In Reply.—The findings of Dr Pomara and
colleagues reinforce an important point from my Editorial. At therapeutic
levels, all benzodiazepines have adverse psychomotor effects that, with prolonged
use, diminish but do not disappear. This psychomotor impairment may increase
risk of motor vehicle crashes and falls, both of which are common causes of
injury in the elderly. The potential to cause injuries should always be kept
in mind when considering prescribing any benzodiazepine, whether short- or
long-acting, for an elderly patient.
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