title: Prescription of benzodiazepines for adults and older adults from a mental health clinic.
abstract: The aim of this study was to compare benzodiazepine (bzd) prescriptions for adults and older adults regarding appropriate use indicator. It is a cross-sectional study for collecting data on patients treated at the City's Mental Health Clinic in Sorocaba/SP, between March and December 2013. Appropriate use indicators were used: appropriate drug, with adequate posology and period of use; as well as the use of a single bzd, as anxiolytic for less than 3 months in depression treatment with antidepressants, use for less than 2 months if associated to an antidepressant and no use of long-acting bzd in older adults. From the 330 participants, most were women, with a family history of mental disorders and bzd use, without monitoring of a psychologist and using other psychotropic and polypharmacy (p>0.05).The minority of prescriptions had indication for the use of bzd (37.5% for older adults and 32.4% for adults) (p>0.05). Only 5.8% of the prescriptions for older adults and 1.9 for adults were rational (p>0.05). The chronic use was observed in all adults and older adults with depressive and anxiety disorders (p>0.05). A minority of prescriptions for adults and older adults was appropriate.
authors.affiliation: Universidade de Sorocaba, Sorocaba, SP, Brasil.
authors.forename: Daniele Cristina Comino
authors.initials: DC
authors.lastname: Naloto
authors.affiliation: Faculdade de Farmácia, Uniso, Sorocaba, SP, Brasil.
authors.forename: Francine Cristiane
authors.initials: FC
authors.lastname: Lopes
authors.affiliation: Universidade de Sorocaba, Sorocaba, SP, Brasil.
authors.forename: Silvio
authors.initials: S
authors.lastname: Barberato Filho
authors.affiliation: Universidade de Sorocaba, Sorocaba, SP, Brasil.
authors.forename: Luciane Cruz
authors.initials: LC
authors.lastname: Lopes
authors.affiliation: Universidade de Sorocaba, Sorocaba, SP, Brasil.
authors.forename: Fernando de Sá
authors.initials: Fde S
authors.lastname: Del Fiol
authors.affiliation: Universidade de Sorocaba, Sorocaba, SP, Brasil.
authors.forename: Cristiane de Cássia
authors.initials: Cde C
authors.lastname: Bergamaschi
mesh_terms: D000328:Adult; D014151:Anti-Anxiety Agents / Q000627:therapeutic use*; D000928:Antidepressive Agents / Q000009:adverse effects / Q000627:therapeutic use*; D001569:Benzodiazepines / Q000009:adverse effects / Q000627:therapeutic use*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008603:Mental Health; D010818:Practice Patterns, Physicians'
chemical_list: D014151:Anti-Anxiety Agents; D000928:Antidepressive Agents; D001569:Benzodiazepines