03.633.100.079.080.180
└─

Estazolam

Estazolam D004949 - D03.633.100.079.080.250
└─

Médazépam

Medazepam D008472 - D03.633.100.079.080.550
└─

Midazolam

Midazolam D008874 - D03.633.100.079.080.575
└─

Olanzapine

Olanzapine D000077152 - D03.633.100.079.080.738
└─

Triazolam

Triazolam D014229 - D03.633.100.079.080.900
└─└─

Bromazépam

Bromazepam D001960 - D03.633.100.079.080.070.110
└─└─

Clonazépam

Clonazepam D002998 - D03.633.100.079.080.070.150
└─└─

Dévazépide

Devazepide D020109 - D03.633.100.079.080.070.200
└─└─

Diazépam

Diazepam D003975 - D03.633.100.079.080.070.216
└─└─

Flumazénil

Flumazenil D005442 - D03.633.100.079.080.070.305
└─└─

Flunitrazépam

Flunitrazepam D005445 - D03.633.100.079.080.070.320
└─└─

Flurazépam

Flurazepam D005479 - D03.633.100.079.080.070.348
└─└─

Lorazépam

Lorazepam D008140 - D03.633.100.079.080.070.450
└─└─

Nitrazépam

Nitrazepam D009567 - D03.633.100.079.080.070.565
└─└─

Oxazépam

Oxazepam D010076 - D03.633.100.079.080.070.663
└─└─

Pirenzépine

Pirenzepine D010890 - D03.633.100.079.080.070.750
└─└─

Prazépam

Prazepam D011222 - D03.633.100.079.080.070.784
└─└─

Témazépam

Temazepam D013693 - D03.633.100.079.080.070.880
└─└─└─

Nordazépam

Nordazepam D003708 - D03.633.100.079.080.070.216.500

Sources (1773 au total)

Halogenated anesthetics vs intravenous hypnotics for short and long term sedation in the intensive care unit: A meta-analysis.

To comprehensively assess peer-reviewed studies using volatile (VA) or intravenous (i/v) anesthetics for sedation in intensive care units (ICUs), with the hypothesis that the type of sedation may have... Systematic review and meta-analysis of randomized and non-randomized trials.... ICUs.... Critically ill and postoperative patients.... None.... Studies comparing VA versus i/v anesthetics used in the ICU settings were independently systematically searched. Finally, 15 studies (1520 patients of predominantly surgical profile needed VA sedation... In this meta-analysis, volatile sedation vs propofol caused the increase in ventilator-free days, the reduction in the duration of mechanical ventilation, time to extubation and the troponin release i...

Suspected suicides and suicide attempts involving antipsychotic or sedative-hypnotic medications reported to America's Poison Centers, 2000-2021.

To investigate the patterns and trends of suspected suicides and suicide attempts involving antipsychotic or sedative-hypnotic medications reported to United States poison centers.... Data from the National Poison Data System for 2000 through 2021 were retrospectively analyzed.... There were 972,975 suspected suicides and suicide attempts with antipsychotics or sedative-hypnotics ranked as the primary substance reported to poison centers from 2000-2021, averaging 44,226 cases a... Suspected suicides and suicide attempts involving antipsychotic or sedative-hypnotic medications increased during the 22-year study period, especially among individuals 13-19 years old, and these case...

Effects of Japanese policies and novel hypnotics on long-term prescriptions of hypnotics.

The current study aimed to examine the effect of Japanese policies for appropriate hypnotics use and novel hypnotics (e.g. melatonin receptor agonist and orexin receptor antagonist [ORA]) on long-term... This retrospective study was conducted using a large-scale health insurance claims database. Among subscribers prescribed hypnotics at least once between April 2005 and March 2021, those prescribed hy... In total, 186 535 participants were newly prescribed hypnotics. The mean duration of prescriptions was 2.9 months, and 9.3% of participants were prescribed hypnotics for 12 months. Prescription period... Japanese policies had no statistically significant effect on long-term prescriptions of hypnotics. Although this study suggests initiating ORA for insomniacs as a candidate strategy to prevent long-te...

Impact of a deprescribing tool on the use of sedative hypnotics among older patients: study protocol for a cluster randomised controlled trial in Swiss primary care (the HYPE trial).

Benzodiazepines and other sedative hypnotics (BSH) are potentially inappropriate and harmful medications in older people due to their higher susceptibility for adverse drug events. BSH prescription ra... In this prospective, cluster randomised, controlled, two-arm, double-blinded trial in the ambulatory primary care setting, we will include general practitioners (GPs) from German-speaking Switzerland ... Based on the results of the study, we will learn how GPs and their patients benefit from a supportive tool that facilitates BSH deprescribing in primary care consultations. The study will emphasise on... The study has been approved by the Ethics Committee of the Canton of Zurich (KEK-ZH Ref no. 2023-00054, 4 April 2023). Informed consent will be sought from all participating GPs and patients. The resu... ISRCTN34363838....

Detection and discrimination of sedative-hypnotics in spiked beverage dry residues using attenuated total reflectance-Fourier transform infrared (ATR-FTIR) spectroscopy combined with chemometrics.

Drugs-facilitated crimes (DFCs) involve the incapacitation of victims under the influence of drugs. Conventionally, a drug administration act is often determined through the examination of biological ...

Identifying barriers and facilitators to deprescribing benzodiazepines and sedative hypnotics in the hospital setting using the Theoretical Domains Framework and the Capability, Opportunity, Motivation and Behaviour (COM-B) Model: a qualitative study.

Geriatric guidelines strongly recommend avoiding benzodiazepines and non-benzodiazepine sedative hypnotics in older adults. Hospitalisation may provide an important opportunity to begin the process of... We used two implementation science models, the Capability, Opportunity and Behaviour Model (COM-B) and the Theoretical Domains Framework, to code interviews with hospital staff, and an implementation ... Interviews took place in a tertiary, 886-bed hospital located in Los Angeles, California.... Interview participants included physicians, pharmacists, pharmacist technicians, and nurses.... We interviewed 14 clinicians. We found barriers and facilitators across all COM-B model domains. Barriers included lack of knowledge about how to engage in complex conversations about deprescribing (c... While we identified numerous barriers and facilitators to initiating deprescribing conversations in the hospital, nurse- and pharmacist-led interventions may be an appropriate opportunity to initiate ...

Why sedative hypnotics often fail in development.

Drug development to support anaesthesia and sedation has been slow with few candidates emerging from preclinical discovery and limited innovation beyond attempted reformulation of existing compounds.... The market is well supported by low-cost generic products and development compounds have not been shown to improve patient outcomes or possess other distinctive characteristics to justify the cost of ... To make progress in a large-volume, low margin and highly competitive environment requires meaningful advances in relevant basic science. Opportunities exist, but probably require bolder initiatives t...