{"id":631,"date":"2014-03-14T15:13:23","date_gmt":"2014-03-14T14:13:23","guid":{"rendered":"http:\/\/www.fmc-tourcoing.org\/new\/?p=631"},"modified":"2014-04-11T14:01:39","modified_gmt":"2014-04-11T12:01:39","slug":"les-benzodiazepines-savoir-les-utiliser-et-les-arreter","status":"publish","type":"post","link":"https:\/\/www.fmc-tourcoing.org\/new\/2014\/03\/les-benzodiazepines-savoir-les-utiliser-et-les-arreter\/","title":{"rendered":"Les Benzodiaz\u00e9pines : savoir les utiliser et les arr\u00eater"},"content":{"rendered":"<h1 style=\"text-align: center;\">Les Benzodiaz\u00e9pines<\/h1>\n<h1 style=\"text-align: center;\">savoir les utiliser et les arr\u00eater<\/h1>\n<p style=\"text-align: center;\">Soir\u00e9e de formation avec le Dr Thierry DANEL<\/p>\n<h2>1\/ Indications et dur\u00e9es du traitement par BZD et apparent\u00e9s pour anxi\u00e9t\u00e9 et insomnie<\/h2>\n<p><a href=\"http:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/BZD-Indications.png\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-648\" alt=\"BZD-Indications\" src=\"http:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/BZD-Indications.png\" width=\"893\" height=\"544\" srcset=\"https:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/BZD-Indications.png 893w, https:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/BZD-Indications-300x182.png 300w\" sizes=\"auto, (max-width: 893px) 100vw, 893px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/arret_des_bzd_-_rcp_commun_aux_bzd.pdf\" target=\"_blank\">R\u00e9sum\u00e9 des caract\u00e9ristiques du produit1 commun aux BZD et m\u00e9dicaments apparent\u00e9s<\/a><\/p>\n<h2 style=\"text-align: left;\">2\/ Les somnif\u00e8res<\/h2>\n<ul>\n<li>Ne pas les prescrire mais analyser le sommeil =&gt; faire un agenda du sommeil<\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\"><span style=\"color: #444444; font-family: Georgia, 'Bitstream Charter', serif; font-size: medium;\"><span style=\"line-height: 24px;\"><a title=\"Agenda du sommeil (HAS)\" href=\"http:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/arret_des_bzd_-_agenda_sommeil_-_eveil.pdf\" target=\"_blank\">Agenda du sommeil (HAS)<\/a><\/span><\/span><\/p>\n<p style=\"text-align: center;\"><a style=\"font-size: 16px;\" href=\"http:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/Agenda.png\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter  wp-image-645\" title=\"Agenda du sommeil\" alt=\"Agenda\" src=\"http:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/Agenda.png\" width=\"598\" height=\"343\" srcset=\"https:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/Agenda.png 997w, https:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/Agenda-300x171.png 300w\" sizes=\"auto, (max-width: 598px) 100vw, 598px\" \/><\/a><\/p>\n<ul>\n<li>Se lever tous les jours \u00e0 la m\u00eame heure (y compris les jours de repos) et pas de sieste<\/li>\n<li>Pas plus de 7 \u00e0 9 heures au lit (dur\u00e9e individuelle )<\/li>\n<li>On peut les arr\u00eater<\/li>\n<\/ul>\n<h2>3\/ Les benzodiaz\u00e9pines<\/h2>\n<ul>\n<li>Les \u00e9viter mais si elles sont n\u00e9cessaires, ne les donner que pour une courte dur\u00e9e (&lt; 1 mois)<\/li>\n<li>Le sevrage est difficile et long : 6 \u00e0 9 mois en baissant peu \u00e0 peu avec des paliers progressifs de 10 %<\/li>\n<\/ul>\n<p><span style=\"color: #444444; font-family: Georgia, 'Bitstream Charter', serif; font-size: medium;\"><span style=\"line-height: 24px;\"><a href=\"http:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/Sevrage.png\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-652\" alt=\"Sevrage\" src=\"http:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/Sevrage.png\" width=\"623\" height=\"644\" srcset=\"https:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/Sevrage.png 623w, https:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/Sevrage-290x300.png 290w\" sizes=\"auto, (max-width: 623px) 100vw, 623px\" \/><\/a><\/span><\/span><\/p>\n<p style=\"padding-left: 30px;\"><a href=\"http:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/Benzodiaz\u00e9pines\u00a0-rappel-sur-le-syndrome-de-sevrage-l\u2019effet-rebond-et-la-rechute-Minist\u00e8re-des-Affaires-sociales-et-de-la-Sant\u00e9-www.sante_.gouv_.fr_.pdf\" target=\"_blank\">Benzodiaz\u00e9pines\u00a0: rappel sur le syndrome de sevrage, l\u2019effet rebond et la rechute &#8211; Minist\u00e8re des Affaires sociales et de la Sant\u00e9 &#8211; www.sante.gouv.fr<\/a><\/p>\n<ul>\n<li>Evaluer la d\u00e9pendance<\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\"><a href=\"http:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/arret_des_bzd_-_echelle_ecab.pdf\">\u00c9chelle cognitive d\u2019attachement aux benzodiaz\u00e9pines<\/a><\/p>\n<ul>\n<li>Pourquoi les arr\u00eater ?<\/li>\n<\/ul>\n<p><a href=\"http:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/EffetsSecondairesBZD.png\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-654\" alt=\"EffetsSecondairesBZD\" src=\"http:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/EffetsSecondairesBZD.png\" width=\"699\" height=\"518\" srcset=\"https:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/EffetsSecondairesBZD.png 699w, https:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/EffetsSecondairesBZD-300x222.png 300w\" sizes=\"auto, (max-width: 699px) 100vw, 699px\" \/><\/a><a href=\"http:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/Le-bon-usage-des-benzodiaz\u00e9pines-par-les-professionnels-de-sant\u00e9-Minist\u00e8re-des-Affaires-sociales-et-de-la-Sant\u00e9-www.sante_.gouv_.fr_.pdf\" target=\"_blank\">Le bon usage des benzodiaz\u00e9pines par les professionnels de sant\u00e9 &#8211; Minist\u00e8re des Affaires sociales et de la Sant\u00e9 &#8211; www.sante.gouv.fr<\/a><\/p>\n<ul>\n<li>Comment les arr\u00eater ?<\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\">L\u2019arr\u00eat doit toujours \u00eatre progressif, sur une dur\u00e9e allant de quelques semaines\u00a0\u00e0 plusieurs mois.<\/p>\n<p style=\"padding-left: 60px;\">\u25cf L\u2019objectif de la d\u00e9marche est l\u2019arr\u00eat de la consommation de BZD. Mais l\u2019obtention\u00a0d\u2019une diminution de posologie est un r\u00e9sultat favorable.<\/p>\n<p style=\"padding-left: 60px;\">\u25cf Il n\u2019y a pas d\u2019argument pour proposer un traitement m\u00e9dicamenteux substitutif lors\u00a0de l\u2019arr\u00eat des BZD chez le patient \u00e2g\u00e9.<\/p>\n<p style=\"padding-left: 60px;\">\u25cf Des mesures d\u2019accompagnement non m\u00e9dicamenteuses doivent \u00eatre mises en\u00a0place aussi longtemps que n\u00e9cessaire.<\/p>\n<p style=\"padding-left: 30px;\"><a href=\"http:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/synthese_bzd_-_version_finale_2008.pdf\">Modalit\u00e9s d\u2019arr\u00eat des benzodiaz\u00e9pines et m\u00e9dicaments apparent\u00e9s chez le patient \u00e2g\u00e9<\/a><\/p>\n<h2>4\/ Diaporama de la soir\u00e9e de formation<\/h2>\n<ul>\n<li><a href=\"http:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/Anxio-hypnotiques-RxTourcoing-2013-CPAM.pdf\" target=\"_blank\">Consommation des Anxio-hypnotiques RxTourcoing 2013 Source CPAM<\/a><\/li>\n<li><a href=\"http:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/K-Cliniques.pdf\" target=\"_blank\">Cas cliniques pour la formation du 13 mars 2014<\/a><\/li>\n<\/ul>\n<h2>5\/ Pour en savoir plus<\/h2>\n<ul>\n<li><a href=\"http:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/3f1dc4756b5bc091879c9c254d95e05c.pdf\" target=\"_blank\">\u00c9TAT DES LIEUX DE LA CONSOMMATION DEs BENZODIAZ\u00c9PINES EN FRANCE<\/a><\/li>\n<li><a href=\"http:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/lp-121221-Mise-en-garde-Benzodiazepine.pdf\" target=\"_blank\">Benzodiaz\u00e9pines et d\u00e9mence : limiter les risques par un strict respect des r\u00e8gles de prescription et de bon usage<\/a><\/li>\n<li><a href=\"http:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/memo_benzodiazepines_2012.pdf\" target=\"_blank\">Choix d\u2019une benzodiaz\u00e9pine dans les troubles anxieux ou les troubles du sommeil &#8211; Demi-vie<\/a><\/li>\n<li><a href=\"http:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/recommandations_bzd_-_version_finale_20081.pdf\" target=\"_blank\">Modalit\u00e9s d\u2019arr\u00eat des benzodiaz\u00e9pines et m\u00e9dicaments apparent\u00e9s chez le patient \u00e2g\u00e9<\/a><\/li>\n<li><a href=\"http:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/rpc_sftg_insomnie_-_recommandations.pdf\" target=\"_blank\">Prise en charge du patient adulte se plaignant d\u2019insomnie en m\u00e9decine g\u00e9n\u00e9rale<\/a><\/li>\n<li><a href=\"http:\/\/www.fmc-tourcoing.org\/new\/wp-content\/uploads\/2014\/03\/bat_web_fbum_circadin_cv_101109.pdf\" target=\"_blank\">Quelle place pour la m\u00e9latonine (Circadin\u00ae) dans le traitement de l\u2019insomnie<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Les Benzodiaz\u00e9pines savoir les utiliser et les arr\u00eater Soir\u00e9e de formation avec le Dr Thierry DANEL 1\/ Indications et dur\u00e9es du traitement par BZD et apparent\u00e9s pour anxi\u00e9t\u00e9 et insomnie R\u00e9sum\u00e9 des caract\u00e9ristiques du produit1 commun aux BZD et m\u00e9dicaments &hellip; <a href=\"https:\/\/www.fmc-tourcoing.org\/new\/2014\/03\/les-benzodiazepines-savoir-les-utiliser-et-les-arreter\/\">Continuer la lecture <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","footnotes":""},"categories":[4,8],"tags":[49,46,47,48,51,50],"class_list":["post-631","post","type-post","status-publish","format-standard","hentry","category-accueil","category-publications","tag-arreter","tag-benzodiazepine","tag-mesusage","tag-sevrage","tag-somniferes","tag-stopper"],"_links":{"self":[{"href":"https:\/\/www.fmc-tourcoing.org\/new\/wp-json\/wp\/v2\/posts\/631","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.fmc-tourcoing.org\/new\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.fmc-tourcoing.org\/new\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.fmc-tourcoing.org\/new\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.fmc-tourcoing.org\/new\/wp-json\/wp\/v2\/comments?post=631"}],"version-history":[{"count":19,"href":"https:\/\/www.fmc-tourcoing.org\/new\/wp-json\/wp\/v2\/posts\/631\/revisions"}],"predecessor-version":[{"id":670,"href":"https:\/\/www.fmc-tourcoing.org\/new\/wp-json\/wp\/v2\/posts\/631\/revisions\/670"}],"wp:attachment":[{"href":"https:\/\/www.fmc-tourcoing.org\/new\/wp-json\/wp\/v2\/media?parent=631"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.fmc-tourcoing.org\/new\/wp-json\/wp\/v2\/categories?post=631"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.fmc-tourcoing.org\/new\/wp-json\/wp\/v2\/tags?post=631"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}