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The Journal of the Royal College of General Practitioners logoLink to The Journal of the Royal College of General Practitioners
. 1989 Oct;39(327):408–411.

The effect of minimal interventions by general practitioners on long-term benzodiazepine use.

M A Cormack, R G Owens, M E Dewey
PMCID: PMC1712131  PMID: 2560020

Abstract

Seventy one long-term users of benzodiazepines were asked by their general practitioners in a letter or short interview to reduce their medication. Twenty two patients were successful in giving up or reducing their consumption to less than 100 tablets per annum. There were no clear predictors of success in terms of patient characteristics, duration of drug use, type of benzodiazepine, reason for drug use or strategy employed to reduce medication. However, patients who were successful at reducing their medication had a significantly lower mean baseline drug consumption than unsuccessful patients. The implications of this study are that a proportion of long-term users who are not in current crisis, especially those with relatively low consumption, can reduce or stop benzodiazepine treatment with minimal difficulty.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ashton H. Benzodiazepine withdrawal: an unfinished story. Br Med J (Clin Res Ed) 1984 Apr 14;288(6424):1135–1140. doi: 10.1136/bmj.288.6424.1135. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Clift A. D. Factors leading to dependence on hypnotic drugs. Br Med J. 1972 Sep 9;3(5827):614–617. doi: 10.1136/bmj.3.5827.614. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Cormack M. A., Sinnott A. Psychological alternatives to long-term benzodiazepine use. J R Coll Gen Pract. 1983 May;33(250):279–281. [PMC free article] [PubMed] [Google Scholar]
  4. Golombok S., Moodley P., Lader M. Cognitive impairment in long-term benzodiazepine users. Psychol Med. 1988 May;18(2):365–374. doi: 10.1017/s0033291700007911. [DOI] [PubMed] [Google Scholar]
  5. Hendler N., Cimini C., Ma T., Long D. A comparison of cognitive impairment due to benzodiazepines and to narcotics. Am J Psychiatry. 1980 Jul;137(7):828–830. doi: 10.1176/ajp.137.7.828. [DOI] [PubMed] [Google Scholar]
  6. Hopkins D. R., Sethi K. B., Mucklow J. C. Benzodiazepine withdrawal in general practice. J R Coll Gen Pract. 1982 Dec;32(245):758–762. [PMC free article] [PubMed] [Google Scholar]
  7. Lader M. H., Ron M., Petursson H. Computed axial brain tomography in long-term benzodiazepine users. Psychol Med. 1984 Feb;14(1):203–206. doi: 10.1017/s0033291700003214. [DOI] [PubMed] [Google Scholar]
  8. Tyrer P. J. Benzodiazepines on trial. Br Med J (Clin Res Ed) 1984 Apr 14;288(6424):1101–1102. doi: 10.1136/bmj.288.6424.1101. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Tyrer P. J., Seivewright N. Identification and management of benzodiazepine dependence. Postgrad Med J. 1984;60 (Suppl 2):41–46. [PubMed] [Google Scholar]
  10. Tyrer P. Dependence as a limiting factor in the clinical use of minor tranquillizers. Pharmacol Ther. 1988;36(2-3):173–188. doi: 10.1016/0163-7258(88)90105-2. [DOI] [PubMed] [Google Scholar]

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