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Prescribing benzodiazepines for noninstitutionalized elderly

M Thomson1, W A Smith

  • 1British Columbia Ministry of Health's Research and Evaluation Branch.

Canadian Family Physician Medecin De Famille Canadien
|May 1, 1995
PubMed
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Benzodiazepine prescribing for seniors in British Columbia showed significant deviations from guidelines in 1990. Many elderly individuals received potentially inappropriate prescriptions, particularly from high-volume prescribers.

Area of Science:

  • Geriatric Pharmacology
  • Pharmaceutical Policy Analysis
  • Public Health Research

Background:

  • Benzodiazepines are commonly prescribed for elderly individuals.
  • Guidelines exist to ensure safe and appropriate benzodiazepine use in this population.
  • Previous studies have indicated potential issues with benzodiazepine prescribing in older adults.

Purpose of the Study:

  • To characterize benzodiazepine prescribing patterns among community-dwelling elderly individuals in British Columbia.
  • To evaluate the extent to which these prescribing patterns align with established guidelines.

Main Methods:

  • A descriptive analysis of pharmacy billing data from British Columbia in 1990.
  • Inclusion of all individuals aged 65 and older who received benzodiazepines.

Related Experiment Videos

  • Definition of potentially inappropriate prescriptions based on a 2-month limit of 20 diazepam equivalents daily.
  • Main Results:

    • Approximately 24% of elderly residents in British Columbia received at least one benzodiazepine prescription in 1990.
    • Of those prescribed, 17.1% received potentially inappropriate prescriptions.
    • Physicians with higher benzodiazepine prescribing frequency exhibited greater rates of potentially inappropriate prescribing.

    Conclusions:

    • Benzodiazepine prescribing practices for the elderly in British Columbia during 1990 did not align with current guideline indicators.
    • The findings highlight a need for improved prescribing practices and adherence to guidelines for benzodiazepines in the elderly population.