Sleep aids
are a more than $2 billion per year industry. Forecasts predict that global prescriptions for anti-anxiety medicines will
reach $5.9 billion per year by 2017.
Studies show how easy it is to get hooked and a new
study just published in the British Medical Journal shows that
anti-anxiety and sleep drugs can kill you.
Using data
from the prescription records of primary care doctors, the study compared
34,727 patients prescribed anxiolytic
(anti-anxiety) or hypnotic (sleep) drugs to 69,418 people not prescribed these
drugs. Over 90 percent of the prescribed drugs were benzodiazepines or Z-drugs,
which you might know by brand names like Xanax, Valium, Lunesta, Ambien and
many more.
The
study found that over the average 7.6-year follow-up period, for every 100
people followed there were about 4 more deaths in the prescription drug group
than in the control group.
As you
can imagine, the big challenge in this study was pulling out the influence of
all the other things that might matter. For example, was the prescription drug
group more likely to have other challenges that increased their chance of death?
Researchers did their best, controlling for factors like “sex, age at study
entry, sleep disorders, anxiety disorders, other psychiatric disorders, medical
morbidity, and prescriptions for non-study drugs.” They also controlled for
socioeconomic status, alcohol and smoking.
The
results remained: The 4-per-100 death increase doubled the chance of death in
the prescription drug group compared to controls. And the more prescription
drugs a person took during the study, the greater their chance of death
increased – the more drugs, the more morbidity.
The
thing is, this study is just one in a long line of research showing the dangers
of psychotropic medicines prescribed for anxiety, sleep, depression and a host
of other mental health challenges. For example, even though you’re told not to drive, people prescribed
these medicines have more than six times the risk of hospitalization due to traffic
accident in the two weeks after the prescription is first filled. And, “Even at
modest doses...treatment with benzodiazepines appears to increase the risk of
hip fracture,” writes an article in the American Journal of Psychiatry. The list of unintended risks of
psychotropic medications goes on to include seizure, birth defects, heart rate
variability, suicide, and even cancer.
Not to
mention addiction. Absolutely every day at my center, we treat addictions to
prescription anti-anxiety and sleep medications. In addition to the health
consequences of these drugs, if left untreated, dependence has the potential to
rob people of relationships, careers and their sense of self. Addiction is a
heartbreaking consequence of these drugs and is largely overlooked by the
medical model that is designed to treat symptoms instead of diseases – have a
fever? Take a Tylenol. Have trouble sleeping? Take an Ambien.
The
fact is that at best psychotropic medications mask the symptoms of an
underlying illness. Then when a person stops taking these dangerous drugs to steer
clear of the health or mental health consequences, the symptoms often return.
Instead, this most recent article in the British
Medical Journal and the hundreds of others add weight to a scale that is
already tipped far in favor of a better way: psychotherapeutic techniques that
heal the root causes of anxiety or sleep issues and not drugs that mask their
symptoms are the best way to treat addiction and mental health challenges.
In
the great an ongoing debate of prescriptions versus holistic therapies, this
study adds yet more support to the essential truth of drug-free treatment.
--
Richard
Taite is founder and CEO of Cliffside Malibu, offering evidence-based,
individualized addiction treatment based on the Stages of Change model. He is
also coauthor with Constance Scharff of the book Ending
Addiction for Good.
Image: Flickr via Bill Brooks, cc license
