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. 2008 Apr;5(4):37–41.

TABLE 2.

Principles of management of catatonia8

  1. Early recognition—patient must be closely observed and vital signs must be taken frequently.

  2. Supportive care—hydration, nutrition, mobilization, anticoagulation, precautions against aspiration

  3. Discontinue antipsychotics and other drugs that worsen catatonia.

  4. Restart dopamine agonists, especially in Parkinsonian patients.

  5. Supportive measures

  6. High index of suspicion for medical complications