Lub koom haum American Geriatrics Society's Beers Criteria teev cov tshuaj benzodiazepines yog cov tshuaj tsis tsim nyog rau cov neeg laus. Cov neeg laus muaj zog rhiab heev rau benzodiazepines thiab txo cov metabolism, uas tuaj yeem ua rau muaj kev cuam tshuam ntawm lub cev.
Feem ntau, tag nrho cov benzodiazepines ua rau muaj kev pheej hmoo ntawm kev paub tsis meej, delirium, ntog, pob txha thiab tsheb sib tsoo hauv cov neeg laus (Source: Phau ntawv Journal ntawm American Geriatrics Society). Txawm li cas los xij, cov tshuaj no feem ntau yog overprescribed.
FDA pom zoo tias benzodiazepine ntau npaum li cas thiab lub sijhawm raug txwv rau qhov tsawg kawg nkaus uas xav tau kom ua tiav qhov tsim nyog kho mob. Thaum muab tshuaj benzodiazepines rau cov neeg mob, nws yuav pab tau los tham txog qhov kev cia siab ntev ntawm kev kho. Psychotherapy yuav tsum tau txiav txim siab rau qhov kev cia siab ntawm kev ntxhov siab cuam tshuam nrog tapering (Source: College of Psychiatric thiab Neurology Pharmacists).
Nws yog ib qho tseem ceeb uas yuav tsum tsis tu ncua ntsuas qhov xav tau ntawm kev siv benzodiazepine hauv cov neeg mob, thiab sib tham txog cov tswv yim rau kev txiav tawm (Source: Oregon State Drug Review). Thaum kev kho benzodiazepine tsis tau qhia ntxiv lawm lossis thaum muaj kev pheej hmoo cuam tshuam nrog kev siv benzodiazepine ntau dua qhov txiaj ntsig, benzodiazepine taper yuav raug qhia.
Cov tswv yim uas tuaj yeem pab nrog kev sib tw muaj xws li kev txo koob tshuaj maj mam thiab txiav tawm, kev cuam tshuam kev kawm thiab kev kho mob hlwb.
Thaum kawg, nws yog ib qho tseem ceeb uas yuav tsum koom nrog tus neeg mob hauv kev txiav txim siab txog lub sijhawm taper. Muab kev saib xyuas tas li thiab ua raws li tus neeg mob. Tso cai rau lub sijhawm hloov pauv raws li tus neeg mob cov lus teb rau kev txo koob tshuaj (Source: National Center rau PTSD).
Yog tias tus neeg mob tawm tsam nrog kev tshem tawm lossis rov qab cov tsos mob, xav txog kev ruaj khov ntawm tus neeg mob ntawm cov tshuaj txo qis ua ntej yuav txo qis ntxiv. Nws kuj tseem yuav pab tau rau qee tus neeg mob kom rov hais dua qhov mob hauv qab ua ntej pib lossis txuas ntxiv qhov kev txiav tawm.
| Piv txwv ntawm Slow Benzodiazepine Taper | ||
| Lub lis piam | Cov Lus Qhia Tseem Ceeb | Piv txwv li: Lorazepam 4mg ob zaug ib hnub hloov mus rau 40mg txhua hnub diazepam sib npaug |
| 1 | 35mg / hnub | |
| 2 | Txo koob tshuaj los ntawm 25% | 30mg / hnub (25%) |
| 3 | 25 mg / hnub | |
| 4 | Txo koob tshuaj los ntawm 25% | 20mg / hnub (50%) |
| 5-8 | Tuav koob tshuaj 1-2 lub hlis | Txuas ntxiv ntawm 20mg / hnub rau 1 lub hlis |
| 9-10 | 15 mg / hnub | |
| 11-12 | Txo koob tshuaj los ntawm 25% ntawm lub lim tiam 11 | 10mg / hnub |
| 13-14 | Txo koob tshuaj los ntawm 25% ntawm lub lim tiam 13 | 5 mg / hnub |
| 15 | Tso tseg | |
Yog xav paub ntxiv, suav nrog cov piv txwv ntawm benzodiazepine tapers, xa mus rau DHCS Kev tshuaj xyuas: Cov lus pom zoo rau Tapering ntawm Benzodiazepines.
