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by maxander 2866 days ago
What is the thesis here? Benzodiazepines are commonly prescribed and have the potential for abuse; these things are both true; I hadn't heard the rate of prescription was rising, but I'd believe it. There doesn't seem to be any evidence presented for a trend or rise in benzodiazepine abuse, or evidence of general harm from the use of the drugs. It highlights parallels between the existence of this prescription drug class and another class that is associated with significant issues, and makes it sound as if there were an issue here... and then leaves it at that, the literary equivalent of a wink and a nudge. Are they arguing that prescription of drugs with abuse potential is inherently a problem? Because that would be a very extreme position, one which would challenge a sizable fraction of the medications available to modern psychiatry.

And this is a "journalist's resource," one associated with the Harvard Kennedy School? No wonder journalism is garbage these days.

2 comments

>A study published in 2016 in the American Journal of Public Health finds that from 1996 to 2013, the number of adults in the United States filling a prescription for benzodiazepines increased 67 percent, from 8.1 million to 13.5 million. The death rate for overdoses involving benzodiazepines also increased in this time period, from 0.58 per 100,000 adults to 3.07.

In the first link in the article >the quantity of benzodiazepines they obtained more than tripled during that period, from 1.1-kg to 3.6-kg lorazepam-equivalents per 100,000 adults.

That's all prescribed doses, though. So, yes, the use of benzodiazepines is going up, which obviously carries with it the associated rise in side effects and drug-related deaths. It's not reasonably comparable to the narcotics epidemic, where illegal use is driving mortality rates.
I see how that's true on a legal level, but if we're just talking about social and public health impacts, I don't see why the distinction between prescription and illegal use matters here. A three-fold increase in a category of drugs with major health impacts seems newsworthy to me. After all, the boundaries between legal and illegal use are far from fixed. Methamphetamine was once widely prescribed by physicians for weight loss, for instance (and is indeed still legally available as a prescription medicine) [1].

Presumably we can agree that a world in which prescriptions for methamphetamine have tripled might be a cause for concern, right? It's debatable whether this class of drugs has the same abuse and health risks, but based on my own reading and anecdotal experiences, I think they're pretty comparable.

[1] https://resobscura.blogspot.com/2012/06/from-quacks-to-quaal...

When I was prescribed a benzo a decade ago, my doctor told me it was safe, non-habit-forming, and I could take it whenever I wanted to feel less nervous. There was no warning whatsoever about addiction, tolerance, or the serious side effects that were possible.

Luckily I am generally skeptical of pharmaceuticals, at least to the extent that I try to educate myself about them. So I did my own reading up about it. But even then, while online sources did indicate that benzos could be habit-forming, I did not see the strong language and terrible stories that are coming out now about benzo addiction.

So hopefully that illustrates the newsworthy issue: a lot of doctors, and even online medical info sites, did not adequately appreciate the risks of benzos, or warn people about those risks.