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Lorazepam, commonly known by the brand name Ativan, is a prescription medication belonging to a group of medicines called benzodiazepines. It affects certain chemicals in the brain to produce a calming effect and may be prescribed for specific anxiety-related conditions and other medical situations.
What Is Lorazepam Used For?
Doctors may prescribe lorazepam for the short-term management of anxiety symptoms. It may also be used in certain clinical settings for severe agitation or to help control some types of seizures. In some circumstances, healthcare professionals use lorazepam before medical procedures because of its calming and sedative effects.
The appropriate use depends on the patient's medical history, symptoms, other medications, and the judgment of a qualified healthcare professional.
How Does Lorazepam Work?
Lorazepam enhances the activity of gamma-aminobutyric acid (GABA), a neurotransmitter that reduces activity in the central nervous system. This can produce relaxation, sedation, and reduced anxiety.
Because lorazepam can cause physical dependence and withdrawal symptoms, it is generally intended for carefully monitored use rather than unsupervised long-term treatment.
Common Side Effects
Some people may experience:
Drowsiness or sleepiness
Dizziness
Weakness
Reduced coordination
Fatigue
Difficulty concentrating
Effects can be stronger when lorazepam is combined with alcohol, opioids, sleep medicines, or other substances that depress the central nervous system.
Important Safety Considerations
Lorazepam should be taken exactly as prescribed. Do not increase the dose, take it more frequently, or continue treatment longer than directed without discussing it with a healthcare professional.
Combining benzodiazepines such as lorazepam with opioid medicines can cause profound sedation, respiratory depression, coma, and potentially death. Alcohol can also increase sedative effects and should be avoided unless a healthcare professional specifically advises otherwise.
People taking lorazepam should also be cautious about driving or operating machinery because the medication can impair alertness and coordination.
Dependence and Withdrawal
Regular use of lorazepam can lead to physical dependence. Stopping suddenly after continued use can cause withdrawal symptoms, which may include anxiety, insomnia, agitation, tremors, and, in serious cases, seizures.
For this reason, people who have been taking lorazepam regularly should not abruptly discontinue it without medical guidance. A healthcare professional can determine whether the dose should be reduced gradually.
Taking Lorazepam Responsibly
If lorazepam has been prescribed to you, keep it in its original labeled container and take only the amount directed by your prescriber. Do not share the medication with another person, even if they appear to have similar symptoms.
If you have questions about your dose, side effects, interactions, or how long you should take lorazepam, speak with your doctor or pharmacist.
When to Seek Emergency Help
Seek urgent medical assistance if someone taking lorazepam develops extreme sleepiness, difficulty waking, slowed or difficult breathing, loss of consciousness, or other severe symptoms, particularly after taking it with an opioid, alcohol, or another sedating substance.
Conclusion
Lorazepam (Ativan) can be an effective prescription medicine for certain conditions when used under appropriate medical supervision. Because it can cause sedation, dependence, and potentially dangerous interactions with other central nervous system depressants, it should be used only according to professional medical guidance.