The College has obtained further feedback from the profession and has provided additional clarity on the following points:

• The paragraph acknowledging prescribing in the context of palliative care and other select situations is now in bold text to make it easier to find.
• Standard 13 better explains combinations that are considered “pharmacologically irrational” by the College’s expert reviewers.
• Guideline 4 has been updated to include referral to a psychiatrist (where appropriate).
• Guideline 8 has been reworded to clarify that tolerance to benzodiazepines may develop quickly (not always) and removed the sentence regarding sleep architecture and quality.