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Significant toxicity from benzodiazepines can occur in the elderly as a result of long-term use. [112] Benzodiazepines, along with antihypertensives and drugs affecting the cholinergic system, are the most common cause of drug-induced dementia affecting over 10 percent of patients attending memory clinics.
Lorazepam can effectively reduce agitation and induce sleep, and the duration of effects from a single dose makes it an appropriate choice for the short-term treatment of insomnia, especially in the presence of severe anxiety or night terrors. It has a fairly short duration of action.
Older adults should not use benzodiazepines to treat insomnia unless other treatments have failed. [48] When benzodiazepines are used, patients, their caretakers, and their physician should discuss the increased risk of harms, including evidence that shows twice the incidence of traffic collisions among driving patients, and falls and hip ...
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Around 2-6% of adults with insomnia use somnifacients to aid sleep. [2] However, somnifacients only benefit transient or short-term insomnia but not chronic insomnia. [ 3 ] It is because somnifacients lack supportive evidence for sleep aids in chronic insomnia, and chronic use of somnifacients leads to many adverse effects .
A new study suggests that acetaminophen, also known as Tylenol, can cause complications in some people over age 65. Drs. Marc Siegel and Macie Smith comment on the findings.
Pre-existing disorder or other causes typically do not improve, whereas symptoms of protracted withdrawal gradually improve over the ensuing months. [9] Symptoms may lack a psychological cause and can fluctuate in intensity with periods of good and bad days until eventual recovery. [65] [66]
If you’re struggling with depression, anxiety, insomnia or another issue affecting your mental health, you may have heard of the tricyclic antidepressant (TCA) doxepin. Doxepin is a depression ...