Ativan (Lorezepam)


Ativan (lorazepam) is a form of intermediate-acting benzodiazepine medication that is commonly used for short-term treatment of anxiety and convulsions (fits). Ativan is a widely prescribed drug in the United States and in 2011, more than 27.5 million prescriptions were written for Ativan in the US alone. Recent times, Ativan is also occasionally used in the treatment of a sleep disorder called ‘intractable insomnia’ in which the personexperiences difficulty falling asleep at night or staying asleep that is difficult to control with lifetime modifications. Some doctors prescribe Ativan for alcohol withdrawal as it can reduce significantly reduce the intensity of bitter withdrawal symptoms. As Ativan is a benzodiazepine, it has a similar mechanism of action. When a person takes Ativan, it enhances the activity of a neurotransmitter called GABA which has a depressive action on the brain. This inhibitory effect results in a sleepy, tranquil, relaxed mood by reducing the overall neuronal firings. However, it can also cause a temporary memory loss (amnesia) as Ativan has a more powerful affinity to GABA than most other benzodiazepines.

How To Take

Ativan is available as oral tablets, solutions, and injections (in a clinical setting). Oral tablets come in 0.5mg, 1mg, 2mg doses where 1ml of solution contains 2mg of active ingredients. Ativan is a Schedule IV controlled prescription only medication as its misuse can lead to addiction and dependency. Therefore, it's crucial to take Ativan exactly as prescribed by the good doctor. For adults, the usual dosage is 2 to 3 mg/day given in 2 to 3 divided doses initially, increasing the dosage upto a maximum of 10 mg a day if tolerated. Children and older individuals should be given alower dose. When using for insomnia, the drug should be used about 30 minutes before sleep which will make you fall asleep fast. Nevertheless,it's important to know that the doses are highly individualized and may differ upon the built and the physique of the recipient. As with most psychotropic drugs, ethanol consumption is strictly prohibited while on Ativan due to dangerous side effects.


Although prescribed for anxiety, Ativan is not recommended for use in patients with a primary depressive disorder or psychosis as the conditions can become worse during the use. Another reason not to give for those with depression is the suicidal tendency. All benzodiazepines cause somesort of respiratory depression by acting on the breathing center of the brain, which is negligible. However, if you are having any lung diseases like severe asthma, sleep apnea syndrome, chronic bronchitis or COPD, Ativan can worsen the symptomsso not usually prescribed for them. Strict monitoring with dosage adjustment is needed for elderly or debilitated patients as they are more susceptible to the sedative effects of lorazepam Ativan. Tell your doctor if you have any of the following conditions. History of allergy to any benzo (Eg diazepam, alprazolam, clonazepam, temazepam etc), liver diseases, kidney diseases, narcotic abuse, psychiatric disorders and glaucoma (increased eye pressure). Did you know that cigarette smoking can reduce the effectiveness of Ativan? Well, now you know.

As Ativan belongs to the Food and Drug Administration (FDA) pregnancy category D you should tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding because this drug crosses the placenta and enter into developing fetus and cause developmental problems. Regarding the food, there are no special dietary adjustments and unless your doctor tells you otherwise, you can continue to eat normally.

Side Effects

In a recent study using 3500 patients treated for anxiety, the most common side effect to Ativan was sedation (15.9%) which was followed by dizziness (6.9%) and weakness (4.2%). These are considered minor adverse effects and there is no need for urgent medical care. Other commonlyreported minor effects are memory impairment, confusion, disorientation, feeling high (euphoria), change in appetite, constipation, and fatigue.

There have been reports of a few notorious major side effects of Ativan which are increased risk of suicide, low blood pressure, fits, hallucinations, depression, increased liver enzymes (damage), aggression and disorientation. Major effects call for an urgent medical intervention and sometimes can be life-threatening. This is just a sample of side effects and there can be a number of other adverse effects, so if you sense something is not right, better to call your doctor.

Using Ativan To Battle Anxiety

Lorazepam, the activeingredient in Ativan is used for the ‘short-term’ relief of the symptoms of excessive anxiety. It is believed to be achieved by promoting the activity of the chemical ‘GABA’, thus slowing down the communication between the nerves in the brain. However, it is not for the day to day stress anxiety but for more serious generalized anxiety disorders and panic attacks. It is a potent anxiety busting medication that works rather quickly and according to the patients, “Whatever caused the feelings of panic appears to have lost its strength within just a few minutes”. FDA recommends not to take Ativan for more than 4 months or stop taking this medication without talking to your doctor due to the risk of dependence (habit forming) and withdrawal. At the end of the prescribed drug course, the doctor will gradually reduce the dosage without letting the withdrawalsymptoms to develop.

Using Ativan For Insomnia

According to the latest studies, about 9% to 15% of Americans experience problems functioning in the daytime due to insomnia. In this common condition, the sufferer is unable to sleep or not able to maintain sleep through the night due to repeated awakenings at night. Sufferers commonly experience excessive daytime sleepiness, anxiety and inability to concentrate which reduces the overall quality of life. In mild condition,non invasive treatments like behavior modification, yoga, and relaxation techniques will suffice but for moderate to severe insomnia, drug therapy is recommended and that’s where Ativan comes in. Usually, a single dose of Ativan 2 to 4 mg before bed time will do the trick. It's important to take your doses at the same times of day each night, as this will help you to remember to take them without forgetting.

Can You Order Ativan Online?

Yes, you can and it can be cheaper too. But it’s not recommended as the misuse of Ativan can lead to habit forming and dependence. Being a schedule IV controlled drug it’s illegal to buy or possess Ativan without a prescription. However, the law enforcement rarely pursues such incidents as they have bigger fish to fry. If you really want to get it from the internet firstly you must have used it before because some people can be allergic to Ativan. Also, you should cross check with your state board of pharmacy or the ‘National Association of Boards of Pharmacy’ to see the subjective online pharmacy has a valid pharmacy license as scammers are all over the internet. Certain online pharmacies sell counterfeit, mixed, mislabeled, outdated, contaminated and poorly stored drugs which can be extremely harmful to your health. So, always buy from a trusted seller.

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