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当局への提言

 

はじめに

I produced this section with the help of:

  1. Prof. Ashton
  2. Dr. Beppu (The Informed Prescriber)

In order to improve the situation several areas need to be addressed including:

  1. Preventative Measures / Education
  2. Addressing Current Problem
  3. Changing Attitudes
  4. Post Withdrawal Rehabilitation / Compensation
  5. Research
  6. Speaking Up
  7. Removing the Stigma

Each of these is outlined as follows.


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1. Preventative Measures / Education

  • Provision of compulsory education and training for doctors, pharmacists, clinical psychologists, psychiatrists etc. on benzodiazepines and other psychotropic drugs including information on their true addictiveness, untoward effects, withdrawal etc. and how to avoid / manage associated problems including addiction.
  • Provision of training for doctors etc. in non-pharmacological treatments for anxiety management, stress-coping, cognitive behavioral therapy, sleep problems etc.
  • Establishment and enforcement of stricter guidelines for drug package inserts produced by the pharmaceutical companies making sure they include the following information and explanations about benzodiazepines: Actual drug names, not only the brand names; Only recommended in general for 2-4 weeks as dependency / addiction can rapidly form; Don’t mix well with other drugs and in general only one should be taken at a time; There are many tens, if not hundreds, of adverse effects and withdrawal symptoms associated with long term use (more than 2~4 weeks) and provide a list of examples; A clear warning that it is dangerous to stop taking these drugs suddenly and the reasons why; Advice on how to withdraw from these drugs; Recommendations stating what signs to look out for and what to do when problems occur; Omit potentially misleading information.
  • Establishment and enforcement of appropriate prescription guidelines and monitoring to ensure addiction / dependency and associated problems don’t occur.
  • Provision of compulsory education in mainstream schooling so that people can learn about the importance of practical stress management techniques when confronted with life’s difficulties, the importance of supporting one another within communities, and the dangers associated with turning to psychotropic drugs.

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2. Addressing Current Problem

  • Implementation of thorough and comprehensive research to determine the extent of the damage that has already been caused as a result of decades of mismanagement.
  • Establishment of specialist withdrawal clinics to help sufferers through the withdrawal process.
  • Employment and training of counsellors on benzodiazepines who can visit medical providers and help patients in withdrawal etc. These counselors could be nurses, pharmacists, or anyone who has taken a qualification in counselling and has done some reading on the proper management of benzodiazepines and withdrawal.

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3. Post Withdrawal Rehabilitation / Compensation

  • Establishment of support organizations to help victims rehabilitate back into work, relationships and society.
  • Provision of compensation to all victims to aid in the recovery process.
  • Provision of greater expertise in the legal system to allow people access to fair and appropriate compensation.

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4. Research

  • Implementation of independent research into long-term effects etc. and publication of findings to better understand the degree of unnecessary damage that is being done; both medically to individuals and socioeconomically to society as a whole.

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Other Recommendations In General

 

5. Changing Attitudes

  • Society needs to change its attitude towards the overreliance on drugs to fix life’s normal day to day problems. Instead more practical non-drug options should be better utilized encouraging people to make life style changes and adopt practical stress management techniques.
  • Doctors need to relearn the art of listening to patients and explore more practical measures such as life style changes and adopt practical stress management techniques without always turning to the so-called quick fix as the preferred option.
  • People need to return to a sense of community and support one another not allowing individuals to turn down the prescription pathway as their first port of call when troubles arise.

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6. Speaking Up

I cannot stress enough how important it is for people to come out and speak up about their doctor induced drug addictions and associated losses and suffering. I fully understand how difficult this is, but problems cannot be addressed unless there is recognition that these problems exist and the degrees to which they exist.

Japanese people in particular have a cultural inhibition of “Gaman” or persevering / putting up. However, I cannot stress enough that this is the absolute worst thing you can do. What is happening is wrong and masses amounts of people are suffering in the dark.

There are several ways in which you can speak up including the media, internet websites and so on.

See Rxisk cofounded by Prof. David Healy


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7. Removing the Stigma

In much of the media many reporters tend to use the unfortunate words “abuse”, “misuse”, “addicts” etc. when referring to patients or individuals.

Without being put into proper context, these types of words are stigmatizing many innocent people (otherwise normal everyday people) who were simply following their doctor’s orders.

Many of these people are suffering beyond all realms of imagination through no fault of their own.

Stigmatization is driving the problem underground creating the perfect environment for maintaining drug sales but this causing every one of us in society a great deal of damage; either directly or indirectly.

Therefore, people need to better understand what is causing these problems, remove the stigmatization, and contribute towards creating positive change in the way these situations are viewed and managed.


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フィリップ・ウーラス

「我々の社会において、ベンゾは他の何よりも、苦痛を増し、より不幸にし、より多くの損害をもたらす。」

フィリップ・ウーラス下院議員
英国下院副議長
オールダムクロニクルOldham Chronicle (2004年2月12日)

ヴァーノン・コールマン

「ベンゾジアゼピン系薬剤はおそらく、これまでで最も中毒性の高い薬物であろう。これらの薬を大量に処方してきた途方もなく大勢の熱狂的な医師達が、世界最大の薬物中毒問題を引き起こしてきたのだ。」

ヴァーノン・コールマン医師

薬という神話 (1992)

ポール・ボーテン

この気の毒な問題に取り組む全ての関係者は、トランキライザー被害者の為に正義を提供するよう努めるべきである。

ポール・ボーテン(英国下院議員), 1994年

ジョン・マースデン

「もし何かの薬を飲み続け、それが長い長い災難をもたらし、あなたからアイデンティティをまさに奪い去ろうとしているのなら、その薬はベンゾジアゼピンに違いない。」

ジョン・マースデン医師
ロンドン大学精神医学研究所
2007年11月1日

デイヴィッド・ブランケット

ブランケット下院議員、ベンゾジアゼピンについて語る。

「これは国家的スキャンダルである!」

デイヴィッド・ブランケット(英国下院議員)
1994年2月24日

ヘザー・アシュトン

「長期服用者のうち15%の人たちに、離脱症状が数ヶ月あるいは数年持続することがある。中には、慢性使用の結果、長期に及ぶ障害が引き起こされる場合もあり、これは永続的な障害である可能性がある。」

ヘザー・アシュトン教授
医学博士、名誉教授
Good Housekeeping (2003年)

マルコム・レイダー

「ベンゾジアゼピンから離脱させることは、ヘロインから離脱させるよりも困難である。」

マルコム・レイダー教授
ロンドン大学精神医学研究所
BBC Radio 4, Face The Facts
1999年3月16日

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