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[81] [82] Concerns regarding the long-term effects of benzodiazepines have been raised since 1980. [83] These concerns are still not fully answered. A review in 2006 of the literature on use of benzodiazepine and nonbenzodiazepine hypnotics concluded that more research is needed to evaluate the long-term effects of hypnotic drugs. [84]
Opioid use disorders typically require long-term treatment and care with the goal of reducing the person's risks and improving their long-term physical and psychological condition. [108] First-line management involves the use of opioid replacement therapies, particularly methadone and buprenorphine/naloxone.
"Substance use pertains to using select substances such as alcohol, tobacco, illicit drugs, etc. that can cause dependence or harmful side effects."On the other hand, substance abuse is the use of drugs such as prescriptions, over-the-counter medications, or alcohol for purposes other than what they are intended for or using them in excessive ...
Substance misuse, also known as drug misuse or, in older vernacular, substance abuse, is the use of a drug in amounts or by methods that are harmful to the individual or others. It is a form of substance-related disorder .
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In older adults, opioid use is associated with increased adverse effects such as "sedation, nausea, vomiting, constipation, urinary retention, and falls". [72] As a result, older adults taking opioids are at greater risk for injury. [73] Opioids do not cause any specific organ toxicity, unlike many other drugs, such as aspirin and paracetamol.
The use of individual medications is growing faster than pill burden. [50] A recent study found that older adults in long term care are taking an average of 14 to 15 tablets every day. [51] Poor medical adherence is a common challenge among individuals who have increased pill burden and are subject to polypharmacy. [52]
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