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Benzodiazepine withdrawal syndrome (BZD withdrawal) is the cluster of signs and symptoms that may emerge when a person who has been taking benzodiazepines as prescribed develops a physical dependence on them and then reduces the dose or stops taking them without a safe taper schedule.
The CIWA scale is validated and has high inter-rater reliability. A randomized, double blind trial published in JAMA in 1994 [5] showed that management for alcohol withdrawal that was guided by the CIWA scale resulted in decreased treatment duration and total use of benzodiazepines. The goal of the CIWA scale is to provide an efficient and ...
Because benzodiazepines in general may be associated with increased suicide risk, care should be taken when prescribing, especially to at-risk patients. [59] [60] Depressed adolescents who were taking benzodiazepines were found to have a greatly increased risk of self-harm or suicide, although the sample size was small. The effects of ...
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The underlying reason for its occurrence is unclear, [2] [12] though the syndrome appears similar to withdrawal from other psychotropic drugs such as benzodiazepines. [1] For SSRIs, a tapered discontinuation results in less severe symptoms.
In rare cases, people taking escitalopram may be advised to take a benzodiazepine along with the medication for the first few weeks, as benzodiazepines can help reduce the early adverse effects of ...
Benzodiazepines can be addictive and induce dependence even at low doses, with 23% becoming addicted within 3 months of use. Benzodiazepine addiction is considered a public health problem. Approximately 68.5% of prescriptions of benzodiazepines originate from local health centers, with psychiatry and general hospitals accounting for 10% each.
Fischer, a 31-year-old construction worker, has to get from his home on the outskirts of Rapid City, South Dakota, to Fort Collins, Colorado — some 350 miles away — and he has to get there by noon. He’s wearing a Kangol hat, jeans, a T-shirt and, for warmth, a hoodie and a jacket. Outside, it’s in the teens and only going to get colder.