O uso prolongado de benzodiazepínicos em mulheres de um centro de convivência para idosos

Abstract

While experts recommend caution against long-term benzodiazepine use in the elderly, survey data suggests that the use of benzodiazepine increase with age. The patterns of benzodiazepine use and factors associated with long-term use in population at risk were studied with a standarlized questionnaire applied to 634 women over 60, who attended a daycare center for older people in Rio de Janeiro between May, 1992 and December, 1995. Prevalence of benzodiazepine use in the last 15 days was 21.3% (CI 95% 18.1-24.5), and prevalence of daily use for 12 or more months was 7.4% (CI 95% 5.4-9.4). In a multivaried analysis the amount of drugs being consumed displayed an important and progressive association with long-term benzodiazepine use, with OR = 2.77 (CI 95% 1.17-6.57) for those who take from four to six drugs, and OR = 7.62 (CI 95% 3.18-18.26) for those who take more than seven drugs. Insomnia (OR = 8.87 CI 95% 2.53-31.06) and chronic headache (OR = 3.53 CI 95% 1.82-6.89) have also been associated with this pattern of use.

Prevalence and sociodemographic characteristics associated with benzodiazepines use among community dwelling older adults: the Bambuí Health and Aging Study (BHAS)

“…In the study population predominated the use of benzodiazepine with therapeutic anxiolytic action, as well the use of long half-life medications. The predominance of Bromazepam use was paralleled by another Brazilian study, 13 but is not consistent with that observed in developed countries.…”

“…8 Compared with other Brazilian studies, the use of benzodiazepines among older adults was higher than that observed in the adult population of the city of Pelotas-RS 17 and similar to that verified among the elderly population of a social center in Rio de Janeiro. 13 Regarding prescription, it is important to highlight that only 3% of benzodiazepine users had seen a psychiatrist in the prior year, while 95% had seen another specialist in the same period, suggesting that most of the prescriptions had been prescribed by non-psychiatrist physicians. The predominance of prescriptions of benzodiazepine by other specialists had also been observed in a cohort of elderly Americans.…”

“…5,6,8,9,11 Brazilian epidemiological studies on the use of benzodiazepines among the elderly dealt with selected populations and/or investigated specific associations, such as the occurrence of falls. [12][13][14][15] Populationbased studies on the consumption of these medications have been accomplished on younger individuals, 16,17 and the benzodiazepine consumption was investigated in a much wider context, which was the use of psychopharmacs. [18][19][20] The population-based studies showed benzodiazepines as the most commonly used psychopharmacs in the adult population, [17][18][19][20] and among these, Diazepam was the most used chemical substance.…”

Consumo De Benzodiazepinas No Idoso Deprimido

“…Na Tabela 1, estão sintetizadas as características sociodemográ cas da nossa amostra institucionalizada. (Huf, Lopes & Rozenfeld, 2000) ao passo que, em Cuba parece ser o diazepam (Ricardo & Gárciga, 2010). …”

Revisão dos estudos de intervenção do farmacêutico no uso de medicamentos por pacientes idosos

“…Alguns trabalhos realizados em nosso meio abordam o uso de medicamentos por pacientes idosos, como Huf et al (2000) e Teixeira et al (2000), entretanto, não exp1icitam o papel do farmacêutico na condução do regime terapêu-tico desse grupo de indivíduos.…”