0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Comment & Response |

The Popularity of Benzodiazepines, Their Advantages, and Inadequate Pharmacological Alternatives

Vladan Starcevic, MD, PhD, FRANZCP1
[+] Author Affiliations
1University of Sydney, Sydney Medical School–Nepean, Discipline of Psychiatry, Sydney, Australia
JAMA Psychiatry. 2015;72(6):623-624. doi:10.1001/jamapsychiatry.2014.3248.
Text Size: A A A
Published online

Extract

To the Editor In an article, Olfson et al1 reported higher rates of long-term benzodiazepine use among older adults in the United States. They assumed that benzodiazepines are prescribed to older individuals mainly for insomnia and anxiety and stated alarmingly that “most physicians do not view continuous use of benzodiazepines by older adults as a public health problem.”

Is long-term benzodiazepine use by older adults really a public health problem? Before rushing to respond affirmatively, it would be useful to reconsider a number of negative notions about benzodiazepines that have not received unequivocal empirical support. For example, hip fracture rates in the elderly population were not found to be necessarily associated with benzodiazepine use2 and the effectiveness of benzodiazepines during long-term treatment of anxiety disorders usually does not diminish over time.3 Benzodiazepines remain popular because of their consistent and reliable effectiveness against many symptoms of anxiety, relatively good tolerability, quick onset of action, and possibility of use on an as-needed basis. Furthermore, alternative medications, such as antidepressants, have not been as useful for anxiety disorders as they had initially seemed to be.

Topics

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

June 1, 2015
Mark Olfson, MD, MPH; Marissa King, PhD; Michael Schoenbaum, PhD
1Department of Psychiatry, College of Physicians and Surgeons, Columbia University and New York State Psychiatric Institute, New York
2School of Management, Yale University, New Haven, Connecticut
3Office of the Director, National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland
JAMA Psychiatry. 2015;72(6):624. doi:10.1001/jamapsychiatry.2015.24.
CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

1,428 Views
0 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Jobs
brightcove.createExperiences();