From: Periodic catatonia with long-term treatment: a case report
Episode | Admission date | age | Catatonic symptoms | Positive symptoms | Medications | Lorazepam-diazepam protocol |
---|---|---|---|---|---|---|
1 | 2001/8/31 | 35 | Stupor, negativism, mutism | AH | Risperidone 4 mg/day | Diazepam IVD 10 mg diluted in 500 ml Normal saline for 3 days |
2 | 2002/12/16 | 36 | Stupor, negativism, mutism | AH, Capras syndrome | Haloperidol 15 mg/day ➪ Olanzapine 15 mg/day Lorazepam 3 mg/day | Diazepam IVD for 2 days |
3 | 2003/9/24 | 37 | Stupor,catalepsy, mutism | AH | Loxapine 150 mg/day Lorazepam 2 mg/day | Lorazepam 2 mg IM follow by another dose of Lorazepam 2 h later |
2003/ 10/11 | mutism, stupor | AH | Lorazepam 2 mg IM for three dosage with interval of 2 h | |||
4 | 2004/2/6 | 38 | Stupor, catalepsy, mutism | AH, Bizarre behavior, Capras syndrome | Quetiapine 550 mg/day Diazepam 2 mg/day | Not administered |
5 | 2006/2/3 | 40 | Stupor, mutism, catalepsy | VH, AH, delusion of being controlled, bizarre delusion | Clozapine 200 mg/day Lorazepam 2 mg/day | Lorazepam 2 mg IM for three dosage with interval of 2 h |
6 | 2006/9/25 | 40 | Stupor, negativism, mutism | AH, persecutory delusion, self harm behavior | Clozapine 200 mg/day Lorazepam 2 mg/day | Lorazepam 2 mg IM follow by another dose of Lorazepam 2 h later, follow by diazepam 10 mg diluted in N/S 500 ml for 3 days |
7 | 2015/11/23 | 49 | Stupor, mutism, agitation for 2 h, recurrent 6 h later | AH, persecutory delusion | Clozapine 300 mg/day Lorazepam 3 mg/day | Lorazepam 2 mg IM for three dosage with interval of 2 h |