This physician and pharmacist information sheet has been developed by Veterans Affairs Canada and concerns benzodiazepine medications that our clients may be receiving.

Effects of Benzodiazepines on our Clients

When used as directed and for short duration, most benzodiazepines are relatively safe. However, as with any medication, there can be dangers associated with misusage.

Following or during service in the Canadian Forces, clients of Veterans Affairs may have encountered traumatic life experiences that induce regular or periodic levels of high anxiety. As a result, they may have been prescribed benzodiazepine medications for longer periods or at higher doses than the average patient. Consequently, our clients may be at a higher risk of dependence, and if using alcohol in combination with prescribed medications, may be at risk for increased incidences of violent behaviours, or may display suicidal tendencies. Benzodiazepines can also affect the patient's ability to drive a vehicle or operate equipment safely, and may increase the risk of collision, especially if taken in combination with alcohol or certain other drugs.

It is important that our clients understand that benzodiazepines can be addictive, and that it may be difficult for them to recover their health after a period of dependence. We are also aware that certain benzodiazepine medications, including Halcion and Xanax, may induce serious side effects, including depression, hallucinations, amnesia and violent behaviours. Given the average age and frailty of our traditional clients, as well as the highly technical training of many current and former CF members, these identified side effects may have greater potential negative impacts for our client group.

What is Veterans Affairs Doing?

Veterans Affairs Canada is actively involved with the health and well-being of our clients. We monitor our clients' usage of prescription drugs in order to identify potential health risks. This information sheet is intended for physicians and pharmacists.

Suggestions for Physicians and Pharmacists

• Take the time to explain possible risks and adverse effects of benzodiazepine usage, including dependency issues.
• Explain the need for patients to avoid alcohol while taking benzodiazepine medications.
• Physicians, consider placing your patients on benzodiazepines for a short period of time during an acute need, possibly for a maximum of 15 days.
• Review your patient's benzodiazepine regime during their next visit.
• Explain where our clients can obtain more information.

Questions?

If you have any additional questions or would like additional copies of this brochure please contact:

Dr. Roland Chiasson
National Medical Officer
Veterans Affairs Canada
Client Service and Quality Management Directorate
Telephone: (902) 566-8096

This publication is available in multiple formats.

Produced by Veterans Affairs Canada
Charlottetown, PE

© Her Majesty the Queen in Right of Canada,
represented by the Minister of Veterans Affairs, 2005

Cat. No.: V32-157/2005 ISBN: 0-662-42091-8

Printed in Canada