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[Benzodiazepine use in the elderly: the EVA Study].
N Lechevallier1, A Fourrier, C Berr
1Département de Pharmacologie Clinique, Université Victor-Segalen-Bordeaux 2, 146, rue Léo-Saignat, 33076 Bordeaux Cedex. nathalie.lechevallier@pharmaco.u-bordeaux2.fr
Summary
Benzodiazepine use is common in older adults, with many being chronic users. Factors like depression, anxiety, and other medications are associated with this usage pattern.
Area of Science:
- Gerontology
- Pharmacology
- Epidemiology
Background:
- Benzodiazepine use among the elderly is a significant public health concern.
- Understanding associated factors is crucial for appropriate prescribing and patient safety.
Purpose of the Study:
- To describe benzodiazepine utilization patterns in elderly individuals.
- To identify socio-demographic and medical factors linked to benzodiazepine use in this population.
Main Methods:
- A self-reported questionnaire was administered to 1265 elderly participants (aged 60-70) in the EVA Study.
- Data collected focused on the use of sedative and sleeping drugs, including benzodiazepines.
Main Results:
- 23% of participants reported benzodiazepine use, with 71% indicating anxiolytic indications and 48% using long-acting compounds.
- Chronic use (≥2 years) was reported by 77% of benzodiazepine users.
- Benzodiazepine use was associated with depression/anxiety symptoms and concurrent use of multiple non-psychotropic medications.
Conclusions:
- Benzodiazepines are the most prevalent sedative/hypnotic drugs among the elderly.
- A substantial proportion of elderly benzodiazepine users are chronic users, highlighting potential risks and management challenges.