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<i>Commentary</i>: Benzodiazepine (BZD) and Related BZD-Receptor Agonists: Basic Science Reasons to Limit to Four Weeks or Less
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作者 Robert B. Raffa Joseph V. Pergolizzi 《Pharmacology & Pharmacy》 2019年第8期357-364,共8页
Benzodiazepines and related benzodiazepine-receptor agonists such as the pyrazolopyrimidinezalepl -on;?the imidazopyridine zolpidem;and the cyclopyrroloneszopiclone and eszopiclone, are among the most widely prescribe... Benzodiazepines and related benzodiazepine-receptor agonists such as the pyrazolopyrimidinezalepl -on;?the imidazopyridine zolpidem;and the cyclopyrroloneszopiclone and eszopiclone, are among the most widely prescribed drugs, and for a variety of conditions. Surprisingly: 1) there are only a few conditions for which there is a good evidence basis, 2) efficacy has only been well demonstrated for short-term use (i.e., less than 4 weeks), and 3) much less is known about the basic science of these drugs than is widely believed. We suggest that the use of these drugs beyond four or less weeks exceeds the available knowledge base, so best-practice use suggests that the prescribing of these drugs for most patients should be limited to only short-term use until more is known about the basic pharmacology of their actions in the brain and in the periphery. 展开更多
关键词 BENZODIAZEPINE (BZD) bzd-receptor Agonist EVIDENCE-BASED Short-Term Use
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门诊患者长期使用苯二氮[艹卓]类受体激动剂的药物依赖性分析
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作者 刘世昌 黄俊婷 +5 位作者 邵刚 贾靖 曲文峰 刘尚真 杨玉涛 荣右明 《中国药物依赖性杂志》 CSCD 2024年第6期519-525,共7页
目的以某精神专科医院门诊长期使用(≥6个月)苯二氮[艹卓]类受体激动剂(benzodiazepine receptor agonists,BzRAs)的患者为研究对象,分析不同用药模式药物依赖发生率及其影响因素,为临床医师、药师合理用药提供借鉴。方法以2022年1月至2... 目的以某精神专科医院门诊长期使用(≥6个月)苯二氮[艹卓]类受体激动剂(benzodiazepine receptor agonists,BzRAs)的患者为研究对象,分析不同用药模式药物依赖发生率及其影响因素,为临床医师、药师合理用药提供借鉴。方法以2022年1月至2023年6月门诊长期使用BzRAs的3435名患者为调查对象,分单用B、单用Z、联用B、联用B和Z四种用药模式,各完成110例药物依赖调查问卷,比较其药物依赖发生率,并以是否依赖为结局变量,分析探讨使用BzRAs产生依赖的危险因素。结果长期使用BzRAs的药物依赖发生率为45.48%。单Z、单B、联B和Z、联B四种用药模式药物依赖发生率依次递增,分别为27.88%、42.00%、54.90%、63.09%。多因素Logistic回归模型分析显示,得到用药时间超过2年、年龄超过40岁、日均地西泮当量超过20 mg等三个变量与依赖性有独立相关性。结论精神专科医院门诊患者联用BzRAs应注意药物依赖性的发生,中老年人、用药时长超过2年以及高剂量使用BzRAs会显著增加药物依赖风险。 展开更多
关键词 苯二氮[艹卓]类受体激动剂 药物依赖 BZDs Z类药物 长期使用
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