How does lorazepam work?
Lorazepam enhances the effects of gamma-aminobutyric acid (GABA), a neurotransmitter that calms the nervous system. This reduces anxiety, promotes sleep, and relaxes muscles.
What is lorazepam used to treat?
Lorazepam is commonly prescribed for:
- Anxiety disorders
- Panic attacks
- Insomnia (short-term treatment)
- Seizures or epilepsy (including status epilepticus in emergencies)
- Sedation before medical procedures
Who can take lorazepam?
Lorazepam is suitable for most adults who need short-term treatment for anxiety, sleep problems, or seizures.
Who might not be able to take lorazepam?
Lorazepam may not be suitable if you:
- Have severe breathing problems or sleep apnoea
- Have a history of substance misuse or addiction
- Have liver or kidney disease
- Have myasthenia gravis (a muscle-weakening condition)
- Are taking other sedatives or alcohol regularly
Can I take lorazepam if I’m pregnant or breastfeeding?
Lorazepam isn’t usually recommended during pregnancy or while breastfeeding, as it may affect the baby. If you are pregnant or planning to conceive, speak to your doctor about alternative treatments.
What if I miss a dose?
If you forget a dose, take it as soon as you remember. If it’s close to your next dose, skip the missed one—do not take two doses at once.
How effective is lorazepam?
Lorazepam is highly effective at reducing anxiety and promoting sleep, usually working within 30 to 60 minutes.
What should I do if I take too much?
Taking too much lorazepam can be dangerous and may cause:
- Severe drowsiness or confusion
- Slow or shallow breathing
- Loss of coordination
- Loss of consciousness
If you think you’ve taken too much, seek emergency medical help immediately.
What dose of lorazepam is usually taken?
- For anxiety: 1mg to 4mg daily, divided into doses
- For insomnia: 1mg to 2mg before bedtime
- For seizures: Dose determined by a doctor, often given as an injection in emergencies
Your doctor will determine the best dose based on your condition.
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What are the side effects of lorazepam?
Common side effects include:
- Drowsiness or dizziness
- Fatigue or muscle weakness
- Memory problems or confusion
- Dry mouth
- Nausea
Serious side effects, such as breathing difficulties, severe drowsiness, or dependence, require urgent medical attention.
How should I take lorazepam?
Lorazepam is taken as tablets, liquid, or injections, usually once or twice daily.
When should lorazepam be taken?
Lorazepam is usually taken in the evening if used for sleep or as prescribed for anxiety or seizures.
What are the brand names for lorazepam?
Lorazepam is available as a generic medicine, but some branded versions include:
- Ativan
- Lorazepam Intensol
Final thoughts
Lorazepam is an effective treatment for anxiety, insomnia, and seizures, but it should only be used short-term due to the risk of dependence. If you experience side effects or need to stop taking it, speak to your doctor or pharmacist, as stopping suddenly can cause withdrawal symptoms.