Abstract

ABSTRACT: The safety of lorazepam was compared with that of a standard drug, glutethimide, in 50 chronically ill geriatric patients. Repeated physical examinations, laboratory determinations and other tests indicated that any organic disease in these patients had become stabilized before the study and was not affected by the test drugs. Early morning drowsiness, dizziness and lethargy were noted with each drug during the first and second weeks. More patients in the glutethimide series discontinued therapy because of side effects than in the lorazepam series. Dosage reduction to 1 mg nightly was necessary in many of those treated with lorazepam. Lorazepam is useful for aiding elderly patients to sleep. The initial dosage should be 1 mg nightly. If necessary, this dosage usually can be increased with safety to 2 mg nightly.

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