[Benzodiazepine cessation in ambulatory practice. A review].

Presse Med

AP-HP, hôpital Fernand-Widal, département de psychiatrie et de médecine addictologique, 200, rue du Faubourg-Saint-Denis, 75010 Paris, France; Faculté de médecine Paris-Diderot et Inserm Umrs 1144, 75006 Paris, France. Electronic address:

Published: October 2018

Seven studies evaluated pharmacological treatments and 12 studies evaluated non-pharmacological interventions including Cognitive Behavioural Therapy (CBT), minimal interventions toward patients, pharmacists or physicians, or dedicated visits, in order to discontinue benzodiazepines treatments. Among pharmacological treatments, only melatonin was significantly efficacious in patients suffering from insomnia alone. BCT showed efficacy in increasing self-efficacy feeling toward BZD cessation and in patients with sleep disorders. Minimal interventions and dedicated visits were significantly efficacious with favourable cost-effectiveness ratio. No study investigated patients with high-doses of benzodiazepine, or with addiction, somatic or psychiatric disorders.

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http://dx.doi.org/10.1016/j.lpm.2018.10.007DOI Listing

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