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Journal Article

Citation

Nalpas B, Perney P. Alcohol Alcohol. 2017; 52(4): 447-452.

Affiliation

Service d'Addictologie, CHRU Caremeau, Place du Pr R. Debré 30029, Nîmes, France.

Copyright

(Copyright © 2017, Oxford University Press)

DOI

10.1093/alcalc/agx018

PMID

28379321

Abstract

AIM: To document the use of prescribed psychoactive medicines in France in patients recovering from alcohol use disorders (AUDs).

METHOD: Survey among short- and long-term abstainers attending groups of French self-help associations for AUDs, recording socio-demographic profile, duration of abstinence, prescription of psychoactive medication and attitudes towards that, and whether or not in medical or psychological follow-up for AUD.

RESULT: Five hundred seventy-five abstainers participated. More than a half had stopped drinking for at least 5 years. About 25% of the very long-term abstainers were still in follow-up. Benzodiazepines, then antidepressants, were the most frequently used medication. Prescriptions of medication decreased with length of abstinence; was always higher in women than in men and in those with a medical follow-up. About 45% claimed that they were 'dependent' on their pills. Ten years after having stopping drinking, 19 and 42.1% of men and women, respectively, were still under medication. Cluster analysis of self-opinion on medication showed that in ~30% of the subjects medication seemed to be prescribed for precautionary reasons.

CONCLUSION: Psychoactive medication in France is frequently prescribed for years following alcohol withdrawal. While it is possible that this is over-prescription, and further work in this regard is needed, changes in an on-going treatment for a given patient would need to be cautious. SHORT SUMMARY: Psychoactive medication in alcohol use disorders often prescribed for long-term abstainers in France. Benzodiazepines and antidepressants are the most frequently prescribed drugs. Prescription is more frequent in women and in those subjects having medical follow-up for their alcohol problem. Over-prescription is discussed.


Language: en

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