Module 2: Basic Pharmacology of Controlled Drugs and Substances

Lesson 1

Benzodiazepines – General approaches to management

As with symptom management using opioids, treatment with benzodiazepines must be initiated as a trial and carefully monitored for potential tolerance or addiction (NOUGG, 2017). Some strategies to consider include:

• Establish a clear indication for use of benzodiazepines.
• Explore non-benzodiazepine alternatives (e.g. , psychotherapy, SSRIs or SNRIs).
• Evaluate baseline cognitive status, substance use history, and presence of chronic conditions that can affect gait and balance.
• Regularly review the benzodiazepine regimen.
• Educate patients on goals of treatment and potential side effects.
• Maintain close contact with the patient during dose titration or adjustments.
• Use the lowest effective dose for the shortest duration possible.