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Benzodiazepines and related drugs for insomnia in palliative care.

Author: HirstA, SloanR

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.
Systematic ReviewA review that systematically collects, evaluates, and integrates relevant research to answer a specific research question.

Overview

Insomnia, characterized by difficulty sleeping and daytime problems, is a common issue. Benzodiazepines are a frequently used treatment, but they are not recommended for long-term use due to potential for tolerance, dependence, and addiction. There is no clear consensus on their use in people with progressive illnesses who might need long-term sleep assistance as their condition worsens.
Paper Details　
Original Abstract of the Article :
Insomnia, a subjective complaint of poor sleep and associated impairment in daytime function, is a common problem. Currently, benzodiazepines are the most used pharmacological treatment for this complaint. They are considered helpful for occasional short-term use up to four weeks but longer term use...See full text at original site
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引用元：
https://doi.org/10.1002/14651858.CD003346

データ提供：米国国立医学図書館（NLM）

Addressing Insomnia in Palliative Care: A Complex Challenge

The challenges of palliative care are akin to navigating the vastness of a desert landscape. This study explores the use of benzodiazepines and related drugs for insomnia in patients receiving palliative care. The researchers delve into the complexities of insomnia management in this vulnerable patient population, examining the potential benefits and risks of benzodiazepine use.

Benzodiazepines Offer Short-term Relief but Pose Long-term Concerns

The study acknowledges the effectiveness of benzodiazepines in providing short-term relief for insomnia, but cautions against their long-term use. The researchers point to potential problems associated with tolerance, dosing escalation, psychological addiction, and physical dependence. They suggest that alternative approaches may be more appropriate for patients requiring long-term sleep assistance.

Finding Effective Solutions for Insomnia in Palliative Care

This study highlights the need for careful consideration when prescribing benzodiazepines for insomnia in palliative care. The researchers emphasize the importance of weighing the potential benefits against the risks and exploring alternative treatment options for patients requiring long-term sleep assistance. The study encourages a multidisciplinary approach to insomnia management in palliative care, ensuring that the patient's needs are met in a holistic and compassionate manner.

Dr.Camel's Conclusion

The journey through palliative care is often a challenging one, marked by the need to address a wide range of physical and emotional needs. This study highlights the complexities of insomnia management in this setting, urging healthcare professionals to carefully consider the potential benefits and risks of benzodiazepine use and to explore alternative approaches when appropriate.
Date :
  1. Date Completed 2003-02-21
  2. Date Revised 2018-12-21
Further Info :

Pubmed ID

12519593

DOI: Digital Object Identifier

10.1002/14651858.CD003346

Related Literature

Article Analysis
・Effective treatment of insomnia
SNS
PICO Info
in preparation
Languages

English

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