By rray, 25 September, 2023 Consider specialist referral if substance use d o hx severe medical or psychiatric d o high dose BZD 4 concurrent stimulant or opioid use drug w d sz hx2 3
By rray, 25 September, 2023 Assess condition for which BZD originally prescribed consider alternative tx and or behavioral services referral as clinically appropriate1 3
By rray, 25 September, 2023 Assess pt readiness willing committed w adequate social support and suitability no complicated drug w d hx to d c or darr BZD dose1 3
By rray, 25 September, 2023 Discuss risks of continued BZD use disinhibition ineffectiveness mental acuity loss benefits of stopping possible w d sx and likely duration1 2
By rray, 25 September, 2023 BZD not recommended for long term mgmt of insomnia or anxiety PTSD or w opioids outside of palliative care or hospice i e exceptional circumstance 3 5
By rray, 25 September, 2023 Cognitive d o TBI hx current or hx of substance use d o esp sedative hypnotic alcohol or opioid use d o3 5
By rray, 25 September, 2023 Taking multiple BZDs BZD w opioids or amphetamines or supratherapeutic dose3 5
By rray, 25 September, 2023 Consider deprescribing tapering and stopping for any pt 65 yo 1 2 taking BZD 2 4wk 1 3 5 or as appropriate based on pt specific factors 6 esp if
