Ditch the Anxiety! Safe Benzodiazepine Tapering Strategies

Ditch the Anxiety! Safe Benzodiazepine Tapering Strategies

If you're struggling with benzodiazepine withdrawal, this video shares safe tapering strategies to help you ditch the anxiety and regain control. Learn about benzodiazepine induced neurological dysfunction (BIND) and how to overcome it. In this episode, Dr Ferghal Armstrong discusses the mechanisms of benzodiazepine induced neurological dysfunction (BIND) and the complexities of benzodiazepine withdrawal. He explains that benzodiazepines and Z drugs increase the effect of the inhibitory neurotransmitter GABA, which leads the brain to compensate by increasing excitotoxic glutamate. Over time, this balance shift can lead to severe withdrawal symptoms and heightened anxiety, among other issues. Dr Armstrong also compares BIND to conditions like fibromyalgia and opioid-induced hyperalgesia, providing a robust framework for understanding the distressing experiences faced by those on long-term benzodiazepines. 00:00 GABA's Impact and Brain Compensation 03:50 Paradox of Drug-Induced Sensitisation 08:12 Benzodiazepine Tapering Principles 10:23 Lifestyle Medicine for Withdrawal 13:33 Farewell from Cracking Addiction

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An Introduction to Opioids

An Introduction to Opioids

In this episode of Cracking Addiction we provide an introduction to opioids, how they work what receptors they act upon and some of the harms associated with opioids.

6 Okt 202113min

Alcohol Use Disorder Summary Points

Alcohol Use Disorder Summary Points

In this episode of Cracking Addiction we summarise the previous episodes detailing alcohol use disorder, alcohol withdrawal management, rationale for anti-craving medications and how to assist our patients in a safe, ethical and humane manner.

29 Sep 202122min

Alcoholics Anonymous and SMART Recovery

Alcoholics Anonymous and SMART Recovery

In this episode of Cracking Addiction we discuss both Alcoholics Anonymous and SMART recovery programs and review the evidence base behind each of these interventions and how to help patients choose the best behavioural management program to help manage relapse prevention.

22 Sep 202122min

Alcohol Anti-Craving Medications

Alcohol Anti-Craving Medications

In this episode of Cracking Addiction we explore the common anti-craving medications used in alcohol use disorder and explain what the choices are, what the indications for these medications are, how they work as well as the common side effects and interactions.Blog available

15 Sep 202125min

Residential alcohol withdrawal management

Residential alcohol withdrawal management

In this episode of Cracking Addiction we explore the intricacies of residential or inpatient alcohol withdrawal management including how to manage patients in a residential setting, complications that can arise and how to management then during alcohol withdrawal, medications and potential dosages of medications uses as well as how to manage patients with pre-existing medical and psychiatric comorbidities.

8 Sep 202120min

Home Based Residential Withdrawal

Home Based Residential Withdrawal

The safe management of alcohol withdrawal is a fundamental skill that medical practitioners should be aware to perform. It is a protocol driven management and needs to be to ensure patient safety. In this episode of Cracking Addiction we explore home based or outpatient alcohol withdrawal and how to select the appropriate people for home based alcohol withdrawal management, how to manage the withdrawal symptoms and how to safely follow up patients.

1 Sep 202121min

The physiology of alcohol withdrawal

The physiology of alcohol withdrawal

Chronic alcohol use can lead to physical dependence. In this episode of Cracking Addiction we talk about the physiology of alcohol withdrawal, complications of alcohol withdrawal including delirium tremens and Wernicke’s encephalopathy and we discuss some of the simple interventions that can be used to guard against these complications

25 Aug 202117min

Alcohol Consumption Pt2

Alcohol Consumption Pt2

In this episode of Cracking Addiction, we continue our deep dive into alcohol. We define alcohol use disorder, the definitions of dependence and addiction, the harms related to alcohol and the natural progression of alcohol use disorder and how to screen for people who might be at risk of alcohol use disorder and the importance of brief interventions.

18 Aug 202117min

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