1 What is Ativan?

Brand: Ativan, Lorazepam Intensol

Generic: Lorazepam

Lorazepam is a benzodiazepine that is used to relieve anxiety.

Benzodiazepines are medications that slow down the nervous system.

This product is available in tablet and solution.

2 What to Know Before Using

Tell your doctor if you are allergic to medications, foods, dyes, preservatives, or animals.

Tell your doctor if you are a nursing mother, planning to get pregnant, or expecting a baby.

Safety and efficacy of this medication have not been established in children.

Although this medicine has not demonstrated geriatric-specific problems, severe drowsiness or unsteadiness is more likely to occur in the elderly.

A lower dose may be required for elderly to reduce undesirable effects.

Pregnancy Category D – Lorazepam is not recommended while you are pregnant as it can cause risk to the unborn baby.

Taking this medication with Flumazenil is not recommended. Your doctor may choose not to treat you with this medication or change some of the other medicines you take.

Taking this medicine with any of the following medications is usually not recommended, but with the exception in some cases.

Your doctor may change the dose or the frequency of one or both of your medicines if both medicines are prescribed together.

  • Alfentanil
  • Amobarbital
  • Anileridine
  • Bromazepam
  • Buprenorphine
  • Butabarbital
  • Butalbital
  • Carbinoxamine
  • Carisoprodol
  • Chloral Hydrate
  • Chlorzoxazone
  • Codeine
  • Dantrolene
  • Ethchlorvynol
  • Fentanyl
  • Flibanserin
  • Fospropofol
  • Hydrocodone
  • Hydromorphone
  • Levorphanol
  • Meclizine
  • Meperidine
  • Mephenesin
  • Mephobarbital
  • Meprobamate
  • Metaxalone
  • Methadone
  • Methocarbamol
  • Methohexital
  • Mirtazapine
  • Morphine
  • Morphine Sulfate Liposome
  • Orlistat
  • Oxycodone
  • Oxymorphone
  • Pentobarbital
  • Phenobarbital
  • Primidone
  • Propofol
  • Propoxyphene
  • Remifentanil
  • Secobarbital
  • Sodium Oxybate
  • Sufentanil
  • Suvorexant
  • Tapentadol
  • Thiopental
  • Zolpidem

Taking this medicine with any of the following medications may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you.

Your doctor may change the dose or how often you use one or both of the medicines if both medicines are prescribed together.

  • Posaconazole
  • Probenecid
  • Pyrimethamine
  • St. John's Wort
  • Theophylline
  • Valproic Acid

Some medical conditions can interact with this medication.

Tell your doctor if you have any of the following conditions:

  • Glaucoma
  • Lung disease
  • Seizure
  • Kidney disease
  • Lung disease

3 Proper Usage

Use lorazepam only as directed by your doctor. Avoid excessive intake and extended the use of medication.

Measure the oral solution using a medicine dropper or special dose-measuring spoon or cup. Mix each dose with water, juice, soda, applesauce and puddings.

Recommended dosage for anxiety (dosage may be adjusted by your doctor):

  • Adults or teenagers — 2 to 6 milligrams in divided doses per day.
  • Older adults — starting dose is 1 to 2 mg in divided doses per day.
  • Children younger than 12 years of age — Use and dose must be determined by your doctor.

If you miss a dose of this medicine, take it as soon as possible. However, if it is near for your next dose, skip the missed dose and start again to your regular dosing schedule.

Do not take a double dose to make up for a missed one.

Store the medication in a cool and dry place. Keep it away from heat, moisture, and direct light. Keep out of reach of children. Do not keep expired medications.

4 Precautions to Take

Your doctor will be checking you regularly to monitor the effectiveness of the medication. Blood tests may be ordered for undesirable effects.

Contraceptives must be used to keep you or your partner from getting pregnant. Tell your doctor immediately if you think you have become pregnant while using this medication.

This medicine may cause dizziness or drowsiness. Avoid driving, operating machineries, or any other unsafe activities when you take this medication.

Do not stop using this medication unless directed to do so by your healthcare professionals avoid unwanted effects.

Lorazepam will add to the effects of alcohol and other CNS depressants. Check with your doctor before taking CNS depressants while you are using this medicine.

5 Potential Side Effects

If any of the following side effects occur, check with your doctor right away:

  • Drowsiness
  • Relaxed and Calm
  • Sleepiness
  • Abdominal or Stomach pain
  • Aggressive, Angry
  • Agitation
  • Anxiety
  • Attack, Assault, or Force
  • Black, Tarry stools
  • Bleeding gums
  • Blood in urine or stools
  • Bluish lips or skin
  • Blurred vision
  • Change in consciousness
  • Chills
  • Coma
  • Confusion
  • Confusion about identity, place, and time
  • Convulsions
  • A cough or hoarseness
  • Dark urine
  • Decreased urine output
  • Difficulty in breathing and/or swallowing
  • Difficulty in speaking
  • Discouragement
  • Dizziness, Faintness, or Lightheadedness when getting up from a lying or sitting position suddenly
  • Drooling
  • Dry mouth
  • Excitation
  • False or Unusual sense of well-being
  • Fast or Irregular heartbeat
  • Fear or Nervousness
  • Feeling sad or empty
  • Fever with or without chills
  • General feeling of tiredness or weakness
  • Headache
  • Hives
  • Hyperventilation
  • Increased thirst
  • Irregular, Fast or Slow, or Shallow breathing
  • Irritability
  • Itching
  • Loss of appetite
  • Loss of balance control
  • Loss of consciousness
  • Loss of interest or pleasure
  • Loss of memory
  • Lower back or side pain
  • Muscle pain or cramps
  • Muscle trembling, jerking, or stiffness
  • Nausea or Vomiting
  • Not breathing
  • Painful or difficult urination
  • Pale or Blue lips, fingernails, or skin
  • Pinpoint red spots on skin
  • Problems with memory
  • Puffiness or Swelling of the eyelids or around the eyes, face, lips, or tongue
  • Rash
  • Reddening of the skin, especially around ears
  • Restlessness
  • Seeing, Hearing, or Feeling things that are not there
  • Seizures
  • Shaking
  • Shortness of breath
  • Shuffling walk
  • Sleeplessness
  • Sore throat
  • Sores, Ulcers, or White spots on lips or in mouth
  • Stiffness of limbs
  • Sweating
  • Swelling of eyes or inside of nose
  • Swelling of face, ankles, or hands
  • Swollen glands
  • Thoughts or Attempts at killing oneself
  • Tightness in chest
  • Trouble concentrating
  • Trouble sleeping
  • Twisting movements of body
  • Unable to sleep
  • Uncontrolled movements, especially of face, neck, and back
  • Unexplained bleeding or bruising
  • Unpleasant breath odor
  • Unusual bleeding or bruising
  • Unusual tiredness or weakness
  • Vomiting of blood
  • Wheezing
  • Yellow eyes or skin

Call for help immediately if any of the following symptoms of overdose occur:

  • Changes in patterns and rhythms of speech
  • Increased sweating
  • Loss of strength or energy
  • Low blood pressure
  • Nightmares
  • Shakiness and Unsteady walk
  • Slurred speech
  • Trouble in speaking
  • Unsteadiness, Trembling, or Other problems with muscle control or coordination
  • Unusual drowsiness, dullness, tiredness, weakness, or feeling of sluggishness
  • Unusual excitement, nervousness, restlessness, or irritability
  • Unusual paleness unusual weak feeling

Less serious side effects:

  • Being forgetful
  • Clumsiness
  • Constipation
  • Decreased interest in sexual intercourse
  • Disturbed color perception
  • Dizziness or Lightheadedness
  • Double vision
  • Drowsiness
  • Feeling of constant movement of self or surroundings
  • Hair loss, thinning of hair
  • Halos around lights
  • Hostility
  • Inability to have or keep an erection
  • Increased in sexual ability, desire, drive, or performance
  • Increased interest in sexual intercourse
  • Lack or Loss of self-control
  • Lethargy
  • Loss in sexual ability, desire, drive, or performance
  • Low body temperature
  • Muscle aches
  • Muscle twitching
  • Muscle weakness
  • Night blindness
  • Over bright appearance of lights
  • Rapid weight gain
  • Sensation of spinning
  • Shakiness in legs, arms, hands, or feet
  • Shivering
  • Sleepiness
  • Stupor
  • Trembling or Shaking of hands or feet
  • Tunnel vision
  • Weak or Feeble pulse

Not all side effects are listed above. If you notice any other effects, check with your healthcare professional.