[The indications for benzodiazepines in the treatment of insomnia]. 1990

J Torre-Cisneros, and A Villar, and L Hidalgo, and C Aguado, and J López-Miranda, and F Pérez-Jiménez
Servicio de Medicina Interna, Hospital Regional Universitario Reina Sofía, Córdoba.

We interviewed 219 patients with a questionnaire to evaluate the prevalence of insomnia, and to assess whether benzodiazepine therapy was correctly indicated. Insomnia was present in 86 patients (39%), being initial in more than one half. Thirty-two of the patients with insomnia were receiving benzodiazepines (37%), 24 of whom (75%) had been treated for more than one year. The drug was incorrectly indicated in 18 (56%), in most cases because it was inappropriate for the type of the patient's insomnia. In six of these patients (33%), incorrect indication was related with self-medication. The benzodiazepine was incorrectly indicated in all the patients with diurnal oversedation. We emphasize the frequency of incorrect indications of these drugs, and we insist on the need that general practitioners have of a better knowledge of the pharmacokinetics of each drug, which is the basis for a correct indication.

UI MeSH Term Description Entries
D007319 Sleep Initiation and Maintenance Disorders Disorders characterized by impairment of the ability to initiate or maintain sleep. This may occur as a primary disorder or in association with another medical or psychiatric condition. Disorders of Initiating and Maintaining Sleep,Insomnia,Sleeplessness,Chronic Insomnia,DIMS (Disorders of Initiating and Maintaining Sleep),Early Awakening,Insomnia Disorder,Nonorganic Insomnia,Primary Insomnia,Psychophysiological Insomnia,Rebound Insomnia,Secondary Insomnia,Sleep Initiation Dysfunction,Transient Insomnia,Awakening, Early,Dysfunction, Sleep Initiation,Dysfunctions, Sleep Initiation,Insomnia Disorders,Insomnia, Chronic,Insomnia, Nonorganic,Insomnia, Primary,Insomnia, Psychophysiological,Insomnia, Rebound,Insomnia, Secondary,Insomnia, Transient,Insomnias,Sleep Initiation Dysfunctions
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011795 Surveys and Questionnaires Collections of data obtained from voluntary subjects. The information usually takes the form of answers to questions, or suggestions. Community Survey,Nonrespondent,Questionnaire,Questionnaires,Respondent,Survey,Survey Method,Survey Methods,Surveys,Baseline Survey,Community Surveys,Methodology, Survey,Nonrespondents,Questionnaire Design,Randomized Response Technique,Repeated Rounds of Survey,Respondents,Survey Methodology,Baseline Surveys,Design, Questionnaire,Designs, Questionnaire,Methods, Survey,Questionnaire Designs,Questionnaires and Surveys,Randomized Response Techniques,Response Technique, Randomized,Response Techniques, Randomized,Survey, Baseline,Survey, Community,Surveys, Baseline,Surveys, Community,Techniques, Randomized Response
D004363 Drug Utilization The utilization of drugs as reported in individual hospital studies, FDA studies, marketing, or consumption, etc. This includes drug stockpiling, and patient drug profiles. Utilization, Drug,Drug Utilizations,Utilizations, Drug
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000075202 Contraindications A condition or factor associated with a recipient that makes the use of a drug, procedure, or physical agent improper or inadvisable. Contraindications may be absolute (life threatening) or relative (higher risk of complications in which benefits may outweigh risks). Contraindications, Physical Agent,Medical Contraindications,Agent Contraindication, Physical,Agent Contraindications, Physical,Contraindication,Contraindication, Medical,Contraindication, Physical Agent,Contraindications, Medical,Medical Contraindication,Physical Agent Contraindication,Physical Agent Contraindications
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly

Related Publications

J Torre-Cisneros, and A Villar, and L Hidalgo, and C Aguado, and J López-Miranda, and F Pérez-Jiménez
December 2000, Sleep medicine reviews,
J Torre-Cisneros, and A Villar, and L Hidalgo, and C Aguado, and J López-Miranda, and F Pérez-Jiménez
January 1988, Przeglad lekarski,
J Torre-Cisneros, and A Villar, and L Hidalgo, and C Aguado, and J López-Miranda, and F Pérez-Jiménez
August 1988, American pharmacy,
J Torre-Cisneros, and A Villar, and L Hidalgo, and C Aguado, and J López-Miranda, and F Pérez-Jiménez
June 1998, The Annals of pharmacotherapy,
J Torre-Cisneros, and A Villar, and L Hidalgo, and C Aguado, and J López-Miranda, and F Pérez-Jiménez
April 2002, Journal of the American Geriatrics Society,
J Torre-Cisneros, and A Villar, and L Hidalgo, and C Aguado, and J López-Miranda, and F Pérez-Jiménez
June 2001, Journal of the American Geriatrics Society,
J Torre-Cisneros, and A Villar, and L Hidalgo, and C Aguado, and J López-Miranda, and F Pérez-Jiménez
January 1982, Clinical pharmacy,
J Torre-Cisneros, and A Villar, and L Hidalgo, and C Aguado, and J López-Miranda, and F Pérez-Jiménez
January 1997, JAMA,
J Torre-Cisneros, and A Villar, and L Hidalgo, and C Aguado, and J López-Miranda, and F Pérez-Jiménez
January 1985, Annals of clinical research,
J Torre-Cisneros, and A Villar, and L Hidalgo, and C Aguado, and J López-Miranda, and F Pérez-Jiménez
November 1994, Annales de medecine interne,
Copied contents to your clipboard!