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| Format: | Artículo científico |
| Language: | en |
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Centro de investigaciones y Publicaciones Farmacéuticas
2008
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| Online Access: | https://www.redalyc.org/articulo.oa?id=69060304 |
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Table of Contents:
- Reduction in the use of benzodiazepines and cyclopyrrolones in general practice Viggo K. Jørgensen Birgit S. Toft Medicina Denmark Benzodiazepines Physicians Practice Patterns In 2003, the Danish Minister for the Interior and Health instructed general practitioners to reduceprescriptions of benzodiazepines (BZD) and cyclopyrrolones (CP) by 50%. However, no effective methods were specified. In Denmark, it is estimatedthat there are approximately 100,000 BZDdependent patients, constituting approximately 2% of the population.Objective: This article describes the implementation of a successful, simple and voluntary intervention to reduce the use of dependence-inducing drugs,while at the same time challenging practitioners ingrained habits and prejudices in this field.Methods: The rules implemented were essentially in accordance with the official Danish rules, such thata prescription for BZD and CP could only be issued for one month at a time, and only following consultation. Use was monitored using the Danishregistration system, Ordiprax, which monitors sales of prescription medicine. Two Danish general practices, comprising a patient base ofapproximately 2300 were studied. With the exception of the severely physically or mentally ill, all users of BZD and CP were included.Results: After 2½ years, the use of BZD and CP was reduced by 75% and 90%, respectively. The reorganization of prescription patterns was seen tobe significantly easier than physicians had expected. During the first three months, only four tofive additional visits per week per 1000 patients were required. Subsequently, this number wasstabilized at one to two additional visits. The usual collaborative partners, such as psychiatrists,homecare services, hospitals and substance abuse units were essentially not deployed. No serious withdrawal effects arose... 2008 artículo científico 1885-642X https://www.redalyc.org/articulo.oa?id=69060304 en http://www.redalyc.org/revista.oa?id=690 Pharmacy Practice application/pdf Centro de investigaciones y Publicaciones Farmacéuticas Pharmacy Practice (España) Num.3 Vol.6