Skip to main content
Medically Approved

When to take lorazepam for anxiety

twitter share buttonfacebook share buttonlinkedin share buttonemail article button
What is Lorazepam? Side effectsWhen to take LorazepamSummary
Lorazepam is a medication that may ease conditions such as anxiety and panic disorder. Due to its risk of dependency, doctors may only prescribe lorazepam as a short-term treatment.
Medically reviewed by Alexandra Perez, PharmD, MBA, BCGP
Written by Nadia Zorzan
Updated on

Lorazepam — also known by its brand name Ativan — is a prescription medication that belongs to a class of drugs known as benzodiazepines. It’s suitable for both adults and children ages 12 years and older.

It’s a controlled substance with more strict prescription requirements than other medications. Each state may differ in laws regulating lorazepam.

Doctors may prescribe lorazepam as a medication treatment to ease symptoms of conditions such as:

  • anxiety
  • panic disorder
  • insomnia caused by stress

Unlike other anti-anxiety medications, doctors may prescribe lorazepam to take when anxiety arises and only for a short period, as it can lead to dependency.

If you need help covering the cost of medications, the free Optum Perks Discount Card could help you save up to 80% on prescription drugs. Follow the links on drug names for savings on that medication, or search for a specific drug here.

What is Lorazepam?

Female sat in lotus position, meditating to depict anxiety treatment options such as lorazepam.
FreshSplash/Getty Images

Doctors have prescribed lorazepam as an effective treatment for anxiety for many years.

The American Psychiatric Association recommends people take lorazepam for the short-term treatment of anxiety disorder as there is a risk of dependency after 2 or more weeks of daily use.

Lorazepam works by binding to the gamma-aminobutyric acid (GABA) receptor complex, a natural nerve-calming chemical in the brain.

The medication increases this nerve chemical, relaxing muscles and reducing anxiety and tension. Researchers have linked low levels of GABA to anxiety, mood disorders, seizure disorders, and pain.

Man on phone in bed

100% online care

Treatment plans in 15 minutes or less for 40+ conditions.

Start consult now

Side effects of lorazepam

Side effects of a drug can depend on factors such as age, medical history, and other medications you may be taking.

As with all medication, lorazepam can cause mild or serious side effects.

Below is a list of some of the key side effects you may experience while taking lorazepam:

Mild side effects

Mild side effects can include:

  • sleepiness
  • dizziness
  • tiredness, or lack of energy
  • unsteadiness, or difficulty coordinating movements
  • nausea
  • confusion, or difficulty remembering things
  • headaches
  • double vision or blurred vision
  • changes in appetite
  • constipation
  • diarrhea

These side effects usually go away during treatment as the body adjusts to the medication. But you should speak with a healthcare professional, such as a doctor or pharmacist, if these symptoms persist or become worse.

Also, they may be able to offer advice on ways of preventing or reducing these side effects before starting treatment.

Serious side effects

Lorazepam may cause serious side effects. If you experience serious side effects, you should seek medical support immediately.

Serious side effects include:

  • shuffling walk
  • persistent, fine tremor or inability to sit still
  • trouble talking
  • rash, hives, itching
  • swelling of the face, eyes, or mouth
  • wheezing or shortness of breath
  • yellowing of skin or eyes
  • irregular heart rate
  • suicidal thoughts
  • allergic reaction

If you or someone you know is considering suicide or self-harm, please seek support:

While you wait for help to arrive, stay with someone and remove any weapons or substances that can cause harm. You are not alone.

Pill bottle with text 'Starts at $4'

Free prescription coupons

Seriously … free. Explore prices that beat the competition 70% of the time.

Get free card

Side effects in older adults

Lorazepam may not be suitable for use in older adults as they may be more sensitive to some of the drug’s side effects.

Side effects that older adults may be more prone to include:

  • difficulty breathing
  • sleepiness
  • problems with memory
  • unsteadiness, which may increase the risk of falls

When should you take lorazepam?

Current guidelines do not recommend lorazepam as a first-line treatment due to its side effects and risk of addiction. But doctors may prescribe lorazepam for short-term relief of severe anxiety.

Lorazepam is a controlled drug and is highly addictive. It’s been approved by the Food and Drug Administration (FDA) for short-term, 4-month relief of anxiety symptoms. A doctor will prescribe the lowest dose for the shortest possible duration, together with self-help advice.

Also, a doctor will only prescribe small quantities with repeat prescriptions issued during your review, which should usually take place on a 3-monthly basis.

As there is a high risk of misuse and dependency associated with taking lorazepam, you should not stop taking this medication abruptly but should speak with a doctor if you wish to come off lorazepam.

Stopping lorazepam abruptly may cause serious withdrawal symptoms. These include:

Summary

Lorazepam is a controlled medication that doctors may prescribe as a short-term option to treat conditions such as severe anxiety, panic disorder, and insomnia caused by stress.

Due to the risk of addiction, a doctor will only prescribe a small amount of lorazepam at a time, with regular reviews taking place at least every 3 months.

Like all medications, lorazepam may cause mild or severe side effects. It can be beneficial to speak with a doctor or healthcare professional about reducing these side effects before beginning the medication.

Also, you should speak with a doctor before stopping lorazepam, as stopping abruptly can cause serious withdrawal symptoms.

Download the free Optum Perks Discount Card to save up to 80% on some prescription medications.

Article resources