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*An off-label use of a medication is a use that is not FDA-approved. Prescribers can decide to use a medication off-label because, in their professional judgment, they believe it may offer a benefit to someone.
Common Ativan side effects include clumsiness, dizziness, and feeling drowsy. Life-threatening breathing problems, sedation, coma, and other serious side effects require immediate medical attention.
It’s common for people to want to stop their medication when they start feeling side effects. If your Ativan side effects don’t go away or worsen, talk to your provider. They can help you understand your treatment options, which may include a change in dosage, timing of dosage, or switching your medication.
If you are considering Ativan or want to discuss your current medication treatment with a provider, online psychiatry platforms can be a good place to start. Talkiatry is one of the few online psychiatry platforms that can and will prescribe benzodiazepines, like Ativan, which are controlled substances. They offer assessments and prescription consultation, and can answer any questions you have about medication side effects.
Boxed Warning: Lorazepam (Ativan) – Risk of medication misuse or abuse
Lorazepam, the active ingredient in Ativan, has black box warnings. These are the most serious types of warnings from the Food and Drug Administration (FDA).
– Taking lorazepam, a benzodiazepine, with other opioid medications increases your risk for serious side effects that include severe sedation, slower breathing, coma, and death. Lorazepam should not be taken with an opioid unless there are no other options.
– Taking lorazepam can lead to misuse (abuse) and addiction of the medication, which can increase your risk of overdose and death.
– Using lorazepam can lead to physical dependence and this risk increases the longer you take lorazepam. If you suddenly stop taking lorazepam, you can expereince withdrawal. Withdrawal can be life threatening. Lorazepam should only be discontinued by gradual tapering of the dose.
Ativan is a controlled substance, which means that it’s more likely to be misused or cause dependence. There are federal and state laws that limit the amount of medication that can be prescribed or dispensed within a certain period of time.
Personalized Treatment for Anxiety
Talkiatry can match you with a real psychiatrist who accepts insurance. Talkiatry psychiatrists can evaluate you for anxiety and implement a personalized treatment plan, including medication. If appropriate for you and allowed by your state, this can include controlled substances. Get started with a short online assessment.
Key Takeaways
Common Ativan side effects include drowsiness, dizziness, tiredness. Serious side effects may also develop. These require medical care and may be life-threatening.
If Ativan side effects last longer than a few weeks, your provider can help you understand what to do next. They may recommend changing your dosage, the timing of dosage, or your medication.
Ativan side effects can be managed with self care practices, medication adjustments, and therapy.
If you are considering Ativan or an alternative, an evaluation from a medical provider is a good first step. Many online psychiatry platforms offer online assessments and medication management, such as Talkiatry, or Brightside Health.
Common Ativan Side Effects
Common side effects of Ativan can affect alertness and coordination. Most common side effects of Ativan are dose-dependent. This means that a higher dose of Ativan can cause more intense side effects.
It is important to avoid driving or operating heavy machinery when taking Ativan.1 It is recommended to take your first dose of Ativan at home to understand how Ativan affects you before using it regularly.
Common side effects of Ativan may include:*1
- Sedation (drowsiness)
- Dizziness
- Weakness
- Unsteadiness
If any of these side effects persist, worsen, or affect your daily life, call your provider
*All medications, including Ativan, can cause side effects that can be mild or serious. This is not a comprehensive list of all possible side effects. You should talk with your doctor about any questions you have and understand the potential side effects and benefits of any medication.
Serious Ativan Side Effects
Some side effects of Ativan may worsen or persist. Always discuss your full health history with your doctor before taking Ativan. This will help identify potential risks of serious side effects before they happen. If you experience any of the serious side effects listed below, seek immediate medical care.
Serious side effects of Ativan that require immediate medical care include:*1
- Breathing problems
- Confusion
- Memory impairment
- Suicidal thoughts or behaviors
- Blurred vision
- Seizures or tremor
- Coma
- Hallucinations
*All medications, including Ativan, can cause side effects which can be mild or serious. This is not a comprehensive list of all possible side effects. You should talk with your doctor about any questions you have and to understand the potential side effects and benefits of any medication.
Ativan Addiction
Taking benzodiazepines like Ativan can lead to addiction.1 Addiction means a person has trouble controlling their use of a substance or medication and may continue to take it even when it negatively affects their life. Anyone who takes Ativan can potentially become addicted, but people who misuse it have a much greater chance.
Because of the risk of addiction, Ativan is not right for everyone. Anyone with a past or current history of substance use should avoid Ativan.1 If you do take Ativan, it’s important to stay away from alcohol and any other addictive substances or medications.
Ativan Withdrawal
Ativan withdrawal can occur when a person suddenly stops taking Ativan or reduces their dose after using it for an extended period.1 Withdrawal is a serious risk that comes with continued use due to a physical dependence on the medication. Dependence occurs when a person’s body becomes used to the medication. When the medication is no longer available, the body goes into withdrawal.
The risk of benzodiazepine withdrawal increases for those who take higher doses and have had a longer duration of treatment with benzodiazepines.1 Seek immediate medical care if any of the following withdrawal symptoms appear after stopping Ativan.
Symptoms of Ativan withdrawal include:1
- Anxiety
- Hypertension
- Panic attacks
- Mania
- Seizures
- Suicidality
Follow your healthcare provider’s recommendations and talk with them about stopping your medication. If you experience any withdrawal symptoms, seek medical attention right away. Ativan withdrawal can be dangerous and you should be monitored by a medical professional.
Long-term Ativan Side Effects
Ativan is most often used for short-term relief of anxiety. When used consistently for long periods of time, additional risks arise.
It is important to understand how your doctor wants you to use Ativan. If Ativan is prescribed for more than a few weeks, schedule regular check-ups with your provider to monitor your health.1
Long-term side effects of Ativan include:1
- Risk of dependence
- Worsening of obstructive pulmonary disease
- Preexisting depression may emerge or worsen
- Changes in blood cell counts
- Changes in liver function
Not everyone will experience the same side effects when taking Ativan. And because of individual differences, they can vary for everyone. Taking the time to talk thoroughly with your doctor is important. Have regular check-ins to address side effects as they happen so your provider can make adjustments to your medication as needed.
Personalized Treatment for Anxiety
Talkiatry can match you with a real psychiatrist who accepts insurance. Talkiatry psychiatrists can evaluate you for anxiety and implement a personalized treatment plan, including medication. If appropriate for you and allowed by your state, this can include controlled substances. Get started with a short online assessment.
What Are the Risks & Warnings for Ativan?
Potential Misuse & Addiction
Taking Ativan can lead to misuse (abuse) and addiction to the medication, which can increase your risk of overdose and death. Patients with a substance use disorder or history of substance abuse should use Ativan cautiously or possibly avoid it.
Suicidal Thoughts & Behaviors
Ativan can increase the risk of suicidal thoughts and behaviors. Patients with a history of suicidal thoughts or who are at risk for suicide should consult with their providers on the risks and benefits of Ativan and how to use it safely.
History of Depression
There is an increased risk of worsening depression when benzodiazepines, such as Xanax, are used in patients with depression. Xanax may also cause mania or hypomania in patients with depression.
Severe Sedation
Taking Ativan, a benzodiazepine, with opioid medications increases your risk for serious side effects including severe sedation, slowed breathing, coma, and death. Ativan should not be taken with an opioid unless there are no other options.
Do not drive, operate heavy machinery, or do other dangerous activities until you know how Ativan affects you.
Physical Dependence & Withdrawal Symptoms
Using Ativan can lead to physical dependence and this risk increases the longer you take the medication. If you suddenly stop taking Ativan, you can expereince withdrawal. Withdrawal can be life threatening. Ativan should only be discontinued by gradual tapering of the dose under the guidance of a medical provider.
Breathing Problems
Due to the risk of breathing problems, people with impaired respiratory function may need to avoid Ativan entirely.
Risk of Tartrazine Allergy
Some Ativan formulations may contain tartrazine (FD&C Yellow No. 5), which may cause allergic-type reactions.
Pregnancy
Ativan may be used during pregnancy, but it may also pose a risk to an unborn fetus, particularly if taken late in pregnancy. Talk with your healthcare provider if you are pregnant or plan to become pregnant before taking Ativan.
Breastfeeding
There may be risks with taking Ativan while breastfeeding. It is also important to discuss with your provider whether or not you are actively breastfeeding or plan to breastfeed while taking Ativan.
Increased Risk of Falls
Use Ativan with extreme caution in patients who are at risk of falls; benzodiazepines have been associated with falls and traumatic injury.
Allergic Reactions
For some people taking Ativan, an allergic reaction may occur which may be dangerous.
Severe allergic reactions to Ativan can include:
- Breathing problems
- Swelling
- Rash/hives
If you experience wheezing, difficulty breathing, or swelling in the throat, seek immediate medical help.
Drug Interactions
Taking certain medications, herbs, or supplements alongside Ativan can change how Ativan works in your body or increase the risk for serious side effects. Do not start, stop, or change the dosage of any medicines without your provider’s approval.
Substances you should avoid using while taking Ativan include:*
- Central nervous system (CNS) depressants, such as alcohol, other benzodiazepines, and anticonvulsants)
- Opioids, such as morphine, methadone, oxycodone
- Probenecid
- Clozapine
- Valproate
- Herbs, herbal remedies, and over-the-counter treatments
*This is not a comprehensive list of medications that interact with Ativan. Be sure to talk with your doctor or pharmacist about any prescription or over the counter medications you take, as well as supplements, herbs, and teas.
Important Things to Know About Taking Ativan
Before starting Ativan, you should understand how it may affect you. Side effects often show up during the first few days or weeks of starting a new medication. But they can appear at any time while taking your medication.
Your prescriber will discuss how to take Ativan, your dosage, precautions and warnings, and side effects that may occur. They will also discuss what to do if side effects don’t go away on their own and which ones may require medical care.
How Long Does It Take for Ativan to Start Working?
Ativan starts working within 2 hours of taking the dose.1 Some may feel the effects of Ativan in more or less time as everyone’s response to medication is unique.
Can Ativan Make You Feel Worse at First?
Yes, some people starting Ativan may start feeling side effects. These may include feeling sleepy, dizzy, and unsteady.1 Ativan also has a risk of rare but serious side effects. Excessive drowsiness and shallow breathing can occur, especially with certain health conditions or an overdose. If you experience any of these or other serious side effects, get medical help right away.
What Happens If I Miss a Dose?
If you miss a dose of Ativan, skipping that dose and continuing your regular dosing schedule. Never take a double dose to make up for a missed one.1 Taking more Ativan than prescribed can lead to overdose, which can be harmful or even fatal. If you suspect an overdose, get emergency medical care.
Do not abruptly stop Ativan or make a change to your dosage unless you have talked with your provider. Doing so can lead to withdrawal symptoms, which can be life-threatening.
Who Experiences Side Effects More?
Some taking Ativan are more likely to experience side effects than others. While side effects may develop for anyone, those with certain risks should be cautious with Ativan, and some may need to avoid it.
Those Taking Other Medications
Ativan can have harmful interactions with medications and other substances. This may include serious reactions requiring medical care or reduced effectiveness of Ativan, the other substance, or both.
Those taking certain medications or treatments also have a higher risk of side effects, such as:*
- Central nervous system (CNS) depressants, such as alcohol, other benzodiazepines, and anticonvulsants)
- Opioids, such as morphine, methadone, oxycodone
- Medications that affect the liver enzyme CYP3A
- Ritonavir
- Digoxin
- Herbs, herbal remedies, and over-the-counter treatments
*This is not a complete list of possible interactions with Ativan. Consult with your healthcare provider before combining Ativan with any over-the-counter medications, prescription medications, or herbal supplements to ensure safety and effectiveness.
Those With Certain Health Risks
Discuss any health conditions you have with your provider when considering Ativan as a treatment. This information will help them select the most suitable medication for you.
Those with a history of certain health concerns have a higher risk of side effects, such as:1
- Substance misuse or dependence
- Depression
- Suicidal thoughts or behaviors
- Narrow-angle glaucoma
- Pregnancy or breastfeeding
- Prior allergic reactions to Ativan or its components
Here are other groups of people who need to consider Ativan with caution:
Older Adults
Older adults may be especially sensitive to side effects while taking Ativan.1 This is because it takes them longer to metabolize Atitvan (break down in the body). This can cause higher concentrations of it in the blood.
Older adults using Ativan are at a much higher risk of experiencing sedation side effects. Excessive sedation can put them at increased risk of falls. Caution should always be used when older adults take any benzodiazepine.
Pregnant & Breastfeeding Parents
Ativan can be transferred to a baby through the placenta and breastmilk. Discuss the risks of using Ativan while pregnant or nursing. Ativan use can cause withdrawal symptoms in newborns, or sedation side effects in nursing babies.1
Personalized Treatment for Anxiety
Talkiatry can match you with a real psychiatrist who accepts insurance. Talkiatry psychiatrists can evaluate you for anxiety and implement a personalized treatment plan, including medication. If appropriate for you and allowed by your state, this can include controlled substances. Get started with a short online assessment.
How to Cope With Common Ativan Side Effects
Some side effects of Ativan, such as drowsiness and nausea, can be managed through lifestyle changes or timing of your dose. Talk to your medical provider if you have difficulty managing these symptoms on your own or if they become severe.
Drowsiness
Drowsiness may occur when taking Ativan. If you experience drowsiness, tell your provider so they can make sure you are taking an appropriate dose. Avoid doing activities that require alertness, such as driving or operating machinery. Your provider may also recommend taking your medication at a certain time of the day or may make an adjustment to your dose.1
Nausea
Ativan can cause nausea for some people. Follow the meal timing instructions for your medication. Also, drink plenty of water and eat smaller, more frequent meals. Talk with your provider first if you want to try teas with peppermint or other herbal remedies meant to soothe digestion. Ativan may interact with over-the-counter treatments and supplements, including tea.
*All medications, including Ativan, can cause side effects which can be mild or serious. This is not a comprehensive list of all possible side effects. You should talk with your doctor about any questions you have and to understand the potential side effects and benefits of any medication.
More Ways to Manage Ativan Side Effects
Here are more ways to cope with and reduce the impact of Ativan side effects.
Practice Good Sleep Habits
Your sleep habits can make a difference when adjusting to your new Ativan prescription. Try to wake up and go to bed at the same time every day. Make sure your sleep environment is dark and comfortable as well.
Also, Ativan can also cause drowsiness and dizziness. Be aware of the precautions for taking Ativan and how it affects your mental alertness and motor skills. Avoid activities such as driving or operating machinery until you know how Ativan may affect you.
Healthy Lifestyle Activities
Healthy lifestyle habits can also provide much-needed support for your body as it begins adjusting to a new medication. Focus on eating well, getting enough sleep, being physically active, and staying connected socially.
Follow Your Daily Routine
Following your normal daily routine can help as you adjust to taking your new Ativan prescription. Keeping a predictable schedule will reduce stress on your body and mind as you get used to the effects of Ativan. Also, be sure you’re following your provider’s instructions for taking your medication, paying close attention to the timing.
Consider Therapy
With psychotherapy, you can develop strategies to manage the impact of side effects. For in-person therapy, your primary care provider or insurance company can provide referrals in your local area. Or, you may get a recommendation from a family member or friend.
To find an online therapist, an online therapist directory is a great starting point. Many online psychiatry platforms, such as Talkiatry and Brightside Health, also offer therapy services.
Should I Stop Taking Ativan If I Start Feeling Side Effects?
Do not stop taking Ativan if you start feeling side effects. Stopping abruptly can lead to serious withdrawal symptoms like seizures, which can be life threatening. If you want to consider stopping Ativan or changing your dosage, talk to your provider first. Do not adjust your dosage on your own. Your provider will tell you how to safely reduce your dose.1
When Should I Call My Doctor About Ativan Side Effects?
If you notice side effects getting worse or persisting, talk to your provider as soon as possible. Side effects often lead people to stop taking a medication, and stopping Ativan without medical guidance can be unsafe. Your provider will discuss your side effects from Ativan, treatment options, and your next steps.
While some side effects can be managed and may go away on their own, some may continue for as long as a person takes the medication. Even when taken correctly, medications can still cause side effects. Ativan carries risk for serious side effects, including excessive drowsiness, slowed breathing, and worsened depression. These can be life-threatening and require immediate medical care.
When Should I Seek an Alternative to Ativan Due to Side Effects?
You may notice some side effects of Ativan when you first start taking it because it is a fast-acting medication. Side effects may go away on their own at first, and others may get worse or persist.
If you’re considering a change in your medication, talk with your provider. They can help you determine which of the many Ativan alternatives may be a good fit for you. All types of anti-anxiety medication can help reduce symptoms. It’s important to understand the potential risks and benefits of each option and which may be best for your symptoms.
Other benzodiazepines, such as Xanax, Klonopin, and Valium, can be used as alternatives to Ativan. However, they all come with a risk of dependence and addiction. Benzodiazepines are typically not the first treatment offered for anxiety symptoms and are only intended for short-term use.
Antidepressants are safe and effective at improving mood and anxiety symptoms. Because depression and anxiety often occur together, antidepressants are often the first treatment considered. These medications are good options for those who want to or must avoid benzodiazepines and have fewer risks.
How to Get a Prescription for Ativan or Alternative Medications
To get a prescription for Ativan or an alternative in person, you’ll begin with an evaluation of your symptoms. Your primary care provider, who may be a physician, nurse practitioner, or PA, can help you get the process started.
Your provider will listen to your concerns, ask about your health history, and help decide whether a medication like Ativan might be right for you. They may also suggest seeing a mental health specialist for a more detailed evaluation. Based on their assessment, they’ll decide if Ativan or another medication should be part of your treatment plan.
To get an online prescription for Ativan or an alternative, an evaluation from a platform that prescribes benzodiazepines is your first step. We have carefully reviewed Talkiatry and determined it is a good place for such an evaluation. This online platform can prescribe controlled substances such as Ativan, though state laws may affect access. Talkiatry can also help manage your prescription over time.
It’s also common for providers to recommend alternatives like antidepressants when treating anxiety. Medications such as Lexapro and Paxil are FDA-approved to treat anxiety and are more easily accessible online. If you are looking for an online provider that can prescribe Ativan alternatives, both Talkiatry and Brightside can offer antidepressants where they may be a good fit.
Personalized Treatment for Anxiety
Talkiatry can match you with a real psychiatrist who accepts insurance. Talkiatry psychiatrists can evaluate you for anxiety and implement a personalized treatment plan, including medication. If appropriate for you and allowed by your state, this can include controlled substances. Get started with a short online assessment.
Questions to Ask Your Provider
Talk with your provider about the possible side effects of Ativan. Ask about which may appear when you first start taking it, which may go away on their own, and when you need to seek medical care for them. They’ll discuss what you can do if side effects become difficult to manage or don’t go away.
Also, many online psychiatry services make it simple to access mental health care for anxiety. You’ll get a mental health evaluation, diagnosis, and personalized treatment plan. Some platforms also allow you to change providers, if needed.
Questions to ask your care team about Ativan side effects may include:
- How often should I come for checkups for my Ativan prescription?
- What does it mean that Ativan is a controlled substance?
- What common side effects will I likely experience when I start my Ativan prescription?
- How long will Ativan’s side effects last?
- Should I be concerned about addiction and withdrawal symptoms of Ativan?
- Am I at risk for more severe side effects if I am already taking medication for anxiety, depression, or other mental health conditions?
- When should I reach out to you if I am experiencing side effects?
- What should I do if Ativan does not work for me?
- What will happen if I suddenly stop my medication?
- What is the best dosage to ensure fewer side effects?
- Can the side effects of Ativan interfere with my daily activities, such as work, school, or driving?
Frequently Asked Questions
What Is Ativan & What Is It Used to Treat?
How Does Ativan Work?
Ativan works by affecting the brain chemical GABA. It will tell your brain to release GABA which makes your nervous system less active. This allows your body to relax, decreasing anxiety and increasing drowsiness.1
How Does Ativan Make You Feel?
When used as prescribed, Ativan can help a person feel more calm and reduce symptoms of anxiety. It can also cause side effects, such as drowsiness and feeling unsteady. Ativan is a fast-acting medication. The effects can be felt within the first hour of taking them for most people. For some, side effects may begin shortly after taking the medication.1 Extreme drowsiness and breathing problems are serious side effects and a medical emergency. Get immediate medical care if you experience these.
How Long Do Ativan Side Effects Last?
Side effects from Ativan usually only last for the time that Ativan is active in your body, or about 8 hours. Over time as you become more used to the medication you may see a reduction in the severity of short-term side effects. However, with long-term use, other side effects, like memory loss, can become worse.
What Are the Long-term Side Effects of Ativan?
Ativan is most often used for short-term relief of anxiety. Using Ativan consistently for long periods of time increases other risks. These can include physical dependence, worsening of depression, and changes in liver function.
Do Ativan Side Effects Vary Based on the Dosage?
The side effects of Ativan are generally dose-dependent and increase as the dose of medication taken increases. It is also important to remember that side effects can increase if other CNS depressant doses increase as well. If your provider decides to increase your dose of Ativan, you should proceed with caution and be aware of the increased risk of side effects.1
Do Older Adults Have a Higher Risk of Side Effects From Ativan?
Yes, older adults are more sensitive to side effects, especially sedation, which can put them at increased risk of falls. Caution should always be used when older adults take any benzodiazepine. Lower doses can reduce this risk. 1
Should I Stop Taking Ativan If I Experience Side Effects?
No, do not stop taking Ativan unless your provider tells you to do so. Stopping Ativan abruptly may cause withdrawal symptoms that can be life threatening. These include seizures, suicidal thoughts and behaviors, and sudden and severe mental or nervous system changes.1
ChoosingTherapy.com strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.
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Ativan – lorazepam tablet. (January 13, 2023). DailyMed.nlm.nih.gov. Retrieved from
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm
We regularly update the articles on ChoosingTherapy.com to ensure we continue to reflect scientific consensus on the topics we cover, to incorporate new research into our articles, and to better answer our audience’s questions. When our content undergoes a significant revision, we summarize the changes that were made and the date on which they occurred. We also record the authors and medical reviewers who contributed to previous versions of the article. Read more about our editorial policies here.
Author: No Change
Reviewer: No Change
Primary updates: Added “Key Takeaways” feature. Edited for clarity. Condensed “What is Ativan” and moved to FAQs. Revised sections covering common, serious, and long-term side effects. Revised and expanded “Who Experiences Side Effects More?” section. Revised and moved content from “Dangerous Ativan Side Effects” to new “What Are the Warnings & Risks of Ativan?” feature. Revised “Other Warnings & Precautions For Taking Ativan” as new Warnings feature. Added new sections “Important Things to Know About Taking Ativan”,”How to Cope With Common Ativan Side Effects”, “More Ways to Manage Ativan Side Effects”,“When Should I Call My Doctor About Ativan Side Effects?”, “When Should I Seek an Alternative to Ativan Due to Side Effects?”, “How to Get a Prescription for Ativan or Alternative Medications” and all included subsections. Revised and moved “Ativan Withdrawal” to “Serious Side Effects”. Revised and moved FAQ section to the new Warnings feature. Retitled “Questions to Ask Your Health Team” to “Questions to Ask Your Provider”. Replaced “Final Thoughts” with “Prescriber’s Tips” feature. Removed “For Further Reading”
Author: Zachary Reale, PharmD
Medical Reviewer: Heidi Moawad, MD
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Best Online Psychiatry Services
Online psychiatry, sometimes called telepsychiatry, platforms offer medication management by phone, video, or secure messaging for a variety of mental health conditions. In some cases, online psychiatry may be more affordable than seeing an in-person provider. Mental health treatment has expanded to include many online psychiatry and therapy services. With so many choices, it can feel overwhelming to find the one that is right for you.
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