If have the opportunity of serving the public as a community pharmacist, then chances are,on regular bases dispense bromazepam(lexotan) to your patients.
Bromazepam is a prescription only medicines, which I feel is most abused of all pom, especially by The elderly.
WHY THE ABUSE?
In my years as a community pharmacist, I have come to realise that many health professional like doctors, nurses (most especially) and even pharmacists use this drug to treat hypertension, and of cours, we know antihypertensives are generally drugs that one might need to take for a lifetime. But lexotan is not an antihypertensive but rather a drug uses to manage anxiety
WHAT DRIVES THE ABUSE?
Once these drugs are prescribed or recommended, most patients do not go back to their doctors for follow up, but would rather carry the prescription around to purchase the drug, the pharmacists knew that most of those drugs has been dispensed, as most of them carry dates that dates back to like five years, but they still rely on such obsolete paper to dispense the drug. The reasons pharmacist do this is best known to them. Many carefree doctors also do online, phone and even facebook and whatsapp prescriptions to friends,family members,church members and so on,without actually clarking these people to ascertain the necessity of such prescriptions. This unprofessional attitude by physicians should be looked into.
WHY DO PATIENTS EAGERLY SEEK FOR IT.
The reasons is simple…DEPENDENCE!!!
Most patient addicted to these drugs do not even know they are. For instance, if a prescription of say 1.5mg lexotan was made, the patient uses it and sleep (a sedative property of the drug), they will now rely on it to help them get more sleep, as time goes on,tolerance would set in and 1.5mg would no longer be enough, then the person has to move to a higher dose to obtain initial result, therefore, he/she goes for 3mg, and as time goes on, that would not be enough and the dose is increased further.
Compare this to when you tasted your first bottle of beer, you’ll recall that one bottle got you tipsy or intoxicated. As time passes and you continue to drink, one bottle won’t “shak’’ you anymore, then you take two bottles then three then four and so on. Someone that takes 10 bottles of beer and goes home fine didn’t start drinking today, same goes for lexotan,taken etc.
HOW DO WE NIP THIS TIDE IN THE BUD
Close all open drugs markets, to reduce unfettered access to drugs
Doctors should stop training people in their hospital and call them nurses, and while in training, they should told that lexotan,diazepam and other benzodiazepines are not antihypertensive
Pharmacist should not allow sales assistant to dispense POM
Physicians and even pharmacist should stop online and phone prescriptions of anything beyond OTC.