Current use of benzodiazepines in anxiety disorders

JM Cloos, V Ferreira - Current opinion in psychiatry, 2009 - journals.lww.com
JM Cloos, V Ferreira
Current opinion in psychiatry, 2009journals.lww.com
Despite current guidelines, benzodiazepines are still considered by many clinicians to
remain good treatment options, in both the acute and the chronic phase of the treatment of
anxiety disorders, partially because of their rapid onset of action and their efficacy with a
favourable side effect profile, and also because of the sometimes only incomplete
therapeutic response and the emergence of side effects of alternative medications. Having
experienced good initial symptom relief with benzodiazepine treatment, patients may also …
Summary
Despite current guidelines, benzodiazepines are still considered by many clinicians to remain good treatment options, in both the acute and the chronic phase of the treatment of anxiety disorders, partially because of their rapid onset of action and their efficacy with a favourable side effect profile, and also because of the sometimes only incomplete therapeutic response and the emergence of side effects of alternative medications. Having experienced good initial symptom relief with benzodiazepine treatment, patients may also be reluctant to taper it down. Clinicians should, however, bear in mind the frequent physiological dependence associated with these substances, and suggest both pharmacological and psychological treatment alternatives before opting for a long-term benzodiazepine treatment, which may remain necessary in certain clinical conditions.
Lippincott Williams & Wilkins