IBS AND PRESCRIBED DRUGS: BENZODIAZEPINES – DOSE & PRECAUTIONS
Thursday, June 2nd, 2011Dose1 The lowest dose which can control the symptoms should be used. It should not be continued beyond four weeks.2 Long-term chronic use is not recommended.3 Treatment should always be tapered off gradually.4 Patients who have taken benzodiazepines for a long time may require a longer period during which doses are reduced.5 When a benzodiazepine is used as a hypnotic, treatment should, if possible, be intermittent.Precautions1 Benzodiazepines should not be used alone to treat depression or anxiety associated with depression. Suicide may be precipitated in such patients.2 They should not be used for phobic or obsessional states.3 They should not be used for the treatment of chronic psychosis.4 In case of loss or bereavement, psychological adjustment may be inhibited by benzodiazepines.5 Disinhibiting effects may be manifested in various ways. Suicide may be precipitated in patients who are depressed, and aggressive behaviour towards self and others may be precipitated. Extreme caution should therefore be used in prescribing benzodiazepines in patients with personality disorders.*89\326\8*