Our Approach to These Medicines

At our practice, we follow national guidance to ensure that medicines such as benzodiazepines (e.g. diazepam) and sleeping tablets (e.g. temazepam, zopiclone) are used safely and appropriately.

These medicines can be helpful in the short term, but they can also lead to dependence and side effects if used for longer periods.

When Are These Medicines Prescribed?

We will only prescribe these medicines if:

• Your symptoms are severe, distressing, or significantly affecting your daily life
• Non-medication approaches have not been effective
• The treatment is likely to be short-term and beneficial.

First-Line Treatments

Before prescribing medication, we will usually recommend:

• Sleep hygiene advice (improving sleep routines)
• Talking therapies or stress management techniques
• Addressing underlying causes (e.g. pain, anxiety, depression).

If You Are Prescribed These Medicines

If a benzodiazepine or sleeping tablet is prescribed:

• Treatment will usually be for a maximum of 2–4 weeks (including stopping gradually)
• The lowest effective dose will be used
• You will be advised about risks of dependence and side effects
• A follow-up appointment is required before any repeat prescription is considered.

Important Safety Information

• These medicines are not usually available on repeat prescription
• Lost or stolen medication will not be replaced
• Taking more than prescribed will not result in early replacement
• Medication must be stored securely at home.

Long-Term Use and Reducing Medication

If you are already taking these medicines regularly:

• We will offer a gradual reduction (weaning) plan
• The goal is to safely reduce and stop the medication where possible
• Support will be provided throughout this process

Some patients (for example those with specific medical conditions or under specialist care) may need long-term treatment, but this is uncommon.

Support for Dependence

If you are dependent on these medicines:

• You may be offered a structured reduction programme
• In some cases, we may refer you to specialist support services
• Regular reviews will be arranged to support your progress.

Requests We Are Unable to Support

For safety reasons, we do not routinely:

• Prescribe benzodiazepines for fear of flying
• Provide repeat prescriptions without review
• Issue medication for temporary residents without proper documentation

What This Means for You

• These medicines can be helpful short-term but are not a long-term solution
• We will always look for safer alternatives first
• If you are currently taking them, we will work with you to review and reduce safely

If You Have Questions

If you have concerns about your medication or would like support reducing it, please contact the practice to arrange a review with your usual GP.