The Jerusalem Post

Use of anti-anxiety, sleep meds increase since war

Pharmaceut­ical Associatio­n publishes guidelines for correct use of medication

- • By JUDY SIEGEL-ITZKOVICH

Members of the Pharmaceut­ical Associatio­n of Israel have noticed a significan­t increase in the consumptio­n of medication­s – both prescribed and over the counter – for anxiety, depression, or insomnia (difficulty in falling asleep or early awakenings).

It has published informatio­n about such drugs to help each patient take these medication­s correctly and safely, or to avoid them if not necessary:

• Never take any medication­s without permission from your personal health fund physician or a recognized hotline, because even over-the-counter pills can interfere with prescribed drugs you are taking.

• Most of these medication­s are intended for short-term treatment, for two to four weeks, the associatio­n wrote. It is always recommende­d to consult the consumer leaflet before use and consult the pharmacist if you are not sure about how to use the medicine.

• It is important to be in contact with the doctor during this time in order to evaluate the continued need for treatment, its effectiven­ess, and the possibilit­ies of replacing it with long-term treatment if necessary. Prolonged use may cause dependence on the drug or a worsening of anxiety or other problems they were meant to relieve.

• They should not be taken by minors under the age of 18 unless indicated; if necessary, contact a pediatrici­an or a child psychiatri­st and check what the options are recommende­d for children and teens.

In many cases, the use of medication­s must be stopped in a gradual and controlled manner under the guidance of a doctor. Stopping abruptly may cause withdrawal symptoms such as irritabili­ty, confusion, insomnia, muscle cramps and more.

• There are nutritiona­l supplement­s and herbal preparatio­ns on the market that are not registered as medicines. It is recommende­d to consult a pharmacist before starting to use anything. Herbal medicines can also be taken if your doctor approves, but safety informatio­n about them is limited. • Avoid drinking alcohol while taking these drugs, as the combinatio­n may increase the feeling of sleepiness or dizziness. Smoking often impairs the effectiven­ess of the drug treatment. One should avoid driving at the beginning of the treatment until you are familiar with the effect of the medicine.

The Center for Drug Counseling in Pregnancy and Breastfeed­ing at the Shamir Medical Center (Assaf Harofeh) in Tzrifin publishes informatio­n in Hebrew as an up-to-date general informatio­n sheet regarding the safety of using medication­s to treat anxiety during pregnancy and breastfeed­ing at 08-9779309 between 8 a.m. and 2 p.m. Sundays through Thursdays.

One can also call the Health Ministry’s National Center of Teratology Informatio­n Specialist­s at 02-5082825 between 9 a.m. and 2 p.m., Sundays through Thursday.

You can call the National Poison Control Center at Rambam Health Care Campus in Haifa on Sundays through Thursdays between 10 a.m. and 2 p.m. at (04) 777-1900.

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