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Benzodiazepine dependence — GPhC CRA MCQ

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ModerateCNS TherapeuticsBenzodiazepine dependenceGPhC CRA

A patient has taken diazepam 10mg at night for several months and asks for an early supply after increasing the dose during stress. They feel shaky when they miss tablets. The prescriber has not authorised an early supply. What is the most appropriate action?

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Correct answer: A — Discuss dependence risk and refer to the prescriber

Long-term benzodiazepine use can cause tolerance, dependence and withdrawal symptoms. An early supply request should be handled carefully with prescriber involvement and supportive counselling. Abrupt cessation can precipitate withdrawal and may be dangerous.

Reference: BNF; NICE CKS