However, elderly patients are more likely to have unwanted effects (eg, severe drowsiness or unsteadiness) and age-related kidney or liver problems, which may require caution and an adjustment in the dose.
Long – term side effects Ativan is FDA-approved for short- term use , up to four months. Long – term use of Ativan should be avoided because it can cause serious side effects. These include: Dependence.
Are There Any Risks For Taking Lorazepam For Long Periods Of Time? Lorazepam is a safe and effective medication when used as directed. Benzodiazepines may produce emotional and/or physical dependence (addiction) even when used as recommended. Physical dependence may develop after 2 or more weeks of daily use.
Lorazepam should be used with caution in patients with compromised respiratory function (e.g. COPD, sleep apnea syndrome). Elderly or debilitated patients may be more susceptible to the sedative effects of lorazepam .
In some populations, such as the children and the elderly , Ativan can cause a “paradoxical effect.” Instead of having a calming effect, it may cause agitation and confusion. Elderly patients taking Ativan are also at a higher risk of falls.
Buspirone is an anti-anxiety drug that has been shown to be effective for older adults. Benzodiazepines , another anti-anxiety drug, are effective but should be prescribed carefully to older adults because of risk of memory impairment, unsteadiness, and falls.
Ativan is available as 0.5 mg , 1 mg , and 2 mg tablets, as is Ativan’s generic, lorazepam . For anxiety disorder, the typical dosage for lorazepam is 0.5 mg to 2 mg two to three times per day.
Last year, a widely publicized study again found that benzodiazepines– Ativan , Valium, and Xanax–which are often used to treat anxiety and sleep problems, were linked to increased risk for Alzheimer’s disease in elderly people.
Long-term abuse can have serious effects on physical and mental health, including the following: Increased drowsiness or sedation . Physical and mental fatigue . Increased anxiety .
Common side effects of Ativan include: Drowsiness . Dizziness . Tiredness . Muscle weakness . Headache . Blurred vision. Sleep problems (insomnia) Loss of balance or coordination.
Ativan has tranquilizing and anxiety-relieving effects. This makes you feel calm, serene and relaxed. It can also cause drowsiness or sleepiness as side effects.
How long you take lorazepam for depends on why you’re taking it: anxiety and sleep problems – it’s usually only recommended for up to 4 weeks . Your dose may be reduced gradually to prevent withdrawal symptoms .
Probably the most serious: falls and fractures, already a common danger for older people , because benzos can cause dizziness. They’re also associated with auto accidents, given that they cause drowsiness and fatigue. Moreover, “they have a negative effect on memory and other cognitive function,” says Dr.
Short-half-life benzodiazepines, such as oxazepam , alprazolam , and triazolam , are usually recommended for older adults, because these agents do not accumulate in the blood, are rapidly cleared from circulation, and offer greater dosage flexibility.
Also, the elderly may not experience relief of anxiety with lorazepam . It may have the opposite effect on the elderly , causing symptoms including mental/mood changes, sleeping problems, increase in sexual interest, or hallucinations .