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Screening instruments, such as the Bush Francis Catatonia Rating Scale (BFCRS) or the Northoff Catatonia Scale, are utilized to screen and track the severity and course of symptoms. The primary pharmacologic treatment for catatonia is the lorazepam challenge test. Second-line pharmacologic therapies are indicated when patients have an insufficient response to benzodiazepines and electroconvulsive therapy (ECT). In this case report, we report a case of a geriatric patient given high-dose zolpidem as an alternative agent with cardiac contraindications to ECT.<\/jats:p>","DOI":"10.1177\/00185787231161514","type":"journal-article","created":{"date-parts":[[2023,3,22]],"date-time":"2023-03-22T09:16:45Z","timestamp":1679476605000},"page":"444-447","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Zolpidem in Elderly Patients With Acute Treatment Resistant Catatonia: A Case Report"],"prefix":"10.1177","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1773-5727","authenticated-orcid":false,"given":"Lisa","family":"Wendt","sequence":"first","affiliation":[{"name":"Memorial Sloan Kettering Cancer Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika","family":"Hornung","sequence":"additional","affiliation":[{"name":"Rush University Medical Center, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rayyan","family":"Sami","sequence":"additional","affiliation":[{"name":"Rush University Medical Center, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,3,22]]},"reference":[{"key":"bibr1-00185787231161514","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"bibr2-00185787231161514","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2013.04.034"},{"key":"bibr3-00185787231161514","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1996.tb09814.x"},{"key":"bibr4-00185787231161514","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2014.00181"},{"key":"bibr5-00185787231161514","doi-asserted-by":"publisher","DOI":"10.3390\/neurolint13040057"},{"key":"bibr6-00185787231161514","doi-asserted-by":"publisher","DOI":"10.1007\/s002130050904"},{"key":"bibr7-00185787231161514","doi-asserted-by":"publisher","DOI":"10.2190\/x0ff-vu7g-qqp7-l5v7"},{"key":"bibr8-00185787231161514","first-page":"187","author":"Weiss A.","year":"2018","journal-title":"The Electroconvulsive Therapy Workbook: Clinical Applications"},{"key":"bibr9-00185787231161514","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(05)60139-0"},{"issue":"1","key":"bibr10-00185787231161514","first-page":"52","volume":"151","author":"Mastain B","year":"1995","journal-title":"Rev Neurol"},{"key":"bibr11-00185787231161514","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(05)63915-3"},{"key":"bibr12-00185787231161514","doi-asserted-by":"publisher","DOI":"10.21307\/sjcapp-2020-013"},{"key":"bibr13-00185787231161514","doi-asserted-by":"publisher","DOI":"10.1016\/j.pnpbp.2007.04.006"},{"key":"bibr14-00185787231161514","doi-asserted-by":"publisher","DOI":"10.1097\/wnf.0000000000000362"},{"key":"bibr15-00185787231161514","doi-asserted-by":"publisher","DOI":"10.1212\/cpj.0b013e318296f263"},{"key":"bibr16-00185787231161514","doi-asserted-by":"publisher","DOI":"10.1177\/0004867415582232"},{"key":"bibr17-00185787231161514","doi-asserted-by":"publisher","DOI":"10.1176\/appi.neuropsych.11120367"}],"container-title":["Hospital Pharmacy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00185787231161514","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00185787231161514","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00185787231161514","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:40:12Z","timestamp":1777452012000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00185787231161514"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,22]]},"references-count":17,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1177\/00185787231161514"],"URL":"https:\/\/doi.org\/10.1177\/00185787231161514","relation":{},"ISSN":["0018-5787","1945-1253"],"issn-type":[{"value":"0018-5787","type":"print"},{"value":"1945-1253","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,22]]}}}