Short term control of acutely disturbed or violent behaviour
Benzodiazepines are inappropriate to use in patients aged 65 years and older:
for ≥ 4 weeks (no indication for longer treatment; risk of prolonged sedation, confusion, impaired balance, falls, road traffic accidents; all benzodiazepines should be withdrawn gradually if taken for more than 4 weeks as there is a risk of causing a benzodiazepine withdrawal syndrome if stopped abruptly)
with acute or chronic respiratory failure i.e. pO2 < 8.0 kPa ± pCO2 > 6.5 kPa (risk of exacerbation of respiratory failure)
if they have a history of falls (sedative, may cause reduced sensorium, impair balance).
For people with learning difficulties initiate treatment with low doses and titrate cautiously with frequent monitoring for side effects
Additional resources
KMPT Rapid Tranquilisation Policy