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Dublin: 5 °C Friday 24 May, 2013

Report shows increase in use of sedatives and anti-depressants

Women and older adults are more likely to use these substances, the latest National Drug Prevalence Survey revealed.

Image: Clover via Shutterstock

THE USE OF sedatives and anti-depressants has increased by 40 per cent in the last five years, according to a survey conducted by the National Advisory Committee in Drugs (NACD).

The National Drug Prevalence Survey found seven per cent of the adult population reported that they used sedatives and tranquillisers in the last year compared to five per cent reporting this in the previous survey in 2006/7.

Women and older adults aged 35-64 are more likely to use anti-depressants, sedatives and tranquillisers though the report also revealed an increase in use of these substances by men and among adults aged 15-34 years.

The survey found a consistent relationship between high prevalence rates for these drugs and indicators of low socio-economic status such as dependency on the State, local authority housing and early school leaving.

Respondents who were divorced, widowed or separated also reported higher prevalence rates for these substances and over 95 per cent got the drugs on prescription.

The average age at which respondents first took sedatives or tranquillisers in Ireland is 30 years.

Commenting on the findings, Minister for Primary Care and Drugs Alex White said “appropriate use of sedatives, tranquillisers and anti-depressants play an important role in facilitating the health and well-being of many people” but added that he was “concerned about the health risks associated with their inappropriate or long-term use and their more widespread availability”.

The Minister said legislative amendments were being considered include the introduction of an offence of unauthorised possession as well as import control on benzodiazepine and z-drugs. It is also proposed to tighten the prescribing and dispensing rules applying to these drugs.

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Comments (24 Comments)

  • I wonder why, is there something happening that is causing people to feel depressed and disillusioned whit life in this country ?

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  • This was always going to be the case given the hopeless people are presently feeling, please don’t let the bastar# s win….they are taking everything else don’t let them take your spirit.

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  • I’ve been on antidepressants for 12-13 years now. It’s a balls anytime the doc decides to change them, ya feel like shite for a while. Well I do anyways , can’t answer for everyone. It is a pity so many people need them these days

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    • I hope that you will manage to come off these drugs and be well without them sometime soon. Best of luck to you!

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    • I’ve been on them on and off for about 10 years now. They do make a difference to my quality of life and my mental wellbeing. During various bouts, I was also prescribed Xanax. I stretched their use out over about 2 years because I didn’t feel I needed them on a regular basis. I also get the occasional prescription of Anxicalm, but that’s for my back and rather than become addicted to it, I ration it out for when I really need it.

      Personally, I’d rather not be taking them because it’s a monthly expense I can do without, but as long as I and my doctor feel I need them, I’ll happily pay for them. Life would be unbareable otherwise.

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    • I take them. Am not ashamed to admit it.

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    • sarah 24/10/12 #

      It’s amazing the different reactions I get when people ask what’s wrong and I openly tell them. My neighbour basically said she was shocked but also disappointed in me that I would let my self get to this stage! I was been told that I was getting viral infections until August when I had an anxiety attack. I thought I was having a heart attack , I couldn’t breath. It was only that I was sent to hospital that I was diagnosed correctly. I have just completed a stress control course which I found brilliant. Helping me understand what my body is telling me and ways to deal with the stress, anxiety and depression. I’d advice anyone to do this course if it is on in your local health centre and its free through the HSE and its devised by jim White.

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    • There shouldn’t be any shame in admitting you take them. But I’m sure any person you asked would prefer not to have to take them at all.
      Depression is not by any means pleasant and you will do anything you can to not feel that way. In many cases there *is* another way, perhaps, as the clinical guidelines suggest, these other avenues should be explored before getting people addicted to drugs?

      And yes, I know that the manufacturers deny these drugs are addictive, but ask anyone who has come off them cold turkey. When I told my shrink that I had he told me that the hot shivers, cold sweats, hallucinations, uncontrollable trembling, vomitting and diahorrea was “discontinuation syndrome”, which is funny, because it felt like how Rentons cold turkey was depicted in Trainspotting..

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  • I always worry when I see news like this..

    Antidepressants or SSRI meds (and SNRIs) are supposed to work by altering the amounts of seratonin and noradrenalin in the body. The fact that seratonin being linked to depression is a theory which was disproven in 1983 doesn’t seem to affect the rate at which they are prescribed. Perhaps there’s a massive element of placebo effect, which would be fine if the side effects didn’t list an increased risk of violence and / or suicide. This can have devastating consequences, see http://www.ssristories.com

    Very few people actually have a seratonin imbalance. Most are just living through shitty circumstances and might need counselling, they might just have a poor diet or need more exercise, for some it’s as simple as a vitamin B deficiency. But the go to option is the “happy pills”, people seem to think that these drugs will help to fix them and the reality is that they don’t. The drugs aren’t gonna make the recession go away, they aren’t gonna fix all the problems that have made you depressed. The official guidelines on these drugs is that they are supposed to be an absolute last resort, but frequently they’re the only sort of treatment undertaken. They’re only supposed to be used for short periods of time (I got left on them for 7 years – and that’s including 2 suicide attempts, a 4 month hypomanic episode and a 6 year dysphoric episode), and I wasn’t given them by my GP, it was a psychiatric out patients clinic – the people who supposedly specialise in these drugs.. After the first suicide attempt (on SSRIs) I was told it was a “settling in phase” that had me hallucinating and thinking I needed to die to be free, I was kept on them until after the next suicide attempt when I refused to take them anymore, that’s when they have me the next type (SNRIs) that’s what caused the hypomania and dysphoria. All of this because Id been molested as a child and then abused and raped as an adult.. I needed counselling and what I got was drugs that made everything much worse.

    If you have a seratonin imbalance or insufficiency then your doctor should be able to test for it. Taking these drugs if you *dont* have seratonin problems may cause them. And is like a game of Russian roulette in terms of how it may affect you. There’s much safer ways to deal with mental health problems, they aren’t necessarily quick, but their results are far more profound.

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    • Please don’t spread the myths – there are a lot of different anti-depressants, some may work for you and some may not. A person with depression (together with his GP/shrink) have to find a right fit. If this approach didn’t work for you, it doesn’t mean it doesn’t work for a lot of people. The approach to mental health in Ireland is appalling – your advice “improve your diet, exercise, etc.” is exactly what people with mental illness get in this country and a lot of good does it do. Sometimes improved diet, exercise, saying “hail Marys” or “Om shanti” etc. can bring you only so far… I always worry when I read comments like yours!

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    • I was merely advocating the clinical best practice guidelines. I didn’t refer to specific drugs, I referred to two classes of drugs, both of which do list these side effects. For this reason other avenues such as CBT and other therapies are advocated first because the risk / benefit ratio is far more favourable.
      Sadly, in many places there is not enough focus on the avoidance of what are essentially mind altering drugs. Even though this is advocated as best practice. Perhaps you should take a look at Professor Ivor Brownes work.

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    • as a retired counselling psychotherapist I would love to give my personal opinions here, but I’m still bound by a code of Ethics, good professional counselling will never use any type of drug, the main purpose of counselling therapy is to identify the root cause of the disorder and then to deal with it.
      there is no way to deal with any psychological disorder without doing this..
      I have spent 15years helping people like Shanti Om , I have seen every aspect of the subject.

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  • Of course people are depressed as their kids are leaving the country with their families. Too many people are taking their own lives. How many Bankers, Senior civil servants, or politicians/ councillors are on anti-depressants ??? I suggest a lot less than the people on illness or unemployment benefit. The people in Longford who are stressed out processing invalidity may need medication to deal with the workload. There is a 12 month delay for people seeking invalidity pension and the staff down there are great to tolerate the abuse from their superiors in not supporting them. It is no wonder people just give up.

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  • And this is news ? People are suffering !

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  • Fair play Sarah..Im open about it and wouldn’t give a damp what people thought. If they have a problem then ah well to them.

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  • maybe legalise cannabis,a healthy organic plant for the stressed,can’t overdose on a spliff unlike antidepressants and suchlike

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  • The prescribing and dispensing of these drugs are already covered by legislation. Maybe the stigma is not already enough.

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  • As our knowledge of and recognition of mental health issues increases then it only makes sense that there would be an increase in the treatment of those issues.

    similarly with the increase in cases of autism, we have become more adept at identifying the issues. the increase in cases merely shows how under diagnosed the conditions were previously.

    The impression that drugs are dispensed unnecessarily is largely unfounded and shows, in my opinion, the mentality that all these people need is “to pull themselves together etc”.

    as to the link between different socio economic groups that is a correlation and in no way proves causation

    Reply

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