دورية أكاديمية
The dependence potential of short half-life benzodiazepines: a meta-analysis.
العنوان: | The dependence potential of short half-life benzodiazepines: a meta-analysis. |
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المؤلفون: | Hallfors DD; Health Policy Institute, Brandeis University, Waltham, MA 02254-9110., Saxe L |
المصدر: | American journal of public health [Am J Public Health] 1993 Sep; Vol. 83 (9), pp. 1300-4. |
نوع المنشور: | Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't |
اللغة: | English |
بيانات الدورية: | Publisher: American Public Health Association Country of Publication: United States NLM ID: 1254074 Publication Model: Print Cited Medium: Print ISSN: 0090-0036 (Print) Linking ISSN: 00900036 NLM ISO Abbreviation: Am J Public Health Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Washington, DC : American Public Health Association Original Publication: New York [etc.] |
مواضيع طبية MeSH: | Anti-Anxiety Agents/*pharmacokinetics , Substance-Related Disorders/*physiopathology, Benzodiazepines ; Half-Life ; Humans |
مستخلص: | Objectives: The dependence potential of benzodiazepine medications is now widely recognized, but uncertainty exists as to whether use of short half-life vs long half-life drugs results in greater dependence. The present study reports a meta-analysis of the extant research to evaluate the dependence potential of different types of benzodiazepines. Method: Seven studies were found that specifically compared long half-life and short half-life benzodiazepines and allowed statistical comparison by their homogeneous dependent variables. Drugs in these studies were used as daytime sedatives. Results: Substantial evidence was found for differential effects of short vs long half-life drugs at withdrawal. In all studies, dropouts were higher among short half-life subjects. In the random-assignment short-term use studies, Hamilton Anxiety Scale scores showed higher incidence of rebound among subjects who used the short half-life drugs. Conclusions: The present meta-analysis confirms clinical impressions of the greater dependence potential of short vs long half-life benzodiazepines. Doctors, patients, and policymakers need to be informed so as to avoid harm to the public health through unintended drug dependence. |
References: | Pharmacology. 1983;26(3):121-37. (PMID: 6132413) Am J Psychiatry. 1991 Apr;148(4):517-23. (PMID: 2006699) J Clin Psychopharmacol. 1984 Feb;4(1):2-13. (PMID: 6141188) J Clin Pharmacol. 1984 Feb-Mar;24(2-3):65-75. (PMID: 6143767) Am J Psychiatry. 1984 Jul;141(7):848-52. (PMID: 6145363) J Clin Pharmacol. 1985 Mar;25(2):115-24. (PMID: 2859304) Clin Pharmacol Ther. 1986 Mar;39(3):345-52. (PMID: 2868823) N Engl J Med. 1986 Oct 2;315(14):854-9. (PMID: 3092053) Clin Pharmacol Ther. 1986 Oct;40(4):378-86. (PMID: 3530586) Psychopharmacol Bull. 1986;22(2):407-15. (PMID: 2877472) Control Clin Trials. 1986 Sep;7(3):177-88. (PMID: 3802833) JAMA. 1988 Mar 18;259(11):1685-9. (PMID: 3278147) Am J Psychiatry. 1988 Mar;145(3):312-7. (PMID: 2894175) J Clin Psychopharmacol. 1989 Jun;9(3):161-72. (PMID: 2567741) JAMA. 1989 Dec 15;262(23):3303-7. (PMID: 2573741) Arch Gen Psychiatry. 1990 Oct;47(10):899-907. (PMID: 2222129) Arch Gen Psychiatry. 1990 Oct;47(10):908-15. (PMID: 2222130) Acta Psychiatr Scand. 1983 Feb;67(2):118-29. (PMID: 6133412) |
المشرفين على المادة: | 0 (Anti-Anxiety Agents) 12794-10-4 (Benzodiazepines) |
تواريخ الأحداث: | Date Created: 19930901 Date Completed: 19930927 Latest Revision: 20190514 |
رمز التحديث: | 20240627 |
مُعرف محوري في PubMed: | PMC1694983 |
DOI: | 10.2105/ajph.83.9.1300 |
PMID: | 8103297 |
قاعدة البيانات: | MEDLINE |
تدمد: | 0090-0036 |
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DOI: | 10.2105/ajph.83.9.1300 |