VA Gives Tranquilizers to 30 Percent of PTSD Patients, Despite Warnings
The Veterans Affairs Department treats more than 30 percent of veterans diagnosed with post-traumatic stress disorder with tranquilizers such as Xanax and Valium, despite clinical practice guidelines issued in 2010 warning against their use, VA’s National Center for PTSD reported.
The 2010 PTSD clinical practice guidelines, which also apply to the Defense Department, cautioned providers against using benzodiazepines to manage PTSD due to “the lack of efficacy data and growing evidence for the potential risk of harm,” the PTSD center said in in the March edition of its research quarterly publication.
Research shows that treatment of PTSD with benzodiazepine drugs “may interfere with the extinction of fear conditioning or potentiate the acquisition of fear responses, actually worsening recovery from trauma,” the center reported. This, in turn, may interfere with “first line” treatment such as exposure therapy, in which a trained therapist helps a veteran relive traumatic events.
More than 50 percent of combat veterans diagnosed with PTSD also suffer from alcoholism or substance abuse, and treatment with benzodiazepines can lead to addiction, the center said.
The number of veterans with PTSD treated by VA nearly tripled from 171,000 in 1999 to 498,000 in 2009, as troops who served in Afghanistan and Iraq entered the VA health care system. At the same time, benzodiazepine prescriptions for veterans with PTSD dropped from 37 percent in 1999 to 30 percent in 2009, as the VA started to use selective serotonin re-uptake inhibitors such as Zoloft and Paxil for PTSD treatment.
http://www.nextgov.com/health/2013/03/va-gives-tranquilizers-30-percent-ptsd-patients-despite-warnings/61936/?oref=river
