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Benzodiazepine and hypnotic prescribing in an acute adult psychiatric in-patient unit

Brian P. Hallahan, Senior Registrar in Psychiatry

*Department of Psychiatry, Clinical Science Institute, National University of Ireland Galway, Galway, Ireland, email: brian.hallahan{at}nuigalway.ie

Ivan T. Murray, Research Registrar

University College Hospital, Galway

Colm McDonald, Professor of Psychiatry

University College Hospital and National University of Ireland, Galway

Declaration of interest

None.

AIMS AND METHOD

We examined the prescribing practices concerning benzodiazepine and hypnotic medications at a university teaching hospital. Retrospective data from 74 consecutively admitted in-patients were analysed.

RESULTS

Benzodiazepines were prescribed to 51% of individuals on a routine basis and to 66% of individuals on an ‘as required’ basis. An indication was documented for 70% of individuals prescribed benzodiazepines routinely and for 29% of patients prescribed benzodiazepines ‘as required’. Hypnotic agents were administered to 24% of patients on a routine basis and 23% of individuals on an ‘as required’ basis. An indication was documented for 39% of patients prescribed hypnotic agents routinely and 12% of patients prescribed hypnotics ‘as required’.

CLINICAL IMPLICATIONS

Benzodiazepine and hypnotic agents are frequently prescribed without any clear reason provided in the patients’ medical notes or prescription card.