Generic Name: lorazepam (lor A ze pam)
Common Misspellings: lorazapam, lorazipam, lorzapam, lorzepam, atevan, ativin, atevin, ativen


Common uses
Lorazepam is in a class of drugs called benzodiazepines. Lorazepam affects chemicals in the brain that may become unbalanced and cause anxiety, insomnia, and seizures.

Lorazepam is used to relieve anxiety, nervousness, and tension associated with anxiety disorders. It is also used to treat certain types of seizure disorders and to relieve insomnia (induce sleep).
Lorazepam may also be used for purposes other than those listed in this medication guide.

Before using
Use caution when driving, operating machinery, or performing other hazardous activities. Lorazepam will cause drowsiness and may cause dizziness. If you experience drowsiness or dizziness, avoid these activities.

• Avoid alcohol while taking lorazepam. Alcohol may increase drowsiness and dizziness caused by lorazepam. Alcohol may also increase the risk of having a seizure if lorazepam is being taken for a seizure condition.
• Lorazepam is habit forming. You can become physically and psychologically dependent on the medication. Do not take more than the prescribed amount of medication or take it for longer than is directed by your doctor. Withdrawal effects may occur if lorazepam is stopped suddenly after several weeks of continuous use. Your doctor may recommend a gradual reduction in dose.


Directions
Do not take lorazepam if you have narrow-angle glaucoma. Lorazepam may worsen this condition.

Before taking lorazepam, tell your doctor if you have:
• Kidney disease;
• Liver disease;
• Asthma, bronchitis, emphysema, or another respiratory disease; 
• Or you are depressed or have suicidal thoughts.

You may not be able to take lorazepam, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
Lorazepam is in the FDA pregnancy category D. This means that lorazepam is known to be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment.
Lorazepam passes into breast milk. Do not take lorazepam without first talking to your doctor if you are breast-feeding a baby.
If you are over 65 years of age, you may be more likely to experience side effects from lorazepam. Your doctor may prescribe a lower dose of this medication.


Additional information
• Take lorazepam exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each oral dose with a full glass of water.
• Lorazepam is also available as an injection. If you are using the injection at home, your healthcare provider will give you detailed instructions regarding preparation, administration, and storage of the injectable formulation.
• Do not take more than is prescribed for you.
• Lorazepam is habit forming. You can become physically and psychologically dependent on the medication. Do not take more than the prescribed amount of medication or take it for longer than is directed by your doctor. Withdrawal effects may occur if lorazepam is stopped suddenly after several weeks of continuous use. Your doctor may recommend a gradual reduction in dose.
• Your doctor may want you to have medical evaluations during treatment with lorazepam to monitor

Possible side effects
Get emergency medical help if you have any of these signs of an allergic reaction to Ativan: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. 

Call your doctor at once if you have any of these serious side effects:
• Confusion, depressed mood, thoughts of suicide or hurting yourself;
• Hyperactivity, agitation, hostility;
• Hallucinations; or
• Feeling light-headed, fainting.

Less serious Ativan side effects may include:
• Drowsiness, dizziness, tiredness;
• Blurred vision;
• Sleep problems (insomnia);
• Muscle weakness, lack of balance or coordination;
• Amnesia or forgetfulness, trouble concentrating;
• Nausea, vomiting, constipation;
• Appetite changes; or
• Skin rash.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect

Missed dose
Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the dose you missed and take only the next regularly scheduled dose. Do not take a double dose of this medication. A double dose could be dangerous.

Overdose
Seek emergency medical attention if an overdose is suspected.Symptoms of a lorazepam overdose include sleepiness, dizziness, confusion, a slow heart beat, difficulty breathing, difficulty walking and talking, an appearance of being drunk, and unconsciousness.

Cautions
Use caution when driving, operating machinery, or performing other hazardous activities. Lorazepam will cause drowsiness and may cause dizziness. If you experience drowsiness or dizziness, avoid these activities.
Avoid alcohol while taking lorazepam. Alcohol may increase drowsiness and dizziness caused by lorazepam. Alcohol may also increase the risk of a seizure if lorazepam is being taken for a seizure condition.
Lorazepam may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any medicine without first talking to your doctor.

Storage
Store lorazepam at room temperature away from moisture and heat.