The interaction between alcohol consumption and clonazepam use

Authors

DOI:

https://doi.org/10.33448/rsd-v12i5.41691

Keywords:

Interaction; Clonazepam; Psychotropics; Benzodiazepines; Alcohol.

Abstract

Drug interactions are health risk factors, and can be drug/drug interactions, food/drug and drug/alcohol interactions. These interactions can act on the effect of substances, inducing toxic effects or inhibiting the therapeutic effect of the drug. Alcohol and benzodiazepines have direct action on the central nervous system (CNS), both cross the blood-brain barrier (BHE) and reach GABA (Inhibitory Neurotransmitter), causing effects such as sedation and CNS depression. The bibliographic survey was carried out in the databases: SciELO, PubMED, LILACS and Google Scholar. In the periods from 2013 to 2022. Using the descriptors: Drug Interactions, Alcohol, Benzodiazepines, Clonazepam, Alcohol Metabolism and Clonazepam Metabolism, both combined with Boolean AND operator, found in Portuguese and English. However, of the total number of journals found, 4,846 did not meet the eligibility criteria, leaving only 13 titles for a more careful analysis of the selected topics. This study demonstrated that the inappropriate use of benzodiazepines, in particular Clonazepam, has adverse effects, especially if associated with other drugs such as alcohol. The objective of this work is to point out knowledge aimed at the inappropriate use of Clonazepam in conjunction with the consumption of alcohol. Taking into account the need for the guidance of the health professional, in order to avoid possible errors in drug treatment, which may result in greater damage to the health of the patient.

References

Azevedo, Â. J. P. de, Araújo, A. A. de, & Ferreira, M. Â. F. (2016). Consumo de ansiolíticos benzodiazepínicos: uma correlação entre dados do SNGPC e indicadores sociodemográficos nas capitais brasileiras. Ciência & Saúde Coletiva, 21(1), 83–90. https://doi.org/10.1590/1413-81232015211.15532014

Barbosa, G. C. L., Ferraz, J. L., & Alves, L. A. (2021). Impactos de medicamentos benzodiazepínicos na qualidade de vida de pessoas portadoras de transtorno de ansiedade generalizada. Research, Society and Development, 10(15), 523101523202. https://doi.org/10.33448/rsd-v10i15.23202

Cordioli , A. V., Gallois, C. B., & Isolan, L. (2015). Psicofármacos consulta rápida (5a ed.). Artmed grupo A

Digital, P. E. (n.d.). A influência do álcool no aparecimento de depressão e de ansiedade: uma revisão integrativa. Plataforma Espaço Digital. https://www.editorarealize.com.br/index.php/artigo/visualizar/72101

Edinoff, A. N., Nix, C. A., Hollier, J., Sagrera, C. E., Delacroix, B. M., Abubakar, T., Cornett, E. M., Kaye, A. M., & Kaye, A. D. (2021). Benzodiazepines: Uses, Dangers, and Clinical Considerations. Neurology International, 13(4), 594–607. https://doi.org/10.3390/neurolint13040059

Elamin, E. E., Masclee, A. A., Dekker, J., & Jonkers, D. M. (2013). Ethanol metabolism and its effects on the intestinal epithelial barrier. Nutrition Reviews, 71(7), 483–499. https://doi.org/10.1111/nure.12027

Eurofarma. (2023). Folheto informativo para pacientes sobre Clonazepam [Brochura]. Eurofarma.

Figueira, B. G., & Senna júnior, V. A. (2021). A importância da terapia medicamentosa com dissufiram associado ao alcoolismo – uma revisão da literatura. Revista Ibero-Americana de Humanidades, Ciências E Educação, 7(10), 2035–2056. https://doi.org/10.51891/rease.v7i10.2728

Grobe, R. (n.d.). Boletim do centro de informação sobre medicamentos 4a edição/2020 interações medicamentosas com bebidas alcoólicas: Quais realmente importam? https://www.crf-pr.org.br/uploads/revista/40868/oW51Na22QlsvGwB8p3AVe_e3e82yy2Z1.pdf

Jacauna, J. S. P., & Junior, O. M. R. (2021). Cuidados farmacológicos na interação medicamentosa: clonazepam com álcool. Research, Society and Development, 10(15), e226101522771–e226101522771. https://doi.org/10.33448/rsd-v10i15.22771

Jackson, G. B. (1980). Methods for Integrative Reviews. Review of Educational Research, 50(3), 438–460. https://doi.org/10.3102/00346543050003438

Kienitz, R., Kay, L., Beuchat, I., Gelhard, S., von Brauchitsch, S., Mann, C., Lucaciu, A., Schäfer, J.-H., Siebenbrodt, K., Zöllner, J.-P., Schubert-Bast, S., Rosenow, F., Strzelczyk, A., & Willems, L. M. (2022). Benzodiazepines in the Management of Seizures and Status Epilepticus: A Review of Routes of Delivery, Pharmacokinetics, Efficacy, and Tolerability. CNS Drugs. https://doi.org/10.1007/s40263-022-00940-2

Leitoles, P. J. N. de C., Lenhardt, M. M., Silva, B. K. de F., & Tenfen, A. (2021). Interações fisiológicas causadas por medicamentos em exames bioquímicos de perfil renal e hepático/ Physiological interactions caused by drugs in biochemical tests of renal and hepatic profile. Brazilian Journal of Development, 7(1), 10329–10348. https://doi.org/10.34117/bjdv7n1-702

Liang, J., & Olsen, R. W. (2014). Alcohol use disorders and current pharmacological therapies: the role of GABAA receptors. Acta Pharmacologica Sinica, 35(8), 981–993. https://doi.org/10.1038/aps.2014.50

Lopes, J. M., Nascimento, F. B. R. do, Braga, A. O., Silva Junior, A. V. de B., Araujo, S. V. de L., & Leite, Y. K. de C. (2022). Uso elevado de psicofármacos durante a pandemia da COVID-19: uma análise a partir de levantamentos epidemiológicos. Research, Society and Development, 11(8), e47511831180. https://doi.org/10.33448/rsd-v11i8.31180

Mattos, M., Curcio, L., Souza, J., Alarcon, P., Santos, D., Goulart, L., & Castro, L. (2021). Perfil de consumo de benzodiazepínicos e condições de saúde dos usuários na estratégia saúde da família. Revista da AMRIGS, 65(549- 724), 1-5. https://docs.bvsalud.org/biblioref/2022/09/1391944/ao-2951.pdf

Naloto, D. C. C., Lopes, F. C., Barberato Filho, S., Lopes, L. C., Del Fiol, F. de S., & Bergamaschi, C. de C. (2016). Prescrição de benzodiazepínicos para adultos e idosos de um ambulatório de saúde mental. Ciência & Saúde Coletiva, 21(4), 1267–1276. https://doi.org/10.1590/1413-81232015214.10292015

Pires, T. D. O., & Paiva, M. J. M. de. (2021). O uso em excesso do clonazepam: atribuições do farmacêutico no uso consciente do medicamento. Research, Society and Development, 10(16), e315101623880. https://doi.org/10.33448/rsd-v10i16.23880

Savala, J. de L., & Junior, O. M. R. (2022). Dependência no uso prolongado dos benzodiazepínicos no tratamento da ansiedade em pacientes idosos: clonazepam versus diazepam. Research, Society and Development, 11(12), e500111234810–e500111234810. https://doi.org/10.33448/rsd-v11i12.34810

Silva, F. S., Sá, M. S., & Nascimento, P. M. (2020). Manual de Farmácia - Farmacologia (2nd ed.). SANAR.

Witkiewitz, K., Litten, R. Z., & Leggio, L. (2019). Advances in the science and treatment of alcohol use disorder. Science Advances, 5(9), eaax4043. https://doi.org/10.1126/sciadv.aax4043

Published

24/05/2023

How to Cite

ANDRADE, A. C. R. de .; SANTOS, C. L. dos .; VASCONCELOS, T. C. L. de . The interaction between alcohol consumption and clonazepam use . Research, Society and Development, [S. l.], v. 12, n. 5, p. e24012541691, 2023. DOI: 10.33448/rsd-v12i5.41691. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/41691. Acesso em: 27 apr. 2024.

Issue

Section

Health Sciences