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  • Title: Parenteral lorazepam versus parenteral haloperidol for the control of psychotic disruptive behavior.
    Author: Salzman C, Solomon D, Miyawaki E, Glassman R, Rood L, Flowers E, Thayer S.
    Journal: J Clin Psychiatry; 1991 Apr; 52(4):177-80. PubMed ID: 1673123.
    Abstract:
    In a double-blind, prospective study, 2 mg of intramuscular lorazepam and 5 mg of intramuscular haloperidol were equally effective in controlling aggression, agitation, and assaultive behavior. Although lorazepam and haloperidol produced an equivalent mean decrease in aggression, significantly more subjects who received lorazepam had a greater decrease in aggression ratings than haloperidol recipients; this effect was independent of sedation. Lorazepam produced significantly fewer extrapyramidal symptoms. These data support the current clinical practice of using lorazepam (alone, or in combination with a neuroleptic) for control of acute aggressive and assaultive behavior.
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