benzodiazepines

How do you taper long-term benzodiazepines?

We return to Mr. Davis, a 75-yo man who has taken temazepam 30mg at bedtime for 15 years for insomnia. He recently fell and fractured his wrist. You discussed the risks and benefits of continuing vs stopping temazepam and the rationale for tapering the medication as described in the prior PsychSnap. Mr. Davis decides to move forward …

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How do you counsel an older patient about the risks of benzodiazepines?  

Mr. Davis is a 75-year-old man with a history of hypertension, type 2 diabetes (A1c 6.8), and insomnia. He recently moved to be closer to his grandchildren and is establishing primary care with you. His medications are amlodipine 10 mg daily, metformin 500 mg twice daily, semaglutide 1 mg weekly, atorvastatin 40 mg daily, and …

How do you counsel an older patient about the risks of benzodiazepines?   Read More »