PEBC: What You Need to Know: Benzodiazepines
Many Examples:
Short-Acting: Triazolam, Alprazolam
Long-Acting: Diazepam, Clonazepam
Many Indications:
Anxiety, sleep, alcohol withdrawal, muscle relaxant, seizures
Works quickly, but hard to taper once taken for a long time
Many Adverse Effects:
dizziness, drowsiness, slurred speech, confusion, loss of balance, memory impairment, falls
*dependence, especially in the elderly - try to promote minimal use and deprescribing
**if tapering, better to switch from short-acting agents to long-acting agents to prevent withdrawal
Drug Interactions:
-CNS and respiratory depression when combined with other CNS agents like opioids, alcohol
-for overdose, use flumazenil as a reversal agent