An 82-year-old woman with insomnia presents requesting a prescription refill for a benzodiazepine started during a recent hospital stay. She has a his...

Question

An 82-year-old woman with insomnia presents requesting a prescription refill for a benzodiazepine started during a recent hospital stay. She has a history of falls and mild cognitive impairment. According to Choosing Wisely and CANMAT guidance, what is the most appropriate response?

Accepted Answer

Gradually taper the benzodiazepine and introduce non-pharmacologic sleep strategies

Answer

Continue the benzodiazepine indefinitely as it is effective

Answer

Switch to a different benzodiazepine with a longer half-life

Answer

Abruptly stop the benzodiazepine with no taper

Answer

Increase the dose to overcome tolerance

ca-mccqe1 MCQ (SBA): Benzodiazepine use in older adults

An 82-year-old woman with insomnia presents requesting a prescription refill for a benzodiazepine started during a recent hospital stay. She has a history of falls and mild cognitive impairment. According to Choosing Wisely and CANMAT guidance, what is the most appropriate response?