benzodiazepines

Question 1

What are the indications for benzos?

Answer 1

anxiety, insomnia, alcohol withdrawal, epilepsy, sedation, as a muscle relaxant

Question 2

What are the contraindications for benzos?

Answer 2

acute pulmonary insufficiency or neuromuscular respiratory weakness, sleep apnoea syndrome, myasthenia gravis

Question 3

What is the method of action for benzos?

Answer 3

increases the effectiveness of neurotransmitter GABA which suppresses the activity of nerves resulting in a sedative/anticonvulsant effect

Question 4

What are the side effects of benzos?

Answer 4

drowsiness, nausea, dizziness, light-headedness, confusion, unsteadiness, slurred speech, muscle weakness, constipation, memory problems, dry mouth, blurred vision

Question 5

What are the monitoring requirements for benzos?

Answer 5

monitor for signs of addiction/withdrawal when coming off

Question 6

Treatment cessation in benzos?

Answer 6

stopping abruptly can lead to withdrawal side effects and potentially seizures
psychological effects - insomnia, agitation, anxiety, panic attacks
physical effects - weight loss, headache, tremors, sweating, palpitations and oversensitivity to light, sound and touch

Question 7

Patient and carer advice for those on benzos?

Answer 7

benzos are a controlled drug and are reportable to the DVLA, drowsiness can lead to difficulty in driving and skilled tasks. addiction can occur after 4 weeks