Friday, November 21, 2008

Brand Name: Ativan
Generic Name: Lorazepam
(lor a' ze pam)

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Why is ativan prescribed?How should ativan be used properly?What are the common uses for ativan?What special precautions should I follow when using ativan?What should I do if I forget a dose of ativan? What side effects can ativan cause?What storage conditions are needed for ativan?What do I do in case of emergency or an ativan overdose?What other information should I know about ativan?

Why is ativan prescribed?

Ativan (Lorazepam) is used to relieve anxiety.

Ativan is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

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How should ativan be used properly?

Lorazepam (Ativan) comes as a tablet and concentrate (liquid) to take by mouth. It usually is taken two or three times a day and may be taken with or without food. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take lorazepam exactly as directed.

Lorazepam concentrate (liquid) comes with a specially marked dropper for measuring the dose. Ask your pharmacist to show you how to use the dropper. Dilute the concentrate in 1 ounce or more of water, juice, or carbonated beverages just before taking it. It also may be mixed with applesauce or pudding just before taking the dose.

Lorazepam can be habit-forming. Do not take a larger dose, take it more often, or for a longer time than your doctor tells you to. Tolerance may develop with long-term or excessive use, making the drug less effective. Do not take lorazepam for more than 4 months or stop taking this medication without talking to your doctor. Stopping the drug suddenly can worsen your condition and cause withdrawal symptoms (anxiousness, sleeplessness, and irritability). Your doctor probably will decrease your dose gradually.

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What are the common uses for ativan?

Lorazepam is also used to treat irritable bowel syndrome, epilepsy, insomnia, and nausea and vomiting from cancer treatment and to control agitation caused by alcohol withdrawal. Talk to your doctor about the possible risks of using this drug for your condition.

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What special precautions should I follow when using ativan?

Before taking lorazepam,

  • tell your doctor and pharmacist if you are allergic to lorazepam, alprazolam (Xanax), chlordiazepoxide (Librium, Librax), clonazepam (Klonopin), clorazepate (Tranxene), diazepam (Valium), estazolam (ProSom), flurazepam (Dalmane), oxazepam (Serax), prazepam (Centrax), temazepam (Restoril), triazolam (Halcion), or any other drugs.
  • tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially antihistamines; digoxin (Lanoxin); levodopa (Larodopa, Sinemet); medications for depression, seizures, pain, Parkinson's disease, asthma, colds, or allergies; muscle relaxants; oral contraceptives; probenecid (Benemid); rifampin (Rifadin); sedatives; sleeping pills; theophylline (Theo-Dur); tranquilizers; valproic acid (Depakene); and vitamins. These medications may add to the drowsiness caused by lorazepam.
  • tell your doctor if you have or have ever had glaucoma; seizures; or lung, heart, or liver disease.
  • tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking lorazepam, call your doctor immediately.
  • if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking lorazepam.
  • you should know that this drug may make you drowsy. Do not drive a car or operate machinery until you know how this drug affects you.
  • remember that alcohol can add to the drowsiness caused by this drug.
  • tell your doctor if you use tobacco products. Cigarette smoking may decrease the effectiveness of this drug.

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What should I do if I forget a dose of ativan?

You should take the missed dose of ativan just as soon as you remember to take it. Unless,  it is almost time for the next dose, then skip the missed dose and resume your regular dosing schedule. Never take a double dose of your medication to make up for a missed one.

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What side effects can ativan cause?

Side effects from lorazepam are common and include:

  • changes in appetite
  • upset stomach
  • drowsiness
  • weakness
  • dry mouth
  • dizziness
  • tiredness
  • diarrhea

Tell your doctor if any of these symptoms are severe or do not go away:

  • changes in sex drive or ability
  • restlessness or excitement
  • difficulty urinating
  • frequent urination
  • blurred vision
  • constipation

If you experience any of the following symptoms, call your doctor immediately:

  • persistent, fine tremor or inability to sit still
  • difficulty breathing or swallowing
  • yellowing of the skin or eyes
  • irregular heartbeat
  • severe skin rash
  • shuffling walk
  • fever

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What storage conditions are needed for ativan?

Always keep ativan in the same container it came in. Make sure it is tightly closed, and out of reach of children. Store this medication at room temperature and away from excess heat and moisture; do not store this medication in the bathroom. 

Always be sure to dispose of any medication that is no longer needed or outdated. Be sure to ask your pharmacist about the proper disposal of your medication.

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What do I do in case of emergency or an ativan overdose?

In case of a ativan overdose, be sure to call your local poison control center at 1-800-222-1222. If the victim is not breathing or has collapsed, dial 911 for local emergency services.

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What other information should I know about ativan?

Keep all appointments with your doctor and the laboratory. Your doctor will order certain lab tests to check your response to lorazepam.

Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.

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This document is provided for information only. It is not a substitute for consultation with a physician, either to diagnose symptoms or prescribe treatment. Any dosages mentioned are general guidelines only; please follow the directions of your doctor or pharmacist exactly when taking medication. We have made every effort to ensure that this information is accurate, but only your doctor can say if a medication, or drug combination, is safe for you. Information intended for US residents only.

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