‘Silent’ addiction: hypnotic drug abuse
Uncontrolled use of hypnotic drugs, especially by the elderly, is associated with cognitive and psychomotor disorders, increased risk of falls and hip fracture, higher morbidity and mortality. Despite the numerous approaches to the management of hypnotic drug abuse, gradual withdrawal in combination with psychotherapy is a mainstay of treatment. Antidepressants, e.g. trazodone, may be regarded is effective alternative to hypnotic drugs in the treatment of anxiety and insomnia.