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Addiction to benzodiazepines is a relatively unknown public health problem so as an extremely complex one between Primary Care Health (PCH) teams. Their usefulness for treatment of anxiety and other disorders, so as their abuse potential, are well known. In several reports, the use between PCH patients is to 30-40%, with 30% of self-prescription and 4% of addiction. 30% of prescriptions come from PCH physicians and they are frequently not justified. In a primary care center from the southeastern area of Santiago, 1081 Mental Health Program outpatients asked for attention over a six-months seeking period; addiction to benzodiazepines was diagnosed in 111 (10,3%), according to the DSM-IV criteria. Average age was 60 ys with female-to-male ratio of 3,3:1. 66,6% of them had at least one comorbidity, 20% of which was a mood disorder, 12,6% an anxiety disorder, 7% panic disorder, 9% sleep disorder, 4,5% dementia, 16% anxious-depresive disorder and 11% a personality disorder. Some directions for optimus managemente are proposed: determine the severity of addiction; gradual retirement of the drug when possible; careful prescription of BZD and developing and maintaining a solid and stable therapeutic relationship.

Dependencia a benzodiazepinas en un centro de atención primaria de salud: Magnitud del problema y orientaciones para el manejo integral