What is Ativan (Lorazepam)?

Ativan (Lorazepam) is a prescription medication belonging to the benzodiazepine class. It is commonly prescribed for the treatment of anxiety disorders and seizures due to its calming and sedative effects.

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What is Ativan used for?

While Ativan is primarily prescribed for anxiety, it may also be used to treat:

  • Insomnia
  • Seizures
  • Alcohol withdrawal
  • Sedation before medical procedures

Use of Ativan in sedation dentistry

Ativan (Lorazepam) is used in sedation dentistry to help patients relax before procedures. Its calming effect reduces anxiety, making dental visits more comfortable for those with dental fear or phobia.

By promoting relaxation, Ativan ensures a smoother procedure and helps patients feel at ease. It is typically administered before the dental treatment under the supervision of a healthcare provider.

How does Ativan work?

Ativan works by affecting the brain and central nervous system. It enhances the effect of a neurotransmitter called gamma-aminobutyric acid (GABA), which promotes relaxation and reduces excessive nerve activity, helping to alleviate anxiety.

Ativan dosage and administration

Following your healthcare provider's instructions for the proper dosage and use of Ativan is essential.

Administration

Ativan is usually taken orally in the form of a tablet. It can be taken with or without food.

Dosage

The recommended dose varies based on the condition being treated:

  • Anxiety: Typically 2 to 6 mg per day, divided into two or three doses.
  • Insomnia: Usually 2 to 4 mg taken before bedtime.
  • Seizures: May be administered in a hospital setting or as prescribed for specific seizure management.
  • Alcohol withdrawal: The dosage depends on the severity of withdrawal symptoms.

Side effects of Ativan

Before taking Ativan, it's important to understand that, like all medications, it can cause side effects in some individuals.

Common side effects:

  • Drowsiness
  • Dizziness
  • Tiredness
  • Blurred vision
  • Muscle weakness
  • Memory problems

Serious side effects (seek medical attention immediately):

  • Confusion or mood changes
  • Slow or difficult breathing
  • Severe drowsiness or sedation
  • Unusual thoughts or behavior

Warning and precautions

Before taking Ativan, it is important to consider any potential risks and consult your healthcare provider for guidance.

Risk of dependence

Ativan may be habit-forming if used for long periods. Dependence can occur, especially if the drug is taken at higher doses or for extended periods. Hence you must use it exactly as your doctor prescribed.

Elderly considerations

Older adults may be more sensitive to Ativan’s effects, especially its sedative properties. The dose may need adjustment.

Pregnancy and breastfeeding

Ativan should only be used during pregnancy if absolutely necessary. It may pass into breast milk, so it’s generally not recommended for breastfeeding mothers.

Drug interactions

Ativan can interact with other medications, including narcotic pain relievers, antidepressants, and alcohol, potentially increasing side effects like drowsiness or respiratory problems.

Mental health concerns

It’s important to monitor for any changes in mood or behavior while using Ativan, as it may cause or worsen depression or suicidal thoughts in some people.

Who should not take

Don't take Ativan if you have:

  • Severe liver disease
  • Lungs problem
  • Breathing problem
  • Narrow-angle glaucoma
  • History of drug abuse or addiction