The Risks Doctors Take With Prescriptions

Cracking Addiction

Are you concerned about the dangers of benzodiazepines and opioids? Curious about how these medications impact individuals with substance use disorders? In this episode of Cracking Addiction, Dr. Ferghal Armstrong and Dr. Richard Bradlow tackle the pressing issues surrounding the prescription of benzodiazepines and opioids. This is essential viewing for anyone interested in the complex dynamics of medication management and opioid stewardship.

From the outset, we delve into the rising legal and ethical concerns GPs face when prescribing these medications. We discuss the escalated risks of co-prescribing benzodiazepines with other sedatives, including alcohol and opioids, which can be life-threatening. Our experts explain why saying no to persistent medication requests is difficult but sometimes necessary to uphold the principle of "primum non nocere" — do not harm.

What sets this episode apart is its insightful historical context. We explore tranquilizers from the first minor tranquilizer, Milltown, to the development of major tranquilizers alongside antipsychotics and antidepressants. Dr. Bradlow’s analysis is both rich and engaging, providing a broader understanding of how these medications evolved and why benzodiazepines, despite their therapeutic window, are fraught with dependency issues.

Discover the nuanced strategies for managing long-term benzodiazepine and opioid prescriptions, especially in cases involving chronic pain and opioid use disorder. Learn about the importance of clear communication and shared decision-making between doctors and patients, which is crucial for safe prescribing practices.

Feel empowered in your knowledge and join the conversation on how we can navigate these challenging waters responsibly. Whether you're a healthcare professional, educator, or someone affected by substance use disorders, this video provides the insights you need.