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Download "Pilules pour dormir : quand les effets virent au cauchemar | Enquête"

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rcinfo
radio canada
benzodiazepines
anxiolitiques
insomnie
surprescription
Zopiclone
lorazépam
imovane
dormir
pilule
sommeil
stress
Benzodiazépines
benzodiazepine
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00:00:02
the doctors who followed me did
00:00:05
not tell me what tolerance was, did
00:00:08
not explain to me what
00:00:10
dependence was and especially did not
00:00:12
explain to me that getting out of this state
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required extremely withdrawal.
00:00:20
difficult do you know people who
00:00:22
take pills to calm down or
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even pills to sleep it's
00:00:26
so widespread that it has become
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almost commonplace
00:00:37
but actually it's not that commonplace it's
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a pain it's torture waking up at
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bedtime you just can't calm down
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no way to calm down we're going to
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dive into the fight of those who
00:00:54
try to wean themselves off the binzau Diaz
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thorns and some lose this fight
00:01:01
François it's as if his brain
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is it's like quietly it's
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completely modified here Marie my Denis
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welcome to
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[Music]
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investigation it all started because of
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my Harre of work I work
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bodies of work which alternate day and
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night of 12 hours that my sleep is not
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always the
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best I had difficulty sleeping
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following a separation that I had, it was
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very anxiety-provoking times obviously
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there are many repercussions on his life
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for the children so I thought of going to
00:01:49
see my doctor to tell him about it
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of this difficulty
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the only reason I was
00:01:56
prescribed it was to help me
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get more sleep it was a
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prescription renewable every
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month there was no warning about
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the long term dangers dangers
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do not interrupt the
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treatment it is extraordinary at
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first because it makes you
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sleep
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instantly more as it progressed I
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needed it every evening after 3 to 4 months
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of taking azepine the effects
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dissipate even the significant symptoms
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I am much more worried
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during the day about very
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mundane matters. It's a torture. Sleep
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when we don't have it's a real
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torture. My partner and I made a
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correlation that it was since the
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medication that I decided
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to stop,
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that's when my my world was
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completely
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turned upside down, don't tell me that the medicine
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I carry in my back pocket ok
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to help me like
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medical assistance to a brain that I believe to be
00:03:17
insomniac is in fact the very cause of
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my
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insomnia it lasted for months and months and
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months it's an I can just
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describe it as an
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extreme the degree of despair the degree
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of helplessness the degree of incomprehension
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the faet that but I I'm stuck with a
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condition that no one has addressed
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and that no one can help me I can't
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go to the emergency room we don't know how to
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treat this this
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condition
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[Music]
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[Music]
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depression anxiety
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psychological distress and the new illness of the
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century stress fear anxiety
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distress more and more people
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are affected of all ages and from
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all backgrounds
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[Music]
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stress and anxiety a fleo and
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insomnia which often gets
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involved the solutions to remedy this
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are
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multiple but we can also find a
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doctor who will provide us with a prescription
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for anxiolitic or sleeping pill
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medications in the bzau
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diazpine family and the effect is
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immediate the problem is that it creates
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a strong addiction patients who
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take them become tolerant and they
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need to take
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more they are dangerous drugs
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that should never be prescribed
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long
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term yet data shows
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that Contin continues to be prescribed
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for months or even years in
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Canada it is approximately one in 10 people
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who have a prescription in their file the
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overuse of sleeping pills then
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anxiolitics a public health crisis
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this story came to us
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through confidences from people
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who said they suffered because of
00:05:38
medications that they had taken as
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prescribed their story was disturbing
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hi pierre it's
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okay it's okay it's okay it's a good
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time I'm Pierre I'm an engineer
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by training I've been taking binzau for as
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long as I remember the last 17
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years
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so at what point did you
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notice ok it doesn't work anymore these pules
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it's mainly the fact that I was
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never able to get back to sleep
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I was extremely rigorous in
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never ever exceeding the dose which I
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was prescribed by the doctor I
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even made it a point to cut it in
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half to cut it to a third ok but
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what I didn't know was that
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this action only increased the
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tolerance phenomenon my body
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asked me for other other drugs
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other binzaux diazepine and I
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interpreted that as ah you haven't solved
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the problems you haven't had a
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calm enough day for your
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insomniac brain to sleep
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tonight that's it is my daughter he says hi dad
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so for the year 2009 I sincerely wish you
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sleep in point
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number 1 in very big work because
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it affected him I often lost
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my job probably because of
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I was not able to function
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as well as I would have
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[Music]
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wanted and there I made a radical choice
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because when you sleep you don't have to find
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solutions I know my job as an
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engineer I left everything I wanted
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I handed in my
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resignation I sold my house I
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completely changed my life I
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removed myself from the sources of anxiety in
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order to regain sleep to
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regain
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health the doctors who followed me did
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not tell me that what was tolerance? They did
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n't explain to me what
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dependence was and especially didn't
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explain to me that getting out of this state
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required extremely
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difficult withdrawal. Seriously, it's
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rage that I have. had because if only
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someone had
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told me we wanted to understand in what
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context we prescribe these drugs and
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what drug are we talking about exactly
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we turned to two experts who
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are familiar with bzau diazepine
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it is a class of medication used
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in psychiatry also in neurology which
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put the neuron to sleep in a
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way it makes it less
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reactive the drug among the
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pinsosazepine which is the most prescribed
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is called laorazepam also as an
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original
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attractive name we could also include
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rivotril xanax also known as
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alprasolam or valium
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diazepan we sometimes prescribe them for
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example in procedural sedation to give
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someone that we have to reduce a
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fracture things like that we will
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use them in the hospital or even in the clinic
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to support patients in their
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withdrawal from certain substances on
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the other hand are also used a lot to
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treat anxiety and insomnia it will
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really be indicated for the short
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term we are in the spectrum of less than
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a month or months like a context of
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mourning a context of separation we can
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consider lots of contexts where over
00:09:19
short periods of time it can be reasonable
00:09:22
where it is problematic it is the chronic use
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[Music]
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it is a significant proportion
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of people who will have to
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have a back escalation it becomes
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very difficult to stop because
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a tolerance he has a dependence which
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develops on this medication
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there during the first prescription I was
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not informed of a time limit not
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to take more than time per day but for me
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it was as needed then they told me just
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asked to come back if ever my
00:09:54
prescription was expired what you
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did is what I did for
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several
00:10:05
years to understand why
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Bainzeaux Desépines became so
00:10:09
popular you have to go back in
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history les Pau of azepin were
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discovered in the 1950s they
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were invented to respond to
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another crisis which was that of
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the use of barbiturates
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barbiturates had enormous
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risks including
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respiratory depression which could lead to death
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barbiturates are one of the agents to the
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cause of the death of Elvis Presley mareline
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my Jimmy Hendrix so we developed
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the bauépin saying we are going to develop
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safer agents which will
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help treat anxiety and insomnia
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without generating tolerance without
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generating
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dependence these drugs also
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was sold a lot to women we
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used it as an agent to calm
00:11:04
the anxiety of
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household [Music] [Music]
00:11:32
and it is from the late 70s
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early 80s that we see oh ok maybe
00:11:37
more risk than 'we thought with
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cesépin the raising of many little
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flags to say be careful perhaps
00:11:44
that we should not prescribe them as much
00:11:45
as we
00:11:47
do American doctors will
00:11:50
soon be officially warned not to
00:11:52
prescribe valium to their clients for
00:11:54
more reasons or less
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valid
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first there are the Barb turiques when
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these drugs prove fatal we create
00:12:04
the benzod diazepines but these molecules
00:12:07
also lead to
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[Music]
00:12:10
dependence the pharmaceutical industry
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then does it again by manufacturing a
00:12:14
new range of products to treat
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the insomnia by still affirming that it
00:12:18
will be safer the
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Z hypnotics the most prescribed would be limovane or
00:12:25
zopiclon we also have a molecule which is
00:12:28
very prescribed called sublinox also
00:12:30
known as generic name
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zolpidem hindsight shows us that we
00:12:36
fell into the same trap a second
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time that they are probably just
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as or almost as addictive as
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benzouazepine Quebec is among the
00:12:44
Canadian champions in terms of
00:12:45
prescription of binzau d'azepine and
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Z-hypnotic in 2022 11% of the
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population has had at least one
00:12:53
prescription we have quite outrageous rates
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among the 71 included so more than one
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person is sure that the rates of use
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among women are almost double
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that of the rates of use of men
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ah wow what we observe is that there is
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a vast majority of people who
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use these medications for
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several months or even
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[Music]
00:13:15
years yet the recommendations are
00:13:18
clear it is not recommended to take
00:13:20
these medications long term for those
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aged 65 and over. taking binzau diazepine
00:13:25
would increase the risk of falling and
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fracture and even dem
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the consumption of tranquilizers and
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sleeping pills in the long term would increase the
00:13:34
risk of causing Alzheimer's disease
00:13:36
Z-hypnotics have sometimes been
00:13:38
pointed out as being one of the
00:13:40
possible causes of
00:13:42
car accident it lasted beyond 35 years if
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I would have known if the doctor would have told me
00:13:49
well you should have taken these pules there
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for a certain time to reduce
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anxiety or something like that I would have
00:13:56
done but I had no no
00:13:59
education you took 35 years every
00:14:03
day every
00:14:08
day after the break when the desperation
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becomes
00:14:13
extreme I even gave the keys to
00:14:16
my my safe for my hunting rifles
00:14:20
because I was at this
00:14:26
point as you saw sleeping pills and
00:14:29
anxiolitics can cause
00:14:31
serious side effects so
00:14:34
do doctors prescribe too many or
00:14:36
for too long
00:14:39
[Music]
00:14:44
period in 2018 Jérémy
00:14:47
abruptly stopped taking the ativant that
00:14:49
he had been prescribed to sleep he said
00:14:52
that no health professional
00:14:54
had warned him that it could be
00:14:55
dangerous to stop taking a
00:14:57
daily diazepine in Lain
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my name is Jérémy Morin I am
00:15:03
an operator at the potablewa treatment plant
00:15:06
I know it's not ready
00:15:09
for everyone there are some who have
00:15:11
landed they have no problem but it
00:15:15
still has a good
00:15:16
percentage that's really it's
00:15:19
a
00:15:20
hell
00:15:23
it's
00:15:25
torture from waking up to going to bed
00:15:30
[Music]
00:15:32
you just can't calm down no way
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to
00:15:39
calm down it's especially at night that
00:15:45
it was
00:15:48
unbearable to function going to
00:15:52
work going to work driving
00:15:55
after
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72 hours without sleep
00:16:00
uh you're just not afraid of having an
00:16:03
accident all the time
00:16:05
[Music]
00:16:09
what was it like for your partner
00:16:12
to see you like
00:16:14
that uh very difficult uh didn't know
00:16:18
what to do
00:16:20
uhh that's if it wasn't d 'it is
00:16:25
certain that I will be able to I had
00:16:28
I had even given the keys to my
00:16:31
my trunk for my hunting rifle
00:16:34
because I reached this point that I no
00:16:39
longer knew what to do
00:16:42
to get rid of these feelings
00:16:46
[Music]
00:16:49
there I saw three
00:16:51
doctors then in 2 minutes it was the
00:16:56
same same answer
00:16:59
your anxiety is there it can't
00:17:03
be your withdrawal from benzos it's been at least
00:17:05
weeks you don't take it anymore it's
00:17:08
out of your body then you have
00:17:11
reached where you need to you are taking
00:17:13
antidepressants for your
00:17:20
anxiety do Canadian doctors
00:17:22
exercise caution in their
00:17:24
prescriptions and their supervision of
00:17:25
binzau d'
00:17:27
épine they do not measure the risk of
00:17:29
psychological dependence when their
00:17:31
patients start taking their
00:17:33
medication professor emeritus at
00:17:35
the University of British Columbia,
00:17:37
doctor Jim Wright spent his career
00:17:39
identifying the shortcomings of his colleagues
00:17:42
and denouncing the overprescription of his
00:17:44
medications in the
00:17:46
country. I became known because
00:17:48
I helped people wean themselves off benzos
00:17:52
diazpin I was receiving more and more
00:17:55
referrals and people were coming to me
00:17:57
to tell me how much he was suffering
00:18:00
because of these
00:18:06
medications. People were describing all
00:18:09
kinds of unusual reactions
00:18:13
including catis which is
00:18:15
severe agitation where one can't
00:18:17
stop
00:18:20
moving it can be long 6 months 1 year
00:18:24
sometimes even to wean off
00:18:27
Benzpin MCS P not that they have
00:18:33
time the experts and patients
00:18:36
describe to us a very gradual sRAGE where the
00:18:38
doses are reduced only a little 5% in
00:18:41
weeks sometimes with the medicine in
00:18:43
liquid form now retired
00:18:46
doctur says that his patients were
00:18:48
many who did not give
00:18:50
informed consent to the risk associated with
00:18:54
mixing
00:18:57
them
00:19:01
once he discovered the symptoms to the doctor
00:19:05
who replied that it was impossible that
00:19:07
it was linked to the
00:19:09
ben which is not true
00:19:15
so we advise them to increase the
00:19:18
dose which is not the
00:19:27
solution not the situation who
00:19:30
can we
00:19:34
turn to [Music] not to go see the doctor Google
00:19:38
but really my only solution is
00:19:41
really through there that I saw that
00:19:44
I was not alone that these were
00:19:46
very common symptoms that happened to
00:19:49
several people because the stories of
00:19:51
people saying they had experienced
00:19:52
health problems linked to these
00:19:54
medications abound on the
00:19:57
web I weaned myself because
00:20:00
unfortunately the doctor who was
00:20:01
following me at the time did not believe
00:20:02
that I was in withdrawal because he
00:20:04
said that it was not possible after so
00:20:05
long that I had stopped that I was
00:20:07
in an off he said it's not normal that
00:20:09
's like
00:20:11
that I did a
00:20:15
liquid withdrawal which the pellule which is dissolved
00:20:17
in liquid then we take
00:20:19
drops every day then less in
00:20:21
fewer drops each day then I
00:20:23
did that for 4 months all
00:20:26
alone if you get on a plane then
00:20:28
the pilot says to me I don't know how to
00:20:30
land the plane I don't think you
00:20:31
would stay there then I I have the impression
00:20:33
that benzos are a bit like that,
00:20:35
there are many who are capable of
00:20:36
prescribing perhaps the right dose or the
00:20:38
right medication but they are not
00:20:40
necessarily capable of telling you
00:20:42
how to properly stop
00:20:48
drug-related adverse reactions can be
00:20:49
reported on a
00:20:51
federal database monitored by Health Canada in
00:20:54
recent years
00:20:56
diazepine bainzeaux and Z-hypnotics are
00:20:58
mentioned in more than 20,000
00:21:01
reports what is troubling is
00:21:03
that the side effects that
00:21:05
patients tell us these
00:21:06
side effects that doctors do not seem to
00:21:08
believe but they are recognized by
00:21:10
the pharmaceutical companies themselves we
00:21:12
see it in the product monographs we
00:21:14
talk about tremor suicide attempt
00:21:19
amnesia it is information that
00:21:22
has been known for 40 to 50 years and I
00:21:26
have difficulty understanding why it has not been
00:21:28
marked before given that the
00:21:31
statistics are so important it is
00:21:33
anger at the inaction of all
00:21:36
the medical authorities but how come it is
00:21:39
is known and known and
00:21:42
nothing is being done to address this but it
00:21:44
ca
00:21:48
n't be our investigation led us to
00:21:50
document the cases of 12 Canadians who
00:21:52
say they suffered damage from
00:21:54
azepine binzau as recently
00:21:57
as 2020 3 their criticism of the
00:22:00
medical profession concerns several points including
00:22:02
long-term prescriptions, the
00:22:04
lack of warnings about the risks,
00:22:07
the non-recognition of symptoms of
00:22:09
tolerance of dependence or withdrawal and
00:22:11
the absence of appropriate withdrawal plans
00:22:14
the case of François Chapet is
00:22:16
without a doubt the most dramatic of
00:22:19
all he's a bird maniac he's
00:22:22
so handsome
00:22:26
too
00:22:28
François he's a pretty
00:22:30
rigorous guy he was at university he
00:22:33
did two baccalaureates and there mné he saw an
00:22:36
advert for a position for the UN and out of
00:22:40
1000 applications he was the lucky one who
00:22:43
chose then he was able to retire
00:22:47
so at 49 years old but he had always
00:22:49
worked for that François so he was a good
00:22:52
worker he loved his work but
00:22:53
he told me I have a taste for traveling
00:22:55
I have a taste for enjoying life that
00:22:57
's the smile my brother that's
00:23:06
kindness in the spring of 2015 François
00:23:09
went on a trip to
00:23:12
Cuba so he started doing When he
00:23:14
got off
00:23:16
the plane that summer he became
00:23:19
extremely anxious because he
00:23:22
wasn't able to do his things.
00:23:23
He wasn't able to think about
00:23:24
other things. He just focused on
00:23:26
that. that it started that I
00:23:28
started taking anti-
00:23:29
anxiety drugs it was the summer of 2015 quickly
00:23:33
François developed a tolerance and
00:23:35
dependence on benzau diazepine
00:23:37
insomnia the pincer the fall was
00:23:41
abrupt I often found myself in
00:23:43
the psychiatric hospital with him when
00:23:45
he was in a really really bad state
00:23:48
who hadn't slept for days and
00:23:50
days and days the doctors
00:23:51
listened to him he was very capable of
00:23:54
speaking very well of explaining his
00:23:55
problem of explaining what was happening
00:23:57
but we went out always without
00:24:02
follow-up in almost 2 years several
00:24:05
doctors including a psychiatrist friend
00:24:07
prescribed diadepin baths or
00:24:09
Z hypnotics they multiplied the
00:24:12
pills going from one doctor to another or
00:24:14
from one pharmacy to another to have
00:24:17
[Music]
00:24:21
renewals I think that
00:24:22
doctors must always check
00:24:26
if the person to whom the medication is given,
00:24:28
so go and see in the central file
00:24:30
if there have not already been others from
00:24:35
someone another said Marie I don't see how
00:24:38
I'm going to get out of this he had to
00:24:40
double then triple the
00:24:42
prescriptions to be able to sleep
00:24:44
a few
00:24:48
hours François it's as if his
00:24:50
brain is it's like calmly
00:24:52
that l completely changed he was no longer
00:24:55
the strong rational guy who knew
00:24:58
how to do everything he became
00:25:01
completely he was lost in his
00:25:03
side effects his body disorders
00:25:04
he only talked about that François he was no
00:25:06
longer the same it's that was more
00:25:20
[Music]
00:25:26
the
00:25:30
[Music]
00:25:35
the benzos that I took to sleep and
00:25:37
facilitate my aquhèes at the same time are
00:25:40
the fatal blow then he cures the benzos
00:25:43
are the fatal blow excuse me for
00:25:46
not calling you and asking for your help
00:25:48
in what are perhaps the last
00:25:49
moments of my life
00:25:54
8:10 a.m. Tuesday
00:25:56
morning 4 a.m. but it was
00:25:59
[Music]
00:26:02
finished here we put it in François we
00:26:06
inured him following his suicide then I brought him
00:26:10
back with me to the family home
00:26:12
so I think about him all the time then
00:26:15
well it's he's here with
00:26:20
[Music]
00:26:26
me
00:26:30
returning after the opioid crisis the
00:26:35
binzau crisis the experts we speak to
00:26:38
tell us that for them it's a crisis
00:26:40
public health yes you agree
00:26:42
yeah
00:26:47
absolutely you know we hear a lot
00:26:50
about the opioid crisis but
00:26:52
according to experts the overprescription of
00:26:55
benzau diazepine and the like is
00:26:59
just as
00:27:04
worrying [Music] during the 2010s
00:27:07
bzau diazepine transcends the
00:27:09
medical field these pills often taken
00:27:11
recreationally s in art and
00:27:15
[Music]
00:27:26
music
00:27:36
2016 the opioid crisis is in full swing
00:27:39
in the
00:27:48
United States the thousands of overdoses
00:27:50
attract all the attention of the authorities
00:27:53
leaving the Bau diazepine in the
00:27:55
blind spot but an awareness is
00:27:58
slowly beginning propelled by a
00:28:00
citizen mobilization almost all the
00:28:02
Canadians to whom we spoke as
00:28:04
part of this report mentioned to us
00:28:07
the American resources which provided them with
00:28:09
the aid which they did not avit not found
00:28:10
in the medical system here one woman
00:28:13
in particular has been referred to us numerous
00:28:26
times
00:28:31
201 we put to
00:28:34
thelinera support communities to
00:28:37
basically report in in mass their injury
00:28:41
in 2018 the FDA noticed an increase in
00:28:46
reports and so they started looking
00:28:49
which is what
00:28:50
they thanks to its efforts in September
00:28:53
2020 the FDA ordered that Benz
00:28:56
diazpin se accompanied by the
00:28:58
most serious warning that the
00:28:59
regulations allow a warning
00:29:02
[Music]
00:29:17
framed the FDA report indicates
00:29:20
that some doctors
00:29:26
The agency
00:29:28
recognizes that addiction can occur
00:29:30
after just weeks and that
00:29:32
many patients report continuing to
00:29:34
suffer long after their
00:29:36
withdrawal ends in one of the cases we're talking about 8
00:29:48
[Music]
00:29:56
years just regular anxiety that people get
00:30:01
you know starting a new job your first
00:30:04
career out of
00:30:06
school and I was prescribed
00:30:11
[Music]
00:30:12
xanx i just couldn't get out of
00:30:15
bed I stopped brushing my teeth like
00:30:20
functioning like a
00:30:22
normal person the person I had been
00:30:24
before I took these medication
00:30:27
[Music]
00:30:31
so I
00:30:33
detoxed in
00:30:35
2010
00:30:37
October and it is uh November of 2023
00:30:42
and I still have
00:30:46
symptoms I lost my career
00:30:50
I
00:30:52
um probably the most painful thing was
00:30:55
that it happened
00:30:58
when I was in my 20s is when I got
00:31:02
prescribed and then most of the sickness
00:31:05
was in my 30s and so all of the window
00:31:09
to like be a
00:31:18
that's
00:31:26
gone it is testimonies like those
00:31:28
of Nicole which prompted experts in the
00:31:30
Colorado to look into this
00:31:33
[Music]
00:31:35
issue there are people who take
00:31:37
zazpin benzos all their lives and who
00:31:39
have no neurological or
00:31:42
psychological problems but there are many
00:31:44
people who experience long-term after-effects
00:31:49
some people suffers
00:31:51
for months or even years after
00:31:54
stopping the benzo diazpin
00:31:58
as if their nervous system had
00:32:00
adapted to the
00:32:03
[Music]
00:32:07
drugs this prolonged syndrome
00:32:09
now has a
00:32:13
name the neurological dysfunction
00:32:15
induced by the
00:32:18
[Music]
00:32:20
Benzin in 2023 the
00:32:24
psychiatrist publ les results of a
00:32:26
survey of 1,200 people recruited
00:32:29
from support groups of people
00:32:30
affected by
00:32:35
diazepine: more than half of the individuals
00:32:38
surveyed had experienced
00:32:41
debilitating symptoms and many of these
00:32:43
symptoms had no connection with the
00:32:45
reasons for which treatment
00:32:47
had been initiated 54% of respondents
00:32:51
reported having had
00:32:54
suicidal thoughts many people
00:32:57
affected by this
00:32:58
neurological dysfunction end up losing their
00:33:01
most
00:33:03
precious things their job their home their
00:33:06
relationships the care of their children their
00:33:15
health it we need more research we
00:33:17
don't have enough information what
00:33:19
we know is that many
00:33:21
people
00:33:22
suffer in medicine we want to
00:33:25
prevent the worst scenario
00:33:28
even if certain symptoms are
00:33:30
rarer we must be aware that they
00:33:31
are possible it we must not
00:33:52
dismiss them around 2020 the time began to
00:33:56
change even
00:33:58
if the name is inspired by the drug
00:34:22
and
00:34:25
Colorado measures are inspired by the
00:34:27
regulations which govern opioids
00:34:30
because according to experts the ravages of
00:34:32
bzau diazepine are just as
00:34:38
devastating it is a crisis which is
00:34:40
more snoise therefore associated with overdoses
00:34:44
but mixed with other products
00:34:46
associated with falls but often it is
00:34:48
multifactorial so it is difficult to
00:34:51
say it was only
00:34:54
because these drugs contribute to
00:34:57
morbidity and cause a lot of
00:34:59
suffering and difficulties that we
00:35:01
have not yet quantified that we do
00:35:03
not measure
00:35:05
adequately it's a kind of fire that burns
00:35:08
slowly people
00:35:10
are not yet
00:35:15
aware of it [Music] when they return who is responsible
00:35:18
for the overconsumption of
00:35:22
bzau when someone doesn't do their
00:35:24
homework at the small school is a
00:35:27
punishment much more severe than the doctor
00:35:29
who prescribes bzau it's not MO
00:35:33
bonang that's not my good why do
00:35:36
they punish
00:35:37
[Music]
00:35:42
not you will see in what follows
00:35:45
archives which demonstrate that
00:35:47
dependence on medication is a
00:35:49
hot topic for a long time so
00:35:52
why nothing is
00:35:55
changing
00:36:02
Pierre has undertaken a fight to
00:36:05
provide solutions to the
00:36:07
public health crisis of the overprescription of
00:36:09
benzo diazpine he has been working for
00:36:11
months on a proposed
00:36:13
bill that he wants submit to a
00:36:20
deputy then the first objective is
00:36:23
for the doctor to obtain
00:36:25
clear consent from the patient if he
00:36:28
intends to use benzau diadepine
00:36:32
beyond what is provided for by the FDA
00:36:35
this is firstly to warn him uh that
00:36:39
precisely beyond 14 to 30 days we
00:36:42
are in unmarked territory
00:36:45
one month after the
00:36:48
FDA warning in fall 2020 Health Canada
00:36:51
publishes a notice for new
00:36:53
warnings to be added to the
00:36:54
labels of bzau diazepin and
00:36:56
hypnotics in Z on the subject of the
00:36:59
serious and potentially
00:37:00
fatal risks associated with these drugs it makes one
00:37:04
wonder what this
00:37:05
communication was for none of the experts
00:37:08
we spoke to had seen this
00:37:12
opinion passed studies have shown that the
00:37:14
warnings of public health have
00:37:16
no impact on prescriptions I am
00:37:19
truly amazed that there is
00:37:22
not someone somewhere in the
00:37:24
system who looks at the
00:37:26
FDA recommendations for a drug that is
00:37:29
taken by maybe 10 15% of the
00:37:32
population and who says to themselves H we should
00:37:34
perhaps tighten up our
00:37:38
practices several territories have already
00:37:40
put in place measures to try to
00:37:42
reduce the consumption of these
00:37:44
drugs in Nova Scotia
00:37:47
professional standards
00:37:48
now dictate that a new prescription
00:37:50
should not exceed 2 to 4 weeks in
00:37:53
Alberta we are talking about a maximum of 3 to 7
00:37:55
days where is the College of Physicians
00:37:58
of Quebec still in the
00:38:00
data analysis since January the college
00:38:03
is collaborating with the Régie de l'assurance
00:38:05
disease of Quebec to identify
00:38:06
doctors who prescribe large
00:38:08
quantities of benzo diazepine and
00:38:11
opioid the idea is to do this
00:38:13
program then in 3 years to be
00:38:16
able to have enough
00:38:19
information to influence the
00:38:22
policies in relation to this and to
00:38:25
submit recommendations if we see
00:38:27
that it is much more important than what we might have
00:38:30
thought well perhaps
00:38:31
we will not wait 3 years there
00:38:33
to take
00:38:35
[Music]
00:38:36
action our team has taken note
00:38:38
of certain complaints addressed to the
00:38:40
College of Physicians Pierre deplores
00:38:42
that he was prescribed Binzeaux
00:38:43
Diazepine for a much longer duration
00:38:45
than the current recommendations
00:38:47
without having been warned of the dangers of
00:38:49
tolerance and dependence that it entailed.
00:38:52
talks about around 6000 benzo diazepines
00:38:55
that this person consumed and there
00:38:57
was no BL the complaint was rejected
00:39:00
why I can't tell you why do
00:39:03
you think it's
00:39:04
reasonable for us it's going to be
00:39:06
important not to target to identify
00:39:09
doctors who are delinquent in parentheses
00:39:11
in relation to this way of
00:39:13
doing things and not to condemn them
00:39:18
not to sanction them but to
00:39:20
help them then go there with more of an
00:39:23
educational approach to lend them a
00:39:25
helping hand to change them their
00:39:27
prescribing habits if
00:39:32
necessary if the dog guards
00:39:34
patients hesitate to punish who
00:39:37
protects the public from doctors who
00:39:38
prescribe
00:39:40
recklessly when someone does not do their
00:39:43
homework at the small school who receives a
00:39:46
much more severe punishment than the doctor
00:39:48
who prescribes
00:39:49
bzau it's no MO from
00:39:52
Bonin that no word Bonin why do
00:39:55
n't you punish
00:39:59
because I don't want to I don't want to say
00:40:01
I'm a victim you understand yes I
00:40:04
have everything in hand I'm coming to this fight
00:40:07
but it's 'is t because I'm in a good
00:40:11
mood I'm doing my best I'm trying
00:40:13
I'm trying
00:40:15
[Music]
00:40:25
I'm esse
00:40:31
you think that the general practitioner
00:40:33
has a tendency to prescription pad
00:40:36
rather than spend the time to generally
00:40:39
analyze patient complaints what youve had
00:40:42
in the last 20 years is overutilization
00:40:45
over dependency on the doctors by a lot
00:40:47
of people rather than looking after
00:40:49
other health aspects their own lifestyle
00:40:51
and other ways of dealing withs and I do
00:40:53
see this physan as being the
00:41:06
benzo
00:41:09
diazpin in my opinion it is
00:41:12
professional misconduct to initiate such
00:41:14
treatment and prescribe it in the long
00:41:18
term one of the avenues I think which
00:41:20
is not sufficiently put forward
00:41:22
is the ability to deprescribe
00:41:24
medications be better trained to
00:41:26
stop medications and even while
00:41:27
wanting to help our patients we can
00:41:29
prescribe certain medications that will
00:41:30
ultimately harm them, so be
00:41:32
extremely vigilant in this regard,
00:41:34
not deny the phenomenon of dependence
00:41:36
that is there and carefully supervise our
00:41:38
prescriptions we learned to do it
00:41:39
with the opiates to be vigilant how to
00:41:41
prescribe the opiates I think that we must
00:41:43
do the same for the Benzes of the
00:41:55
thorns
00:42:00
[Music]
00:42:04
the observation there is no
00:42:06
miracle cure for stress and to anxiety and
00:42:08
we have known this for
00:42:10
[Music]
00:42:13
decades Benzin can reduce the
00:42:16
feeling that we are capable of
00:42:17
managing pain and discomfort it can
00:42:20
give the impression of being ineffective
00:42:22
in one's life when taking a medication
00:42:24
to reduce anxiety or avoid
00:42:29
painful emotions my goal with my
00:42:31
patients is to tell them you have the
00:42:33
power to take back control of your
00:42:35
life to calm yourself down to take care of
00:42:41
[Music]
00:42:44
yourself I often think that I I
00:42:46
missed 5 years of my life there I spent
00:42:50
those 5 years worrying about
00:42:53
absolutely nothing to stop me from living
00:42:57
ok Pierre calm down take one day at a
00:42:59
time one night at a time you have successfully
00:43:02
weaned you have no more bzau Diaz
00:43:04
thorn you know that it will get better
00:43:05
eventually hold on to this idea
00:43:08
[Music]
00:43:19
I hope you enjoyed our
00:43:22
report this evening on behalf of the whole
00:43:24
team thank you very much ' having been there
00:43:26
I will see you
00:43:28
next week for another
00:43:33
[Music]
00:43:42
[Music]
00:43:55
investigation
00:44:01
[Music]

Description:

Des pilules pour se calmer ou pour dormir, on en retrouve dans les pharmacies de millions de Canadiens. Si ces ordonnances sont extrêmement populaires, elles ne sont pas toujours sécuritaires à long terme. Les benzodiazépines et les hypnotiques en Z ont un fort potentiel de dépendance, et chez certaines personnes, peuvent entraîner de graves effets secondaires, dont des troubles neurologiques. Alors que 20 % de notre population de 65 ans et plus consomme ces médicaments de façon chronique, les experts sonnent l’alarme sur une crise de santé publique. Enquête recense les ravages d’un remède qui, parfois, cause plus de tort que de bien. Journaliste : Brigitte Noël Journaliste à la recherche : Michael Deetjens Réalisatrice : Judith Plamondon Monteuse : Milène Ortenberg Reportage du 15 février 2024 -- Abonnez-vous à nos comptes : Enquête : https://ici.radio-canada.ca/tele/enquete/site X : https://twitter.com/RadioCanadaInfo TikTok : https://www.tiktok.com/@radio.canada.info

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