Benzodiazepines and Z-drugs are among the most consistent medication risk factors for falls and hip fracture in older people. A fall, a fracture or an admission is the natural moment to review them.
Most long-term users can taper safely with support; abrupt stopping is what causes harm.
- Ask about benzodiazepines and Z-drugs, including over-the-counter or borrowed supplies, after any fall.
- Explain the falls and memory risks and offer a gradual taper.
- Reduce the dose by about 10–25% every two to four weeks, slower near the end.
- Offer non-drug sleep measures and treat underlying anxiety or depression.
- Do not stop abruptly in long-term users because of withdrawal and seizure risk.
Why it matters
A fall is the strongest prompt patients and families will accept for a deprescribing conversation.
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