Managing diazepam abuse in an AIDS-related psychiatric clinic with a high percentage of substance abusers

Jeffrey B. Freedman, Mary A. O'Dowd, F. Patrick Mckegney, Isabel J. Kaplan, Genya Bernstein, David J. Biderman, Maria F. Gomez

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Controversy over using benzodiazepines in a human immunodeficiency virus (HIV)-positive population to relieve sleep and anxiety has not been addressed in the literature. Serious problems with diazepam abuse emerged in a psychiatric outpatient clinic for a predominately HIV-positive and illicit drug-using population, which led to a review of patient characteristics and prescribing policies and to a systematic problem-solving effort. The patients originally prescribed diazepam were significantly more likely to be on methadone and have histories of intravenous drug use compared with the patients not on benzodiazepines. Thus, the patients asking for diazepam are likely to have histories of substance abuse and have a high potential for abusing the medication. The authors found that diazepam can be discontinued without causing a significantly greater drop-out rate in that group.

Original languageEnglish (US)
Pages (from-to)43-47
Number of pages5
JournalPsychosomatics
Volume37
Issue number1
StatePublished - Jan 1996

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Diazepam
Psychiatry
Acquired Immunodeficiency Syndrome
Benzodiazepines
HIV
Methadone
Street Drugs
Ambulatory Care Facilities
Population
Substance-Related Disorders
Sleep
Anxiety
Abuse
AIDS/HIV
Clinic
Pharmaceutical Preparations
Drugs
History

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Psychology(all)

Cite this

Freedman, J. B., O'Dowd, M. A., Mckegney, F. P., Kaplan, I. J., Bernstein, G., Biderman, D. J., & Gomez, M. F. (1996). Managing diazepam abuse in an AIDS-related psychiatric clinic with a high percentage of substance abusers. Psychosomatics, 37(1), 43-47.

Managing diazepam abuse in an AIDS-related psychiatric clinic with a high percentage of substance abusers. / Freedman, Jeffrey B.; O'Dowd, Mary A.; Mckegney, F. Patrick; Kaplan, Isabel J.; Bernstein, Genya; Biderman, David J.; Gomez, Maria F.

In: Psychosomatics, Vol. 37, No. 1, 01.1996, p. 43-47.

Research output: Contribution to journalArticle

Freedman, JB, O'Dowd, MA, Mckegney, FP, Kaplan, IJ, Bernstein, G, Biderman, DJ & Gomez, MF 1996, 'Managing diazepam abuse in an AIDS-related psychiatric clinic with a high percentage of substance abusers', Psychosomatics, vol. 37, no. 1, pp. 43-47.
Freedman JB, O'Dowd MA, Mckegney FP, Kaplan IJ, Bernstein G, Biderman DJ et al. Managing diazepam abuse in an AIDS-related psychiatric clinic with a high percentage of substance abusers. Psychosomatics. 1996 Jan;37(1):43-47.
Freedman, Jeffrey B. ; O'Dowd, Mary A. ; Mckegney, F. Patrick ; Kaplan, Isabel J. ; Bernstein, Genya ; Biderman, David J. ; Gomez, Maria F. / Managing diazepam abuse in an AIDS-related psychiatric clinic with a high percentage of substance abusers. In: Psychosomatics. 1996 ; Vol. 37, No. 1. pp. 43-47.
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