[Benzodiazepines in geriatrics]

Z Gerontol Geriatr. 2013 Dec;46(8):769-76; quiz 776. doi: 10.1007/s00391-013-0551-3.
[Article in German]

Abstract

About 10 % of community dwelling elderly people are chronically consuming benzodiazepines. This proportion rises to 30 % in nursing homes or hospitals. Particularly in older patients, this usage leads to a higher risk of adverse drug reactions. Exposure contributes to delirium and falls with subsequent femoral neck fractures. The WHO has classified the risk potential of the new z-drugs to be the same as that associated with benzodiazepines. It is recommended that benzodiazepines should be discontinued step by step under supervision of a doctor or the dosage should be reduced.

Publication types

  • English Abstract

MeSH terms

  • Accidental Falls / prevention & control*
  • Aged
  • Aged, 80 and over
  • Anti-Anxiety Agents / administration & dosage
  • Anti-Anxiety Agents / adverse effects
  • Benzodiazepines / administration & dosage
  • Benzodiazepines / adverse effects*
  • Delirium / chemically induced*
  • Delirium / prevention & control*
  • Female
  • Germany
  • Hip Fractures / chemically induced*
  • Hip Fractures / prevention & control*
  • Humans
  • Male
  • Substance-Related Disorders / etiology
  • Substance-Related Disorders / prevention & control*

Substances

  • Anti-Anxiety Agents
  • Benzodiazepines