"Fairly stable" on two benzodiazepines

💬 comments

She's already on two benzodiazepines for the past decade, why not add another?

Wow, where do we start with this one? How about the fact that this patient has apparently been on two benzos for close to a decade? It doesn't take a physician (but apparently it takes more than a midlevel nurse practitioner, even one supposed trained in psychiatric-mental health?) to understand that benzodiazepines should be reserved solely for acute and short-term use, and even then, only if other treatment modalities have been considered due to their significant side effect profile and high abuse potential. Not to mention the sketchiness of a patient on not one, but two benzodiazepines reporting how many he/she takes per month. I certainly hope NP Tamra has checked Washington state's prescription monitoring database! In any case, I can't believe that "having her use benzos more" is even a consideration here. We don't know if the patient was properly tapered off her benzos before being trialled on the other medications here; certainly, all of the listed "side effects" could all be symptoms of benzodiazepine withdrawal, which can last anywhere from days to months! This patient needs the help of a psychiatrist and not a midlevel, stat!