苯二氮卓卓: Addiction and Dependence

苯二氮卓卓are a class of medications commonly prescribed for the treatment of anxiety and惊恐发作有关联panic disorder。苯并二氮卓类药物可能是身体上和心理上瘾的争议几乎没有争议。然而，辩论是什么，是用户在治疗焦虑的治疗目的中服用这些药物的问题的问题。

为了更清楚地了解与苯二氮卓使用相关的依赖性风险，重要的是要在药物依赖和吸毒成瘾之间进行区分。对苯二氮卓的物理依赖与成瘾相同？如果withdrawal symptomsoccur upon discontinuation of a benzodiazepine, does this mean addiction has occurred?

依赖

The physical dependence on a drug can be identified by withdrawal symptoms if the drug is abruptly stopped or decreased. While physical dependence may be a component of addiction, it is not, in and of itself, addiction.

For example, certain blood pressure medications can cause physical dependence. Yet, these medications do not lead to addiction.

Physical dependence may be an expected outcome of the long-term therapeutic use of benzodiazepines. Such dependence may cause withdrawal symptoms if the medication is stopped abruptly or decreased too fast. These symptoms may include:

• 焦虑
• Diarrhea/stomach upset
• 失眠
• 肌肉痉挛
• Headaches
• Decreased concentration
• Rapid breathing
• 颤抖
• Seizures

如果an individual is physically dependent on a benzodiazepine, withdrawal complications can be avoided by slowly decreasing the dosage of the medication over a period of time.

瘾

Drug addiction is a brain disease identified by components of physical and psychological dependence. Detoxification can result at the end of physical dependence, but the psychological component maintains a steadfast hold on the addict. It is this component that makes maintaining sobriety so difficult for sufferers. There is no cure for addiction and maintaining sobriety is usually an ongoing quest for those afflicted.

Drug addiction results in drug-seeking behaviors and continued use despite negative consequences. Drug-seeking behaviors with a benzodiazepine may include getting the drug from more than one provider or illegally obtaining the drug without a doctor’s prescription.

瘾to benzodiazepines or other drugs can result in negative consequences in many life functions. These consequences may include loss of work productivity, family or relationship problems or legal issues. Drug addiction results in the continued use of the drug despite the negative consequences.

According to the美国成瘾学会, drug addiction differs from drug dependence. Not all people with physical dependence on a drug will go on to develop an addiction. It is believed that certain individuals are predisposed or vulnerable to addiction based on biological, psychological and social influences.

吸毒成瘾的迹象可能包括：

• Drug-seeking behaviors (obtaining the drug from multiple doctors, illegally obtaining the drug)
• Cravings for the drug
• 获得药物的关注
• 滥用药物以醉酒或娱乐
• 依赖和退出在阻止药物后
• 干扰正常寿命功能（减少工作生产率降低，动机减少）
• Relationship problems
• Legal issues
• Continued use despite negative consequences

伪成瘾

寻求药物行为是瘾的常规组成部分。但是，这种行为也可能是尚未充分处理的真正症状的结果。例如，一个有的人症状焦虑和恐慌可能会从事寻求药物的行为，以获得控制的症状。这不是一个真正的成瘾，因为个人没有寻求乐趣的药物，并且一旦恐慌症状就没有表现出寻求药物行为。

Long-Term Benzodiazepine Use

许多人长期benzodiaz规定epine therapy for anxiety associated with panic disorder or another anxiety disorder worry about becoming “addicted.” Some doctors may withhold benzodiazepine treatment because of the same issue. Many studies have suggested that long-term benzodiazepine use is effective and safe and does not lead to addiction for most people being treated for anxiety. But, for some people,苯二氮卓使用可能导致成瘾。在具有酒精或其他药物成瘾的历史或积极滥用酒精或其他药物的人的那些风险似乎更大。

重要的是要记住，当按照指示使用时，苯并二氮卓卓通常是安全有效的。耐受性和依赖可能会导致，并且甚至可以预期，长期使用。但是，这与成瘾不同。如果你认为你有瘾问题，请记住helpis available. Talk to your doctor or other healthcare providers about treatment options.