IMPROVING BENZODIAZEPINE PRESCRIBING IN FAMILY-PRACTICE THROUGH REVIEW AND EDUCATION

  • 1 January 1981
    • journal article
    • research article
    • Vol. 124  (2) , 147-+
Abstract
Indications for and dosages of 4 commonly prescribed benzodiazepines (diazepam, flurazepam, chlordiazepoxide, oxazepam) were recorded at a family medicine center with the aid of a computerized data collection system. Four guidelines were then developed for appropriate prescribing of these drugs: benzodiazepines should be used less frequently with increasing age; short-acting drugs are preferable to long-acting drugs; patients 65 yr of age and over should receive half the daily dose prescribed for younger patients; and use of these drugs for > 1 mo. should be discouraged. After a year''s observation it was evident that none of the guidelines were being followed. The 30 physicians in the practice were then informed of the findings by an educational program. Another 6 mo. of observation showed a reduction in the prescribing of benzodiazepines to patients 65 yr of age and over, a significant shift to the use of short-acting benzodiazepines and some reduction in the daily dose and duration of administration of diazepam. Thus, such a review of drug prescribing in family practice can be a practical and effective method of improving prescribing patterns.