Lorazepam
Transcript of Lorazepam
Reactions 666 - 30 Aug 1997
★Lorazepam
First report of pharyngeal dysphagia: case reportPharyngeal dysphagia occurred in a 57-year-old woman
during treatment with lorazepam [‘Lorax’].The woman, who had rheumatoid arthritis, was receiving
treatment with prednisone, and she had taken lorazepam 2mgat night for the past 2 years. She presented with a 2-weekhistory of dysphagia, which had started as intenseodynophagia in her cervical region. Since the onset of hersymptoms, she had eaten only small amounts of liquid foods.
A radiological study of deglutition showed partial retentionof barium in the woman’s pharynx and scintigraphy showed apharynx retention of approximately 47% of the volumeswallowed. Lorazepam was discontinued and, 2 weeks later,the dysphagia had resolved. Repeat tests showed that shecould easily swallow a 10ml bolus of water, withoutpharyngeal retention. At follow-up after 1 year, the dysphagiahad not recurred.Dantas RO, et al. Dysphagia induced by chronic ingestion of benzodiazepine.American Journal of Gastroenterology 92: 1194-1196, Jul 1997 -Brazil 800555074
» Editorial comment: Dysphagia associated with otherbenzodiazepines has been reported previously. However, asearch of AdisBase and Medline did not reveal any previousreports of dysphagia associated with lorazepam.
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