- |||||||||| lorazepam / Generic mfg.
Journal: A Mixed Presentation of Serotonin Syndrome vs Neuroleptic Malignant Syndrome in a 12-Year-Old Boy. (Pubmed Central) - May 29, 2021
The emission rate of these 20 pharmaceuticals in Guangzhou reached 1456 g·a with concentrations ranging from 3.07 (mefenamic acid) to 378 g·a (oxazepam). The use of antipsychotic medications for young children with behavioral problems has risen dramatically in the last decade, increasing their risk for developing SS or NMS.
- |||||||||| lorazepam / Generic mfg., alprazolam / Generic mfg., carbamazepine / Generic mfg.
Journal: Electrochemical degradation of psychotropic pharmaceutical compounds from municipal wastewater and neurotoxicity evaluations. (Pubmed Central) - May 28, 2021
However, when an artificial cerebrospinal fluid (ACSF) medium was reapplied, the signal recovered and increased to a value above the baseline, indicating that cells recovered part of their normal activity but remained in a different condition. For the BDD anode, the treated MWW did not cause significant ROS production variations, suggesting that he EO was effective in eliminating the toxicity of the treated solution.
- |||||||||| lorazepam / Generic mfg.
Journal: Pronounced Dead Twice: What Should an Attending Physician Do in Between? (Pubmed Central) - May 27, 2021
CONCLUSIONS What should an attending physician do in the rare case that the organ procurement team notices the patient is still alive? It is our opinion that: first, the organ procurement team should leave the room immediately and withdraw from the case, and second, the attending physician should let nature run its course and refrain from excessive medical intervention.
- |||||||||| lorazepam / Generic mfg.
Journal: TMS and H-MRS measures of excitation and inhibition following lorazepam administration. (Pubmed Central) - May 15, 2021
Furthermore, higher sensorimotor [GABA] was associated with higher cortical inhibition (SICI) following lorazepam administration, suggesting that baseline sensorimotor [GABA] may be valuable in predicting pharmacological or neuromodulatory treatment response. Finally, the differential effects of lorazepam on MRS and TMS measures, with respect to GABA, support the idea that TMS measures of cortical inhibition reflect synaptic GABAergic phasic inhibitory activity while MRS reflects extrasynaptic GABA.
- |||||||||| clonazepam / Generic mfg., lorazepam / Generic mfg., methamphetamine / Generic mfg.
Clinical, Journal: Oral clonazepam versus lorazepam in the treatment of methamphetamine-poisoned children: a pilot clinical trial. (Pubmed Central) - May 15, 2021
Clonazepam and lorazepam treatment was equally effective at similar doses. However, considering the higher potency of clonazepam, it seems that lorazepam is the safer benzodiazepine for oral maintenance treatment of methamphetamine-induced agitation in children and can be used with minimal complications.
- |||||||||| lorazepam / Generic mfg., paroxetine / Generic mfg.
Journal: Musical Hallucinations Induced by Conventional Doses of Paroxetine. (Pubmed Central) - May 15, 2021
Because of a suspicion of paroxetine-induced MHs and poor clinical improvement, paroxetine was reduced and discontinued on the 31st day, whereas venlafaxine was started and increased to 75 mg/d...CONCLUSIONS The present report suggests that conventional doses of paroxetine can induce MHs, which are most likely ascribable to the anticholinergic effects of the drug. This adverse effect should be differentially diagnosed from psychotic symptoms arising from psychiatric disorders, especially MDD.
- |||||||||| lorazepam / Generic mfg.
Journal: A 62-Year-Old Man with Acute Alcohol Withdrawal and Stress-Induced Cardiomyopathy. (Pubmed Central) - May 15, 2021
He subsequently developed active symptoms of alcohol withdrawal and was managed with intravenous Lorazepam and chlordiazepoxide...He was diagnosed with stress-induced cardiomyopathy or takotsubo cardiomyopathy due to alcohol withdrawal. CONCLUSIONS This report describes a case of takotsubo cardiomyopathy, or stress-induced cardiomyopathy, that was believed to be associated with acute alcohol withdrawal, with spontaneous improvement in the reduced left ventricular ejection fraction following medical support.
- |||||||||| lorazepam / Generic mfg.
[VIRTUAL] New-Onset Psychosis and Catatonia With Residual Cognitive Impairment in a Covid-19 Patient () - May 2, 2021 - Abstract #APA2021APA_1412;
Although there have been reports of various COVID-19 neuropsychiatric manifestations, to our knowledge there has not been a case of psychosis with catatonia development directly following hospital discharge after a successful COVID-19 treatment. Patients with COVID-19 should be followed and screened for the emergence of psychotic and catatonic features to better establish any potential connections of COVID-19 with neuropsychiatric manifestations, as well as followed to assess for long-term cognitive impairments.
- |||||||||| lorazepam / Generic mfg., alprazolam / Generic mfg.
[VIRTUAL] Gamma-Hydroxybutyrate: Party and Play With Gina () - May 2, 2021 - Abstract #APA2021APA_1275;
With the addition of lorazepam taper her clinical picture improved...GHB withdrawal progressed to delirium and she was started on a clonazepam and phenobarbital taper, and her valproic acid was increased...Even then this case rapidly deteriorated and lead to prolonged hospital course. Early intervention and collaborative care by addiction specialists are key in management.
- |||||||||| lorazepam / Generic mfg.
[VIRTUAL] Delirium Due to Covid-19 in a Schizoaffective Disorder Patient () - May 2, 2021 - Abstract #APA2021APA_1044;
A lorazepam challenge was conducted, returning positive...Psychiatric patients can be at high risk of getting infected with COVID-19 due to poor self-care. It is recommended that a thorough medical workup and history be performed to determine the underlying pathology, etiology, and sequelae of this complex presentation.
- |||||||||| risperidone / Generic mfg., lorazepam / Generic mfg.
[VIRTUAL] Managing Cross-Cultural Conflict in the Prescription of Psychotropic Medications () - May 2, 2021 - Abstract #APA2021APA_973;
In this poster, we posit that several early interventions could have led to an improved outcome. Specifically, we review 1) the use of the cultural formulation interview (CFI) and 2) using the information garnered by this interview to broker between different models of illness.
- |||||||||| lorazepam / Generic mfg.
[VIRTUAL] Positive Effect of Benzodiazepine Use in Geriatric Patients: A Literature Review () - May 2, 2021 - Abstract #APA2021APA_864;
Benzodiazepines (BZD), such as Lorazepam, are one of the avoided psychotropic medications among the elderly due to common knowledge that they can cause temporary worsening cognitive dysfunction, particularly short term memory loss associated with recall...Our analysis found no causal association between BZD use and cognitive decline long term. In other words, benzodiazepine-induced cognitive dysfunction is reversible and the benefits of their use may outweigh the risks associated.
- |||||||||| risperidone / Generic mfg., lorazepam / Generic mfg.
[VIRTUAL] Treatment of Acute Mania in a Patient With Hemochromatosis () - May 2, 2021 - Abstract #APA2021APA_659;
Lithium and lorazepam were utilized for the same purpose. This solution of relatively bypassing hepatic metabolism by using select agents may be considered in future instances of psychosis with decreased or worsening hepatic function.
- |||||||||| lorazepam / Generic mfg.
[VIRTUAL] The Role of Partial Dopamine Agonists in the Treatment of Psychosis and Catatonia () - May 2, 2021 - Abstract #APA2021APA_655;
Patient continued to endorse negative symptoms but no longer appeared catatonic. In this poster, we hope to explore the treatment of psychosis in the setting of catatonia, with third generation antipsychotics that have partial D2 agonist activity, such as aripiprazole and cariprazine.
- |||||||||| lorazepam / Generic mfg.
[VIRTUAL] The “Grim Reaper”: A Case Report and Discussion of Prosopometamorphopisa () - May 2, 2021 - Abstract #APA2021APA_654;
She then improved significantly after two lorazepam challenges, after which a loading dose of valproate 1000mg with 300mg TID was initiated for seizure prophylaxis...Patient continued to improve and discharged soon after. This case highlights one of many treatment options and also allows for discussion of several causes of this fascinating patient presentation.
- |||||||||| risperidone / Generic mfg., lorazepam / Generic mfg.
[VIRTUAL] Psychotic Presentation of a Rare Genetic Syndrome: A Case of Successful Treatment in Laurence-Moon- Biedl () - May 2, 2021 - Abstract #APA2021APA_642;
Prior to admission, the patient was on nortriptyline 50mg daily at bedtime, lorazepam 0.5mg daily, and risperidone 1mg daily at bedtime...One case report described two siblings with the syndrome and comorbid paranoid presentations, and successful treatment with trifluoperazine...This patient case adds to the limited evidence and raises awareness for potential psychotic comorbidity. Further, this demonstrates a case of successful treatment of psychotic symptoms with low dose risperidone in a patient with Laurence-Moon-Biedl Syndrome.
- |||||||||| risperidone / Generic mfg., lorazepam / Generic mfg.
[VIRTUAL] Polydipsia as a Manifestation of Catatonia () - May 2, 2021 - Abstract #APA2021APA_635;
Psychogenic polydipsia can be a manifestation of catatonic stereotypy. Lorazepam can successfully treat polydipsia.
- |||||||||| risperidone / Generic mfg., lorazepam / Generic mfg.
[VIRTUAL] Palpitations, Panic and Psychosis: A Psychiatric Presentation of Thyrotoxicosis () - May 2, 2021 - Abstract #APA2021APA_632;
It is imperative to differentiate between psychosis of Schizophrenia versus Thyrotoxicosis as this will drive the treatment, particularly as some case studies have shown that using Haldol to treat thyrotoxicosis- induced psychosis can result in malignant catatonia2. The authors conclude that patients presenting with acute psychosis should be screened with baseline TSH levels upon arrival to emergency department, especially if other risk factors for thyroid disease are present.
- |||||||||| lorazepam / Generic mfg., amantadine / Generic mfg.
[VIRTUAL] Hanging in Limbo: Institutional Transfer and Interstate Variability of ECT Laws Delaying Care for a Catatonic Patient () - May 2, 2021 - Abstract #APA2021APA_616;
We will contact physicians in states where there is ambiguity in the legal code as there may be significant state-to- state differences in clinical practice in states that have similar laws. We will also create a checklist of important questions to consider prior to accepting a patient from another facility to receive ECT, which can be an invaluable resource to both admitting services and psychiatrists caring for these ill patients.
- |||||||||| lorazepam / Generic mfg.
[VIRTUAL] When Family Decisions Conflict With Standard of Care: Case Report of a Korean Immigrant With Schizophrenia and Medication-Resistant Catatonia () - May 2, 2021 - Abstract #APA2021APA_573;
In past years he had responded to high dose Ativan but during this admission, symptoms of catatonia persisted despite Ativan titrated up to a total of 18 mg daily...N and his parents declined a trial of clozapine due to concern regarding the required blood draws for monitoring...Studies have suggested that surrogate decision makers prioritize patient wellbeing as their top guiding principle, but there are few studies on surrogate decision making conflicting with standard of care in psychiatry. In this poster, we discuss the challenges of treatment management when family decisions conflict with standard of care and patient safety, as well as East Asian attitudes toward ECT through a review of the literature.
- |||||||||| lorazepam / Generic mfg., amantadine / Generic mfg.
[VIRTUAL] When Ativan Isn’t Up to the Challenge: A Case Report of Concurrent Catatonia and Delirium () - May 2, 2021 - Abstract #APA2021APA_572;
Her hospital course was complicated by bacteremia and bilateral pulmonary emboli treated with vancomycin and anticoagulation, respectively...These findings are based on the hypothesis that NMDA hyper-excitability in striato-cortical and cortico-cortical pathways and loss of GABA-A and dopamine in these regions may represent the pathophysiology of benzodiazepine resistant catatonia (Hervey, 2012). Several case series have been published on the use of amantadine in treating primary catatonia, however this is a unique case of amantadine’s utility in medical catatonia.
- |||||||||| lorazepam / Generic mfg., gabapentin / Generic mfg., ziprasidone / Generic mfg.
[VIRTUAL] Sometimes the Hoofbeats Are Zebras: The Role of Psychiatry in the Inter-Disciplinary Management of CNS Vasculitis () - May 2, 2021 - Abstract #APA2021APA_553;
Specifically, we will address psychiatry’s role in management of agitation and affective lability, both during the hospitalization as well as in the outpatient setting, as part of an integrated care system. Implications: PACNS requires a multi-faceted and multi-disciplinary approach for which psychiatrists can play an important role, particularly in management of a patient’s affective lability, co-existing psychiatric illnesses, and aggression through various care settings.
- |||||||||| trazodone ER / Generic mfg., lorazepam / Generic mfg., sertraline / Generic mfg.
[VIRTUAL] Reversible Dementia Recovered With Electroconvulsive Therapy (ECT): A Case Report () - May 2, 2021 - Abstract #APA2021APA_550;
The differentiation between primary dementia and the reversible dementia of a mood disorder remains a clinical challenge. We encourage that in patients with suspected dementia, the possibility of mood disorder with a reversible dementia should be considered especially with patients with history of mood disorders, and extensive treatment measures should be done.
- |||||||||| ketamine / Generic mfg., lorazepam / Generic mfg.
[VIRTUAL] Not So Special K? Risks of Indiscriminate Ketamine Use () - May 2, 2021 - Abstract #APA2021APA_537;
Need exists to research ketamine use in emergency settings and subsequent adverse effects. Additional education needed for emergency personnel regarding neuropsychiatric effects of ketamine to reduce such indiscriminate use.
- |||||||||| lorazepam / Generic mfg., bromocriptine / Generic mfg., amantadine / Generic mfg.
[VIRTUAL] Neuroleptic Malignant Syndrome Masquerading as Sepsis () - May 2, 2021 - Abstract #APA2021APA_533;
CK, cardiac enzymes, and liver enzymes improved daily throughout his stay once appropriate treatment and management was initiated. The day before discharge, the patient’s CK was 847.
|
