RESUMO
We investigated the withdrawal of temazepam in a single general practice using two alternative prescribing policies: an alternative benzodiazepine; or an alternative group of drugs recommended for short-term management of insomnia, including sedative antihistamines and chloral hydrate. The study showed that temazepam prescribing in general practice can be reduced or stopped by using a simple intervention. An alternative benzodiazepine is useful in helping patients to stop their use of hypnotic agents. The use of antihistamines as substitute hypnotics is not advocated on the basis of our findings.
Assuntos
Ansiolíticos/uso terapêutico , Agonistas dos Receptores Histamínicos/uso terapêutico , Transtornos do Sono-Vigília/tratamento farmacológico , Temazepam/uso terapêutico , Adulto , Idoso , Idoso de 80 Anos ou mais , Medicina de Família e Comunidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Satisfação do Paciente , Padrões de Prática MédicaRESUMO
A questionnaire on the management of acute myocardial infarction was sent to 100 randomly selected general practitioners. From the replies received, only 42 provided worthwhile information. The approach to the care and treatment of actual patients and their common complications is discussed and recommendations relating to future audits are made.