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Workshop: "But it's the ONLY thing that works": Ch ...
"But it's the ONLY thing that works": Challenges a ...
"But it's the ONLY thing that works": Challenges and Opportunities in Withdrawal Management for Chronic Benzodiazepine Use
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Video Summary
The workshop focused on the complexities of managing benzodiazepine use, emphasizing the difficulty in helping patients taper off chronic use. Key points included the pharmacology of benzodiazepines, the development of tolerance, withdrawal management, and the challenges of tapering patients with long-term use. The discussion acknowledged that many patients insist benzodiazepines are the only effective treatment for their conditions, despite the risks of dependency and withdrawal. Strategies were shared, such as tapering doses and switching from short-acting to long-acting benzodiazepines like clonazepam to facilitate a more stable withdrawal process. The workshop highlighted the need for a patient-centered approach, setting realistic goals, and utilizing additional medications and therapies to manage withdrawal symptoms. Phenobarbital was detailed as an alternative treatment in inpatient settings for severe cases, especially when traditional benzodiazepine tapers are ineffective. This approach aims to balance both GABA and glutaminergic tone in the brain. It was noted that continuing research and shared best practices are necessary to better understand the long-term outcomes and success rates of these detox protocols. Overall, the workshop stressed a cautious and individualized approach to benzodiazepine tapering and withdrawal treatment, ensuring patient safety and enhancing life quality.
Keywords
benzodiazepine
tapering
withdrawal management
pharmacology
dependency
tolerance
patient-centered approach
clonazepam
phenobarbital
GABA
glutaminergic tone
detox protocols
inpatient treatment
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