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Fortschr Neurol Psychiatr 2019; 87(04): 259-270
DOI: 10.1055/a-0836-7514
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© Georg Thieme Verlag KG Stuttgart · New York

Therapie der Benzodiazepinabhängigkeit

Treatment of benzodiazepine dependence
Michael Soyka
,
Bernau München
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Publication History

Publication Date:
18 April 2019 (online)

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Langzeitverordnungen von Benzodiazepinen entfallen vor allem auf ältere und weibliche Patienten. Entzugsbehandlungen sollten schrittweise über einen mehrwöchigen Zeitraum erfolgen. Begleitende Schlaf- und depressive Störungen im Benzodiazepinentzug kann man am ehesten mit sedierenden Antidepressiva behandeln. Die spärliche Studienlage deutet auf eine gewisse Effizienz von Psychoedukation, motivationalen Strategien und kognitiver Verhaltenstherapie.

Long-term prescriptions of benzodiazepines are made mainly to elderly and female patients. Withdrawal treatments should be carried out gradually over a period of several weeks. Sleep and depressive disorders during benzodiazepine withdrawal can best be treated with sedating antidepressants. The few studies on this subject suggest psychoeducation, motivational strategies and cognitive behavioural therapy as having some efficacy.

Schlüsselwörter

Benzodiazepine - Abhängigkeit - Entzug - Therapie

Keywords

Benzodiazepine - dependence - withdrawal - treatment
 

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