ATIVAN LORAZEPAM 2MG

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Lorazepam, sold under the brand name Ativan among others, is a benzodiazepine medication. It is used to treat anxiety disorderstrouble sleeping, active seizures including status epilepticusalcohol withdrawal, and chemotherapy induced nausea and vomiting, as well as for surgery to interfere with memory formation and to sedate those who are being mechanically ventilated. While it can be used for severe agitationmidazolam is usually preferred. It is also used, along with other treatments, for acute coronary syndrome due to cocaine use. It can be given by mouth or as an injection into a muscle or vein. When given by injection onset of effects is between one and thirty minutes and effects last for up to a day.

Common side effects include weakness, sleepiness, low blood pressure, and a decreased effort to breathe. When given intravenously the person should be closely monitored. Among those who are depressed there may be an increased risk of suicide. With long-term use larger doses may be required for the same effect. Physical dependence and psychological dependence may also occur. If stopped suddenly after long-term use, benzodiazepine withdrawal syndrome may occur.

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WHAT IS ATIVAN LORAZEPAM 2MG?

Ativan Lorazepam 2mg belongs to a group of drugs called benzodiazepines. It affects chemicals in the brain that may be unbalanced in people with anxiety.

Lorazepam, sold under the brand name Ativan among others, is a benzodiazepine medication. It is used to treat anxiety disorderstrouble sleeping, active seizures including status epilepticusalcohol withdrawal, and chemotherapy induced nausea and vomiting, as well as for surgery to interfere with memory formation and to sedate those who are being mechanically ventilated.

Lorazepam may also be used for purposes not listed in this medication guide.

IMPORTANT INFORMATION

You should not use Ativan Lorazepam 2mg if you have narrow-angle glaucoma or myasthenia gravis, or if you are allergic to Valium or a similar medicine.

Do not use lorazepam if you are pregnant. This medicine can cause birth defects or life-threatening withdrawal symptoms in a newborn.

Lorazepam may be habit-forming and should be used only by the person it was prescribed for. Misuse of habit-forming medicine can cause addiction, overdose, or death.Lorazepam should never be shared with another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it.

Do not drink alcohol while taking Ativan Lorazepam 2mg. This medication can increase the effects of alcohol.

BEFORE TAKING THIS MEDICINE

It is dangerous to purchase lorazepam on the Internet or from vendors outside the United States. Medications distributed from Internet sales may contain dangerous ingredients, or may not be distributed by a licensed pharmacy. The sale and distribution of Ativan Lorazepam 2mg outside the U.S. does not comply with the regulations of the Food and Drug Administration (FDA) for the safe use of this medication.

You should not take lorazepam if you have:

  • narrow-angle glaucoma;
  • myasthenia gravis; or
  • a history of allergic reaction to any benzodiazepine, such as diazepam (Valium), chlordiazepoxide, clonazepam, flurazepam, and others.

To make sure lorazepam is safe for you, tell your doctor if you have:

  • seizures or epilepsy;
  • kidney or liver disease (especially alcoholic liver disease);
  • asthma or other breathing disorder;
  • open-angle glaucoma;
  • a history of depression or suicidal thoughts or behavior;
  • a history of drug or alcohol addiction; or
  • if you use a narcotic (opioid) medication.

Do not use lorazepam if you are pregnant. This medicine can cause birth defects. Your baby could also become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks. Tell your doctor if you are pregnant or plan to become pregnant. Use effective birth control to prevent pregnancy while you are taking Ativan Lorazepam 2mg.

Lorazepam can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are using this medicine.

Lorazepam is not approved for use by anyone younger than 18 years old.

The sedative effects of lorazepam may last longer in older adults. Accidental falls are common in elderly patients who take benzodiazepines. Use caution to avoid falling or accidental injury while you are taking Ativan Lorazepam 2mg.

HOW SHOULD I TAKE LORAZEPAM?

Take lorazepam exactly as it was prescribed for you. Follow all directions on your prescription label. Never use this medicine in larger amounts, or for longer than prescribed. Tell your doctor if the medicine seems to stop working as well in treating your symptoms.

Lorazepam may be habit-forming. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it.

Misuse of habit-forming medicine can cause addiction, overdose, or death. Selling or giving away this medicine is against the law.

Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.

Lorazepam should be used for only a short time. Do not take this medicine for longer than your doctor recommends.

Do not stop using Ativan Lorazepam 2mg suddenly or you could have unpleasant withdrawal symptoms, including a seizure (convulsions). Ask your doctor how to safely stop using this medicine.

Call your doctor if this medicine seems to stop working as well in treating your anxiety symptoms.

Keep track of the amount of medicine used from each new bottle. Ativan Lorazepam 2mg is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.

Store lorazepam tablets at room temperature away from moisture, heat, and light. Store the liquid form of this medicine in the refrigerator.

WHAT HAPPENS IF I MISS A DOSE?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

WHAT HAPPENS IF I OVERDOSE?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of lorazepam can be fatal. Overdose symptoms may include extreme drowsiness, confusion, muscle weakness, loss of balance or coordination, feeling light-headed, and fainting.

WHAT SHOULD I AVOID WHILE TAKING LORAZEPAM?

Avoid drinking alcohol. Dangerous side effects could occur.

See also: Lorazepam and alcohol (in more detail)

Lorazepam may impair your thinking or reactions. Avoid driving or operating machinery until you know how this medicine will affect you. Dizziness or severe drowsiness can cause falls or other accidents.

LORAZEPAM SIDE EFFECTS

Get emergency medical help if you have signs of an allergic reaction to Ativan Lorazepam 2mg: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

  • severe drowsiness;
  • thoughts of suicide or hurting yourself;
  • unusual changes in mood or behavior;
  • confusion, aggression, hallucinations;
  • worsened sleep problems;
  • sudden restless feeling or excitement;
  • muscle weakness, drooping eyelids, trouble swallowing;
  • vision changes; or
  • upper stomach pain, dark urine, jaundice (yellowing of the skin or eyes).

Common lorazepam side effects may include:

  • dizziness, drowsiness;
  • weakness;
  • slurred speech, lack of balance or coordination;
  • memory problems; or
  • feeling unsteady.

LORAZEPAM DOSING INFORMATION

Usual Adult Dose of Lorazepam for Anxiety:

Tablets:
Initial dose: 2 to 3 mg orally per day administered 2 to 3 times per day
Maintenance dose: 1 to 2 mg orally 2 to 3 times a day
Parenteral:
IV: 2 mg total, or 0.044 mg/kg, whichever is smaller

Comments:
-The daily dosage may vary from 1 to 10 mg per day.
-The dosage should be increased gradually when needed to help avoid adverse effects.
-When higher dosage is indicated, the evening dose should be increased before the daytime doses.

Use: Management of anxiety disorders or for the short-term relief of the symptoms of anxiety or anxiety associated with depressive symptoms.

Usual Adult Dose for Light Anesthesia:

IM: 0.05 mg/kg up to a maximum of 4 mg
IV: 2 mg total, or 0.044 mg/kg, whichever is smaller

Comments:
-Doses of other injectable central-nervous-system depressant drugs should be reduced.
-For optimum effect, intramuscular drug should be administered at least 2 hours before the anticipated operative procedure.
-Narcotic analgesics should be administered at their usual preoperative time.
-IV: This dose should not ordinarily be exceeded in patients over 50 years of age.
-IV: Larger doses as high as 0.05 mg/kg up to a total of 4 mg may be administered.
-For optimum effect, intravenous drug should be administered 15 to 20 minutes before the anticipated operative procedure.

Use:
-Preanesthetic medication for adult patients, producing sedation (sleepiness or drowsiness), relief of anxiety, and a decreased ability to recall events related to the day of surgery

Usual Adult Dose for Status Epilepticus:

0.1 mg/kg IV up to 4 mg per dose; may repeat in 5 to 10 minutes
Maximum dose: 8 mg

Comments:
-Vital signs should be monitored, an unobstructed airway should be maintained, and artificial ventilation equipment should be available.
-When an intravenous port is not available, the IM route may prove useful.

Use: Treatment of status epilepticus

Usual Adult Dose for Insomnia:

2 to 4 mg orally administered at bedtime

Comments:
-The dosage should be increased gradually when neede to help avoid adverse effects.

Use: Management of insomnia

Usual Geriatric Dose for Anxiety:

Elderly or debilitated patients:
1 to 2 mg orally per day in divided doses

Comments:
-The dosage should be increased gradually when needed to help avoid advers effects.

Use: Management of anxiety disorders or for the short-term relief of the symptoms of anxiety or anxiety associated with depressive symptoms

Usual Pediatric Dose for Anxiety:

12 years or older:
Initial dose: 2 to 3 mg orally per day administered 2 to 3 times per day
Maintenance dose: 1 to 2 mg orally 2 to 3 times a day

Comments:
-The daily dosage may vary from 1 to 10 mg per day.
-The dosage should be increased gradually when needed to help avoid adverse-effect.
-When higher dosage is indicated, the evening dose should be increased before the daytime doses.

Use: Management of anxiety disorders or for the short-term relief of the symptoms of anxiety or anxiety associated with depressive symptom

Usual Pediatric Dose for Insomnia:

12 years or older:
2 to 4 mg orally administered at bedtime

Comments:
-For elderly or debilitated patients, an initial dosage of 1 to 2 mg/day in divided doses is recommended.
-The dosage should be increased gradually when needed-to help avoid adverse effect.

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