Alzheimer’s – new risk for patients trapped on prescriptions

Patients being prescribed benzodiazepines long-term risk dependence and disabling side-effects, but the help they need to withdraw from the drugs and and recover is not available to them - Now, the findings of a new study show they could also be at increased risk of developing Alzheimer's.

Dementia Risk
The  study, published in the in the BMJ,  ‘Benzodiazepine use and risk of Alzheimer’s disease’, found no increase in the  risk of Alzheimer’s with benzodiazepine use of < 3 months, but found an increased risk of up to 51% with > 3 months use and 84% with use >6 months. The risk was also found to be greater with the use of long acting benzodiazepines such as diazepam.
Additionally, a study in 2011 found that the risk of developing dementia decreased as the duration of benzodiazepine discontinuation increased, so the need for people to be able to stop taking them is clear.
Lasting Problems
Concern that prolonged benzodiazepine use could cause dependence and cognitive impairment  was raised with the Medical Research Council (MRC) in 1981. Measures to tackle the problem were agreed between the relevant parties, but the initiative was abandoned and all documents closed in the National Archives see independent on Sunday: Drugs linked to brain damage 30 years ago

The Medicines and Healthcare Regulatory Agency (MHRA) now recognise that benzodiazepines can cause lasting memory impairment.

No Help for Patients Prescribed Benzodiazepines
An estimated  0.5 – 1.5 million patients  in the UK are being prescribed benzodiazepines long-term.  Services to enable patients to withdraw from benzodiazepines and recover are not provided nationally so they are are obliged to continue taking the drugs – often for decades.

A survey of 149 Primary Care Trusts in 2012 found that only 6 of these provided specialist services for patients dependent on prescribed benzodiazepines. The only help  has been left to a few local agencies, charities and voluntary organisations.

Problems caused by benzodiazepines  prescribed beyond the guidelines of 2-4 weeks are rarely documented or reported.  It has therefore been possible to avoid providing services for patients in this position as, unlike those misusing benzodiazepines,  they are statistically invisible.

Public Health
The authors of latest study state their findings are of major importance to public health and it has been brought to the attention of Public Health Minister Jane Ellison, by the All Party Parliamentary Group on Involuntary Tranquilliser Addiction (APPGITA).

It is shameful that so many people are denied the chance of recovery from long-term benzodiazepine use and the associated risks, when the reason is that the drugs have been prescribed to them.





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