Benzodiazepines: Dependence and addiction in general practice

2019 ◽  
Vol 12 (11) ◽  
pp. 656-663
Author(s):  
Denise Gleeson
Keyword(s):  
General Practice ◽  
Diagnostic Criteria ◽  
Management Strategies ◽  
Optimal Management ◽  
Benzodiazepine Dependence ◽  
The Uk

Benzodiazepines are only recommended for short periods (2–4 weeks), yet there is evidence of substantial long-term use across the UK. Poor availability of services is one major challenge in supporting withdrawal. Confusion about terminology can lead to inaccurate or inadequate diagnosis of benzodiazepine dependence and addiction, and sub-optimal management of these patients. This article provides an overview of benzodiazepines, diagnostic criteria and available management strategies.

Proton pump inhibitors and upper gastrointestinal cancers

2019 ◽  
Vol 12 (9) ◽  
pp. 526-530
Author(s):  
Monica Kumar
Keyword(s):  
Gastric Cancer ◽  
General Practice ◽  
Proton Pump Inhibitors ◽  
Proton Pump ◽  
Cost Effective ◽  
Gastrointestinal Cancers ◽  
Increased Risk ◽  
The Uk ◽  
Upper Gastrointestinal

Proton pump inhibitors (PPIs) were introduced in the 1980s. They are now one of the most commonly prescribed drugs in general practice. They are cost-effective when used correctly; however, PPIs are often used beyond accepted clinical indications. Recent published studies performed outside the UK have suggested that adverse effects are associated with long-term use of PPIs; in particular, an increased risk of gastric cancer. This article will aim to systematically assess the evidence and discuss its application to our clinical practice.

Childhood cancer in general practice: Is it really that rare?

2017 ◽  
Vol 10 (4) ◽  
pp. 209-217
Author(s):  
Jennifer Kelly
Keyword(s):  
General Practice ◽  
Young People ◽  
Early Diagnosis ◽  
Childhood Cancer ◽  
Signs And Symptoms ◽  
Childhood Cancers ◽  
Children And Young People ◽  
Number Of Children ◽  
The Uk

Childhood cancer is something most GPs think to be rare, yet it is the biggest medical cause of death in children aged between 1 and 14 years. Its incidence is increasing, with just under 4000 children and young people diagnosed with cancer every year in the UK (11 a day). It is important for GPs to know the signs and symptoms suggestive of childhood cancers, in order to help early diagnosis. This, in turn, can save lives and reduce disability in survivors. The number of children surviving cancer is increasing, with over 35 000 survivors now thought to be living in the UK and in need of particular expertise and care. This article aims to provide GPs with the tools and knowledge to diagnose childhood cancer, and a framework to support children with cancer and their families long-term in the community.

Primary Medical Care in Seychelles

1992 ◽  
Vol 22 (3) ◽  
pp. 100-104
Author(s):  
F M Sullivan ◽  
C Shamlaye
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Western Europe ◽  
Health Problems ◽  
Standard Of Living ◽  
Tropical Country ◽  
Current Health ◽  
The Republic ◽  
The Uk

This paper describes some of the current health problems faced by a tropical country whose standard of living and lifestyle is approaching that of many countries in Western Europe. Long-term health problems such as cardiovascular diseases and diabetes have become at least as important as infectious diseases. A change in approach to a more proactive style of primary care is needed to allow the contribution of community doctors to be effective. The system of primary care in the Republic of Seychelles is based on the UK model of general practice where recent improvements in education and organization are raising standards. How some of these improvements might be transferred elsewhere is discussed.

Perioperative Anticoagulation Practices of Surgeons in a Health System

2000 ◽  
Vol 35 (5) ◽  
pp. 504-510
Author(s):  
Donna Barnhart ◽  
Luis S. Gonzalez
Keyword(s):  
Health System ◽  
Randomized Trials ◽  
Warfarin Therapy ◽  
Practice Patterns ◽  
Management Strategies ◽  
Optimal Management ◽  
Intravenous Heparin ◽  
Perioperative Anticoagulation ◽  
To Receive

Several different management strategies for patients receiving long-term warfarin therapy who require surgery have been recommended in the literature. A recent article by Kearon and Hirsch made new recommendations based on estimating the risk of thromboembolism and bleeding from randomized trials and prospective studies. Because of the potential for variability in practice patterns, we surveyed physicians in our health system to identify their perioperative anticoagulation practices. Our results confirm variability in practice patterns. Perioperative intravenous heparin was the most frequently reported method of prophylaxis. Fifty-three percent of the surveyed physicians admitted patients to the hospital two or more days prior to surgery to receive prophylaxis. Further research is necessary to determine optimal management of perioperative anticoagulation.

Benzodiazepine dependence – a helpful new report

1993 ◽  
Vol 31 (13) ◽  
pp. 52-52
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
General Practice ◽  
Benzodiazepine Dependence ◽  
Benzodiazepine Use ◽  
Mental Health Foundation

Recently we outlined a prescribing policy designed to help reduce benzodiazepine use in hospitals.1 Most benzodiazepine prescribing takes place in general practice and, although benzodiazepine use has fallen in the last 15 years, many GPs will still have up to 50 long-term users on their lists. In May, the Mental Health Foundation published guidelines on benzodiazepine use in primary care.*

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