| Autor: |
Siriwardena AN, Qureshi MZ, Dyas JV, Middleton H, Orner R, Siriwardena, A Niroshan, Qureshi, M Zubair, Dyas, Jane V, Middleton, Hugh, Orner, Roderick |
| Zdroj: |
British Journal of General Practice; Jun2008, Vol. 58 Issue 551, p417-422, 6p |
| Abstrakt: |
Background: Little is known about patients' perceptions of newer hypnotics.Aim: To investigate use, experience, and perceptions of Z drug and benzodiazepine hypnotics in the community.Design Of Study: Cross-sectional survey of general practice patients who had received at least one prescription for a Z drug or benzodiazepine in the previous 6 months.Setting: Lincolnshire, UK.Method: Self-administered postal questionnaire.Results: Of 1600 surveys posted, 935 (58.4%) responses were received, of which 705 (75.4%) were from patients taking drugs for insomnia. Of those 705 patients, 87.9% (n = 620) were first prescribed a hypnotic by their GP, and 94.9% (n = 669) had taken a sleeping tablet for 4 weeks or more. At least one side effect was reported in 41.8% (n = 295); 18.6% wished to come off hypnotic medication; and 48.5% had tried to stop treatment. Patients on Z drugs were more likely to express a wish to stop (22.7% versus 12.3%; odds ratio [OR] = 1.67, 95% confidence interval [CI] = 1.13 to 2.49), or to have attempted to come off medication, than those on benzodiazepines (52.4% versus 41.0%; OR = 1.54, 95% CI = 1.12 to 2.12). The two groups did not differ significantly in respect of benefits or adverse effects.Conclusion: There were no significant differences in patients' perceptions of efficacy or side-effects reported by those on Z drugs compared to patients taking benzodiazepines. Side-effects were commonly reported, which may have contributed to a high proportion of responders, particularly patients on Z drugs who were wishing to stop, or who had previously tried to stop taking this medication. Reported prescribing practices were often at variance with the licence for short-term use. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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