Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 10/7/2025

Management of Catatonia with Lorazepam

Special Considerations

  • Elderly or debilitated patients should start with 1-2 mg/day in divided doses, as they have increased sensitivity and fall risk, requiring more conservative dosing 1

Critical Monitoring Points

  • Monitor for respiratory depression, especially if combined with other sedatives, and assess for paradoxical agitation, which occurs in approximately 10% of patients 1, 2

REFERENCES

1

Benzodiazepine Equivalency and Clinical Applications [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025