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Indications: Short-term relief of anxiety symptoms, anxiety disorders and depression-related anxiety.
Dosage: For anxiety problems, initial dose of 2 – 3 mg given in two or three doses everyday. For anxiety-related insomnia, 2 – 4 mg given everyday at bed rime. For elderly patients, 1 – 2 mg one tablet daily given in two doses to minimize side effects. May be increased gradually depending on the patient’s needs with a higher daily dose given at bed time.
Contraindications: Depression, liver or kidney disease, acute narrow-angle glaucoma, cardiovascular or respiratory disorders.
Side Effects: Dizziness, weakness, dose-dependent respiratory depression, fatigue, and unsteadiness. Sedation and amnesia normally last for about eight hours. Consult your doctors if you develop any of these side effects.
Withdrawal: Can manifest after taking Ativan for even less than a week. Withdrawal symptoms include headaches, anxiety, insomnia, restlessness, confusion, depersonalization, tension, irritability, sweating, numbness and tingling of extremities, dysphoria, derealization, dizziness, hypersensitivity to light, sound and smell, stomach cramps, agitation, palpitations, tachycardia, myalgia, tremors, panic attacks, hyperthermia, perpetual distortions, delirium, hallucinations, diarrhea, loss of appetite, vomiting, and nausea. Ativan is discharged from the body at approximately 18 – 36 hours.
As with other drugs, patients must be informed of Ativan’s benefits and risks. Assistance is needed for patients taking Ativan to keep them away from accidental falls and injury.
The effectiveness of using Ativan for a long period of time has not been clinically studied. The patient must be monitored occasionally to evaluate its efficacy for each patient.
Any over-the-counter, herbal and prescribed drugs that you take must be reported to your doctor. Ensure to follow the prescription orders of your doctor. Always be reminded that the large portion of your everyday dose must be taken at bedtime. Ativan must not be taken more than what was prescribed for you as it may lead to more serious side effects.
