Ativan (lorazepam), which is an oral medication that belongs to the class of drugs called benzodiazepine, and it works by enhancing the activity of neurotransmitters in the brain. It is a prescription medicine for managing acute anxiety, seizures, panic disorder, phobia, and allied anxiety disorders. It increases the hyperactivity of GABA (a) and reduces the neuronal excitement in the brain and CNS. Ativan is available as Ativan 1 mg and Ativan 2mg. 

Ativan Dosages.

The dose of the drug vary from individual to individual; therefore, it is important to take it as per the instruction on the leaflet of the pack.

• Do not crush, chew Or pound the tablet. Instead, please take it as a whole with a glass of water.
• Never share this medicine with another person, especially someone with a history of drug abuse OR addiction.
• Usual Adult dose for anxiety

Oral: 

Initially dose for managing anxiety; the dose will vary, usually 2 – 3 times daily, and a maintenance dose of 1 to 2mg orally 2 to 3 times daily.

• Dose for elderly for anxiety:
• 1 to 2 mg orally in divided doses twice or thrice a day.
• Usual Pediatric Dose for Anxiety

It is advisable for 12 years or older, and it is important to take the Initial dose of 2mg to 3mg orally, twice or thrice a day. The daily dosage may vary from 1 to 10mg ( do not exceed more than 10mg in a day) to help avoid adverse effects. Do not stop using Ativan without asking your doctor; you may experience life-threatening withdrawal symptoms. 

Side effects of Ativan

Ativan may have some side effects, which will wash off in a few days. In case of severe side effects, seek immediate medical attention. Some common side effects include

• Drowsiness
• Dizziness
• Dry mouth
• Lethargy 
• Constipation. 

Severe side effects of Ativan

• Severe drowsiness
• Unusual changes in mood OR behavior
• Sudden restless feelings 
• Sleep problems 
• Vision changes 
• Dark urine 
• Yellowing of skin OR eyes.

These side effects will wash off in a couple of days, and in case of severe side effects, call your doctor immediately if you see any of the above symptoms.

Warning and Precautions

Ativan is FDA-approved medication and safe to use; however, it is not safe to use, and it is not advisable to take if you have any condition:

If you have a history of an allergic reaction to any benzodiazepine (lorazepam, alprazolam, diazepam then it is not recommended 

• If you have wide-angle and narrow-angle glaucoma, 
• Liver disease, kidney disease,
• Myasthenia Gravis,
• Sleep apnea,

Avoid drinking alcohol with dangerous side effects, as it can be fatal. 

Avoid driving OR hazardous activity until you know this medicine will affect you. It is not recommended for pregnant women as it can cause a congenital disability in a baby. In addition, it is not advisable for breastfeeding mothers as the drug can pass into breast milk, which can cause dependency and risk of addiction in a nursing baby.

Take medicine as soon as you can skip the missed dose if it’s time for the next dose. Do not take two doses at a time.

Seek immediate medical attention if you see any symptoms of overdose. Seek close medical attention if any of the symptoms appear. Here are Ativan overdose symptoms:

• Severe drowsiness,
• Confusion
• Slurred speech, feeling restlessness, muscle weakness, loss of balance or coordination, feeling lightheaded,
• Slow heartbeats, weak or shallow breathing, OR coma. 

Call emergency, rush to the nearest health center if you see two symptoms, and inform your doctor.  

Ativan is an oral prescription, and it is essential to take it for short-term use and to take it for an extended period. It is a scheduled IV and controlled class drug with a high potential for drug abuse and misuse. Although the risk of drug abuse and misuse increases manifold, it is essential to take it as per your doctor’s instruction.

Ativan is the first line of treatment for managing acute symptoms of anxiety, seizures, and allied conditions. It is a fast-acting benzodiazepine that reduces the symptoms of acute onset of anxiety and systemic anxiety.

Ativan is a fast-acting benzodiazepine that is effective in treating many conditions; however, taking it for a short time is important for optimum results.

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