Ativan (lorazepam) Withdrawal Symptoms
Ativan withdrawal symptoms (generic lorazepam) are extremely problematic for many persons. According to published medical research by Ashton, Brett, and Lader, benzodiazepines such as Ativan should, in the vast majority of cases, be prescribed for short-term use only. However, even after short-term use, Ativan withdrawal can still be problematic.7-9
Medical regulators around the world have reduced the recommended window for a lorazepam prescription to extend no longer than 2-4 weeks. This is due to the well-recognized, severe risk of becoming drug-dependent, most notably when used longer than this time frame.1,10
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However, the FDA drug label states that lorazepam withdrawals such as rebound insomnia can occur even after a single week’s use of lorazepam. In general, the more rapid the rate of Ativan withdrawal, and the greater the dosage and duration of medication use, the more severe the withdrawal symptoms will likely be. Below is a summary of the most common Ativan withdrawal symptoms.5,11,12
Ativan withdrawal symptoms can include:
- Rebound insomnia — often worsened compared to pre-treatment levels
- Rebound anxiety — often worsened
- Rebound depression — often worsened
- Convulsions
- Confusion, cognitive impairment, memory loss
- Derealization/depersonalization — the feeling of being detached from one’s surroundings, or from one’s own identity
- Sweating
- Tingling or numbness in the extremities
- Sensitivity to light (photophobia), touch (hyperreflexia), and noise (hyperacusis)
- Headache
- Tension, irritability
- Restlessness, agitation
- Tachycardia, heart palpitations
- Panic attacks
- Increased breathing rate
- Delusions, hallucinations, perception changes
- Tremors, especially in the hands, shaking, involuntary movements
- Nausea, vomiting, dry-retching
- Muscle cramping, abdominal cramps
- Diarrhea
- Loss of appetite, weight loss
- Hyperthermia (overheating, fever)
- Dizziness, vertigo
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Unless medically directed by a hospital, never abruptly stop benzodiazepines that have been in regular use, but do a gradual gentle Ativan withdrawal under medical supervision.14 Abruptly stopping Ativan or other benzodiazepines may result in seizure or death, especially if they have acclimated to using it over a longer duration. It is much safer and easier for the body and mind to approach a gradual lorazepam withdrawal.
Benzodiazepines are also known to have a number of PAWS13 or post-acute withdrawal symptoms that can linger long after the drug has been stopped.
Lingering Ativan withdrawals may include:
- Return of anxiety and/or depression
- Return of sleep difficulties — also called rebound insomnia
- Mood swings, crying spells, irritability
- Restlessness, agitation
- Lack of focus, cognitive impairments
- Tremors, shakiness
- Cravings
- Movement disorders such as dystonia — repetitive twisting or contortion of feet, hands, and other muscle groups
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