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Ativan Information

Generic name: Lorazepam (lor A ze pam).
Brand name: Ativan.

Basic information about Ativan.

You should avoid using Ativan if you are allergic to it, to any if its components or to other benzodiazepines, such as alprazolam (Xanax), chlordiazepoxide (Librium), clorazepate (Tranxene), diazepam (Valium), or oxazepam (Serax). Researches show that Ativan can cause birth defects in an unborn baby, so you must not take this medication during pregnancy.

Some medical conditions may also interfere with the effect of Ativan. Tell your healthcare provider if you have any breathing problems, glaucoma, kidney or liver disease, or a history of depression, suicidal thoughts, or addiction to drugs or alcohol. Ativan is known to increase the impact of alcohol, so you are not recommended to drink during the course of therapy with this medication.

You are recommended to try to avoid using Ativan together with other medications able to add to the drowsiness caused by it. You should also know that Ativan can be habit-forming, which may result in a heavy withdrawal effect appearing in the end of the therapy. Never share Ativan with other people to whom it wasn't prescribed, especially with the ones who have a history of drug or alcohol abuse. Keep this medicine out of the reach of other people.

What is Ativan?

Ativan is a prescription medicine used in the treatment of anxiety disorders. It belongs to the group of drugs called benzodiazepines (ben-zoe-dye-AZE-eh-peens). It works by affecting the chemical medium in the brain that may become unbalanced and cause anxiety.

Ativan may also be used to treat other disorders different from the ones stated in this article.

Is there something I should discuss with my healthcare provider before taking Ativan?

Ativan must not be used by people suffering from narrow-angle glaucoma or those who are allergic to Ativan or to other benzodiazepines, including alprazolam (Xanax), chlordiazepoxide (Librium), clorazepate (Tranxene), diazepam (Valium), oxazepam (Serax) and others.

Prior to starting the treatment with Ativan, inform your doctor about any drugs that you are allergic to, and tell him/her if you have any of the following conditions:

  • glaucoma;
  • asthma, emphysema, bronchitis, chronic obstructive pulmonary disorder (COPD), or other breathing problems;
  • kidney or liver disease;
  • a history of depression or suicidal thoughts or behavior; or
  • a history of heavy drug or alcohol abuse.

In case any of the statements above is applicable to you, you may not be able to use Ativan or your doctor may suggest a special dosage adjustment or a series of tests for you.

Ativan is FDA pregnancy category D, which means that it is known to cause birth defects in a fetus. Never use Ativan if you are pregnant or are planning to become pregnant during the course of treatment. Pay special attention to your contraception means when taking Ativan. It's not clear whether Ativan is passed into breast milk or not, so it's not recommended that you use this med when breast-feeding a baby.

Elderly patients usually turn out to be more susceptible to the effect of Ativan. This may result in more prolonged sedative effect or even accidental falls. Be careful to avoid accidental injuries when taking Ativan.

The safety and effectiveness of Ativan in children younger than 12 years of age has not been proven, therefore it's not recommended to use this medication in children.

Ativan usage instructions.

Follow the doctor's prescription as precisely as you can. Never exceed the dose or take Ativan for a period longer than that recommended by your healthcare provider.

Your therapist may suggest changing the dose of Ativan every once in a while to ensure maximum safety and effectiveness.

If you are using the liquid form of Ativan, you should measure it with a special measuring device (a marked spoon or cup). If you do not have one, ask your pharmacist for it. In most cases Ativan is used for a short period of time, so you are not recommended to take this medication for more than 120 days, unless your doctor tells you otherwise. It's known that Ativan may be habit-forming, which results in a heavy withdrawal effect for a person trying to quit using it all of a sudden. Discuss the means of stopping the therapy with Ativan gradually with your doctor. Avoid sharing this medication with anyone whom it wasn't prescribed for, especially with the people who have a history of drug abuse. Store Ativan in a safe place where other people cannot reach it at all times. You should also try to keep track of the number of pills that you are using.
Due to the fact that Ativan is a habit-forming medicine, you are advised to do everything you can to prevent other members of your household to whom Ativan wasn't prescribed from using it.

Contact your doctor if Ativan seems to be not effective or if you notice your old symptoms get worse. Never quit using it by yourself without first consulting your doctor. Ativan therapy must be stopped gradually, so you don't suffer from the withdrawal effect, which can include tremor, sweating, muscle cramps, stomach pain, vomiting, unusual thoughts or behavior, and seizure (convulsions). There's a possibility of your symptoms returning when you stop using Ativan. If such thing happens, check with your doctor as soon as you can.

Your doctor may want to visit you on a regular basis to make sure that Ativan is not causing any side effects and the process of treatment is going fine. Do not miss or cancel any of such scheduled visits.

It's suggested you store Ativan at room temperature (59-86 degrees F = 15-30 degrees C). Protect Ativan from excess heat, moisture and direct sunlight. Make sure that the place you keep Ativan in is located out of the reach of children and away from pets.

Ativan Recommended Dosage.

ADULTS.

In most cases adults are recommended to take 2-6 mg of Ativan daily (though it can vary from 1 mg/day to 10 mg/day). This amount should be split into smaller doses and used throughout the day. Usually the largest of the doses is taken right before the bedtime.

Usage of Ativan in the treatment of anxiety.

In case you use Ativan to treat anxiety, the usual starting dose will most probably be equal to 2-3mg/day, split into 2-3 doses.

Usage of Ativan in the treatment of insomnia due to anxiety.

In case you use Ativan to treat insomnia caused by excess anxiety, the usual starting dose will most probably be equal to 2-4mg/day taken at once before the bedtime.

CHILDREN.

The safety and effectiveness of usage of Ativan in children younger than 12 years of age are not known yet.

OLDER ADULTS.

The recommended dosage of Ativan prescribed to elderly and weakened people is usually smaller than that prescribed to adults. In most cases it doesn't exceed 1-2 mg/day, divided into smaller doses in order to avoid excess drowsiness. However, this dose is subject to being adjusted by your doctor.

What should i do if i miss a dose of Ativan?

If you happen to miss a dose of Ativan, take it as soon as you remember. However, if the time to take the next dose has almost come, skip the missed one and proceed with your normal schedule. Never double the dose to attempt to catch up with the missed one.

In case of overdose with Ativan.

Heavy overdose with Ativan may lead to the death of the patient. Seek for emergency medical help if you suspect you have taken too much of this med.

The most common symptoms of overdose with Ativan include the following: extreme drowsiness, confusion, muscle weakness, fainting, or coma.

Is there something I should avoid during the course of treatment with Ativan?

Avoid drinking alcohol when taking Ativan since this medication is known to increase the effects of it. Be careful when driving, operating heavy machinery and fulfilling other potentially hazardous activities because Ativan is known to be able to impair your thinking and reactions.

Avoid using Ativan together with other meds that are known to cause drowsiness (cold medicine, pain relievers, muscle relaxants, medicine for seizures, depression or anxiety, etc). The effect of any of these meds can make some of the side effects of Ativan worse.

Possible Side Effects of Ativan.

One of the most potentially hazardous side effects of Ativan is a severe allergic reaction. Seek for emergency medical help if you experience any of these symptoms: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Contact your doctor immediately in case you are experiencing any of the following side effects of Ativan:

  • confusion, depression, fixed thoughts of suicide or hurting yourself;
  • hyperactivity, agitation, hostility;
  • hallucinations; or the feeling of light-headedness, fainting.

Luckily, the side effects stated above are infrequent. Less serious effects that are more likely to occur include the following:

  • drowsiness, dizziness, tiredness;
  • problems with eyesight;
  • insomnia;
  • muscle weakness, trouble keeping balance or coordination;
  • amnesia or forgetfulness, trouble concentrating;
  • nausea, vomiting, constipation;
  • increased or decreased appetite; or
  • skin rash.

The listing above doesn't mention all possible side effects of Ativan. Contact your healthcare provider at once in case you experience some unusual or exceptionally bothersome new or worsening old side effects.

Possible drug interactions with Ativan.

The drugs stated below can interact with Ativan causing unpleasant or dangerous reactions. Before starting your Ativan therapy, tell your doctor if you are using any of these:

  • a barbiturate such as amobarbital (Amytal), butabarbital (Butisol), mephobarbital (Mebaral), secobarbital (Seconal), or phenobarbital (Luminal, Solfoton);
  • an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate);
  • medicines to treat psychiatric disorders, such as chlorpromazine (Thorazine), haloperidol (Haldol), mesoridazine (Serentil), pimozide (Orap), or thioridazine (Mellaril);
  • narcotic medications such as butorphanol (Stadol), codeine, hydrocodone (Loratab, Vicodin), levorphanol (Levo-Dromoran), meperidine (Demerol), methadone (Dolophine, Methadose), morphine (Kadian, MS Contin, Oramorph), naloxone (Narcan), oxycodone, propoxyphene (Darvon, Darvocet); or
  • antidepressants such as amitriptyline (Elavil, Etrafon), amoxapine (Ascendin), citalopram (Celexa), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Sinequan), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), imipramine (Janimine, Tofranil), nortriptyline (Pamelor), paroxetine (Paxil), protriptyline (Vivactil), sertraline (Zoloft), or trimipramine (Surmontil).

Your doctor may not allow you to use Ativan if you are taking any of these meds. However, in some cases a special dosage adjustment or a series of tests will be suggested.

This list doesn't mention all drugs that can interact with Ativan. We strongly suggest you tell your therapist about all prescription and over-the-counted meds (including vitamins, minerals and herbal remedies) that you are currently taking prior to starting the treatment with Ativan.

Where can I get more information on Ativan?

Address your pharmacist if you happen to have any specific questions about Ativan that this article cannot answer.

What does Ativan look like?

Lorazepam is currently offered in the medical market under the brand name of Ativan (other brand names and generic formulations may also be available).

Ativan 0.5 mg - five-sided, white-colored tablets with a raised "A" on one side.
Ativan 1 mg - five-sided, white-colored tablets with a raised "A" on one side.
Ativan 2 mg - five-sided, white-colored tablets with a raised "A" on one side.

PLEASE NOTE that Ativan should be kept out of the reach of children and never shared with anyone whom it wasn't prescribed to, especially the people with the history of drug abuse or addiction. Use Ativan only for the indications prescribed.

This article is intended for informational use only. We are not authorized to dispense any recommendations or specific medical advice. Address your doctor, nurse or pharmacist with all additional questions concerning the usage of Ativan.

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