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Ativan (lorazepam)

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Description

Buy Ativan online without Prescription 

 

Ativan (lorazepam) belongs to a group of drugs called benzodiazepines. Lorazepam affects chemicals in the brain that may be unbalanced in people with anxiety.Buy Ativan online without Prescription.

Ativan is used to treat anxiety disorders.

Ativan may also be used for purposes not listed in this medication guide.

Important information

You should not use Ativan if you have narrow-angle glaucoma or myasthenia gravis, or if you are allergic to Valium or a similar medicine.

Do not use lorazepam if you are pregnant. This medicine can cause birth defects or life-threatening withdrawal symptoms in a newborn.

Lorazepam may be habit-forming and should be used only by the person it was prescribed for. Misuse of habit-forming medicine can cause addiction, overdose, or death. Ativan should never be shared with another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it.

Do not drink alcohol while taking Ativan. Lorazepam can increase the effects of alcohol.

Before taking this medicine

It is dangerous to purchase Ativan on the Internet or from vendors outside the United States. Medications distributed from Internet sales may contain dangerous ingredients, or may not be distributed by a licensed pharmacy. The sale and distribution of Ativan outside the U.S. does not comply with the regulations of the Food and Drug Administration (FDA) for the safe use of this medication.Buy Ativan online without Prescription 

You should not take Ativan if you have:

narrow-angle glaucoma;

myasthenia gravis; or

a history of allergic reaction to any benzodiazepine, such as diazepam (Valium), chlordiazepoxide, clonazepam, flurazepam, and others.

To make sure Ativan is safe for you, tell your doctor if you have:

seizures or epilepsy;

kidney or liver disease (especially alcoholic liver disease);

asthma or other breathing disorder;

open-angle glaucoma;

a history of depression or suicidal thoughts or behavior;

a history of drug or alcohol addiction; or

if you use a narcotic (opioid) medication.

Do not use Ativan if you are pregnant. This medicine can cause birth defects. Your baby could also become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks. Tell your doctor if you are pregnant or plan to become pregnant. Use effective birth control to prevent pregnancy while you are taking Ativan.

Lorazepam can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are using Ativan.

 

Ativan is not approved for use by anyone younger than 18 years old.

The sedative effects of lorazepam may last longer in older adults. Accidental falls are common in elderly patients who take benzodiazepines. Use caution to avoid falling or accidental injury while you are taking Ativan.

How should I take Ativan?

Take Ativan exactly as it was prescribed for you. Follow all directions on your prescription label. Never use Ativan in larger amounts, or for longer than prescribed. Tell your doctor if the medicine seems to stop working as well in treating your symptoms.

Lorazepam may be habit-forming. Never share Ativan with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it.

Misuse of habit-forming medicine can cause addiction, overdose, or death. Selling or giving away Ativan is against the law.

Ativan should be used for only a short time. Do not take this medicine for longer than your doctor recommends.

Do not stop using Ativan suddenly or you could have unpleasant withdrawal symptoms, including a seizure (convulsions). Ask your doctor how to safely stop using this medicine.

Call your doctor if this medicine seems to stop working as well in treating your anxiety symptoms.

Store Ativan at room temperature away from moisture, heat, and light.

Keep track of the amount of medicine used from each new bottle. Lorazepam is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.

See also:

Dosage Information (in more detail)

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of lorazepam can be fatal. Overdose symptoms may include extreme drowsiness, confusion, muscle weakness, loss of balance or coordination, feeling light-headed, and fainting.

 

What should I avoid while taking Ativan?

Avoid drinking alcohol. Dangerous side effects could occur.

Ativan may impair your thinking or reactions. Avoid driving or operating machinery until you know how this medicine will affect you. Dizziness or severe drowsiness can cause falls or other accidents.

Ativan side effects

Get emergency medical help if you have 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:

severe drowsiness;

thoughts of suicide or hurting yourself;

unusual changes in mood or behavior;

confusion, aggression, hallucinations;

worsened sleep problems;

sudden restless feeling or excitement;

muscle weakness, drooping eyelids, trouble swallowing;

vision changes; or

upper stomach pain, dark urine, jaundice (yellowing of the skin or eyes).

Common Ativan side effects may include:

dizziness, drowsiness;

weakness;

slurred speech, lack of balance or coordination;

memory problems; or

feeling unsteady.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

See also:

Side effects (in more detail)

Ativan dosing information

Usual Adult Dose of Ativan for Anxiety:

Tablets:

Initial dose: 2 to 3 mg orally per day administered 2 to 3 times per day

Maintenance dose: 1 to 2 mg orally 2 to 3 times a day

Parenteral:

IV: 2 mg total, or 0.044 mg/kg, whichever is smaller

 

Comments:

-The daily dosage may vary from 1 to 10 mg per day.

-The dosage should be increased gradually when needed to help avoid adverse effects.

-When higher dosage is indicated, the evening dose should be increased before the daytime doses.

 

Use: Management of anxiety disorders or for the short-term relief of the symptoms of anxiety or anxiety associated with depressive symptoms

Usual Adult Dose for Light Anesthesia:

IM: 0.05 mg/kg up to a maximum of 4 mg

IV: 2 mg total, or 0.044 mg/kg, whichever is smaller

 

Comments:

-Doses of other injectable central-nervous-system depressant drugs should be reduced.

-For optimum effect, intramuscular drug should be administered at least 2 hours before the anticipated operative procedure.

-Narcotic analgesics should be administered at their usual preoperative time.

-IV: This dose should not ordinarily be exceeded in patients over 50 years of age.

-IV: Larger doses as high as 0.05 mg/kg up to a total of 4 mg may be administered.

-For optimum effect, intravenous drug should be administered 15 to 20 minutes before the anticipated operative procedure.

 

Use:

-Preanesthetic medication for adult patients, producing sedation (sleepiness or drowsiness), relief of anxiety, and a decreased ability to recall events related to the day of surgery

 

Usual Adult Dose for Status Epilepticus:

0.1 mg/kg IV up to 4 mg per dose; may repeat in 5 to 10 minutes

Maximum dose: 8 mg

 

Comments:

-Vital signs should be monitored, an unobstructed airway should be maintained, and artificial ventilation equipment should be available.

-When an intravenous port is not available, the IM route may prove useful.

 

Use: Treatment of status epilepticus

Usual Adult Dose for Insomnia:

2 to 4 mg orally administered at bedtime

 

Comments:

-The dosage should be increased gradually when needed to help avoid adverse effects.

 

Use: Management of insomnia

Usual Geriatric Dose for Anxiety:

Elderly or debilitated patients:

1 to 2 mg orally per day in divided doses

 

Comments:

-The dosage should be increased gradually when needed to help avoid adverse effects.

 

Use: Management of anxiety disorders or for the short-term relief of the symptoms of anxiety or anxiety associated with depressive symptoms

Usual Pediatric Dose for Anxiety:

12 years or older:

Initial dose: 2 to 3 mg orally per day administered 2 to 3 times per day

Maintenance dose: 1 to 2 mg orally 2 to 3 times a day

 

Comments:

-The daily dosage may vary from 1 to 10 mg per day.

-The dosage should be increased gradually when needed to help avoid adverse effects.

-When higher dosage is indicated, the evening dose should be increased before the daytime doses.

 

Use: Management of anxiety disorders or for the short-term relief of the symptoms of anxiety or anxiety associated with depressive symptoms

Usual Pediatric Dose for Insomnia:

12 years or older:

2 to 4 mg orally administered at bedtime

 

Comments:

-For elderly or debilitated patients, an initial dosage of 1 to 2 mg/day in divided doses is recommended.

-The dosage should be increased gradually when needed to help avoid adverse effects.

 

Use: Management of insomnia

What other drugs will affect Ativan?

Taking Ativan with other drugs that make you sleepy or slow your breathing can cause dangerous side effects or death. Ask your doctor before taking Ativan with a sleeping pill, narcotic pain medicine, prescription cough medicine, a muscle relaxer, or medicine for anxiety, depression or seizures.

Tell your doctor about all your current medicines and any you start or stop using, especially:

any other medicines to treat anxiety;

probenecid;

aminophylline or theophylline;

an antidepressant, or medicine to treat mental illness;

a barbiturate such as phenobarbital;

narcotic pain medicine;

seizure medicine; or

medicine that contains an antihistamine (such as sleep medicine, cold or allergy medicine).

 

This list is not complete. Other drugs may interact with lorazepam, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Ativan Side Effects

Generic Name: lorazepam

Medically reviewed on Jun 7, 2018

Overview

Side Effects

Dosage

Professional

Tips

Interactions

More

Consumer Professional Managing Side Effects

Note: This document contains side effect information about lorazepam. Some of the dosage forms listed on this page may not apply to the brand name Ativan.

In Summary

Common side effects of Ativan include: sedated state. Other side effects include: dizziness. See below for a comprehensive list of adverse effects.

For the Consumer

Applies to lorazepam: oral solution, oral tablet

 

Other dosage forms:

injection solution

Along with its needed effects, lorazepam (the active ingredient contained in Ativan) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking lorazepam:

More Common

Drowsiness

relaxed and calm

sleepiness

Incidence Not Known

Abdominal or stomach pain

aggressive, angry

agitation

attack, assault, or force

black, tarry stools

bleeding gums

blood in the urine or stools

bluish lips or skin

blurred vision

change in consciousness

chills

coma

confusion

confusion about identity, place, and time

convulsions

cough or hoarseness

dark urine

decreased urine output

difficulty with breathing or swallowing

difficulty with speaking

discouragement

dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position

drooling

dry mouth

excitation

false or unusual sense of well-being

fast or irregular heartbeat

feeling sad or empty

fever with or without chills

general feeling of tiredness or weakness

headache

hives, itching, or rash

hyperventilation

increased thirst

irregular, fast or slow, or shallow breathing

irritability

loss of appetite

loss of balance control

loss of consciousness

loss of interest or pleasure

loss of memory

lower back or side pain

muscle pain or cramps

muscle trembling, jerking, or stiffness

nausea or vomiting

not breathing

painful or difficult urination

pale or blue lips, fingernails, or skin

pinpoint red spots on the skin

problems with memory

puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue

reddening of the skin, especially around ears

restlessness

seeing, hearing, or feeling things that are not there

seizures

shaking

shuffling walk

sore throat

sores, ulcers, or white spots on the lips or in the mouth

stiffness of the limbs

sweating

swelling of the eyes or inside of the nose

swelling of the face, ankles, or hands

swollen glands

thoughts or attempts at killing oneself

tightness in the chest

trouble concentrating

trouble sleeping

twisting movements of body

uncontrolled movements, especially of the face, neck, and back

unexplained bleeding or bruising

unpleasant breath odor

unusual bleeding or bruising

unusual tiredness or weakness

vomiting of blood

yellow eyes or skin

 

Get emergency help immediately if any of the following symptoms of overdose occur while taking lorazepam:

Symptoms of Overdose

Changes in patterns and rhythms of speech

increased sweating

loss of strength or energy

nightmares

shakiness and unsteady walk

slurred speech

trouble speaking

unsteadiness, trembling, or other problems with muscle control or coordination

unusual drowsiness, dullness, tiredness, weakness, or feeling of sluggishness

unusual excitement, nervousness, restlessness, or irritability

unusual paleness

unusual weak feeling

Some side effects of lorazepam may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Incidence Not Known

Being forgetful

clumsiness

constipation

decreased interest in sexual intercourse

disturbed color perception

dizziness or lightheadedness

double vision

drowsiness

feeling of constant movement of self or surroundings

hair loss or thinning of the hair

halos around lights

inability to have or keep an erection

increased in sexual ability, desire, drive, or performance

increased interest in sexual intercourse

lack or loss of self-control

lethargy

loss in sexual ability, desire, drive, or performance

muscle aches, twitching, or weakness

night blindness

overbright appearance of lights

rapid weight gain

sensation of spinning

shakiness in the legs, arms, hands, or feet

shivering

stupor

trembling or shaking of the hands or feet

tunnel vision

weak or feeble pulse

 

 

For Healthcare Professionals

Applies to lorazepam: compounding powder, injectable solution, intravenous solution, oral concentrate, oral tablet

General

Oral: The most commonly reported side effects included sedation, dizziness, weakness, and unsteadiness.

 

Parenteral: The most commonly reported side effects included somnolence, respiratory failure, hypotension, and injection site reactions (pain and burning).[Ref]

Local

Parenteral:

Very common (10% or more): Burning (up to 17%), pain (up to 17%)

Common (1% to 10%): Painful response, redness

Uncommon (0.1% to 1%): Injection site reaction

Frequency not reported: Arteriospasm, gangrene, injection site tolerance[Ref]

Nervous system

Oral:

Very common (10% or more): Sedation (up to 15.9%)

Common (1% to 10%): Anterograde amnesia, ataxia, daytime drowsiness, dizziness, unsteadiness

Rare (0.01% to 0.1%): Dysarthria, headache, memory impairment, reduced alertness, slurred speech, transient anterograde amnesia

Very rare (less than 0.01%): Coma, extrapyramidal reactions, tremor

Frequency not reported: Amnesia, autonomic manifestations, convulsions/seizures, drowsiness, extremity numbness/tingling, hyperreflexia, hypersensitivity to light/noise/sound, involuntary movements, short-term memory loss, vertigo

 

Parenteral:

Common (1% to 10%): Coma, excessive drowsiness/sleepiness, headache, sedation, somnolence, stupor

Uncommon (0.1% to 1%): Brain edema, convulsion, myoclonus, tremor

Frequency not reported: Dizziness

Postmarketing reports: Amnesia, neuroleptic malignant syndrome, paralysis[Ref]

Other

Oral:

Common (1% to 10%): Asthenia, fatigue, weakness

Uncommon (0.1% to 1%): Chills

Very rare (less than 0.01%): Hypothermia

Frequency not reported: Hyperacusis, hyperthermia, paradoxical reactions, rebound phenomena

 

Parenteral:

Common (1% to 10%): Asthenia, crying, fatigue, sobbing

Frequency not reported: Depressed hearing, falls, hypothermia, paradoxical reactions, tinnitus

Postmarketing reports: Fatalities[Ref]

Psychiatric

Oral:

 

Rare (0.01% to 0.1%): Change in libido, confusion, decreased orgasm, depression, disinhibition, euphoria, numbed emotions, sleep disturbances, unmasking of depression

Frequency not reported: Aggression, aggressiveness, agitation, anxiety, catatonia, dependence, delirium, delusion, disorientation, drug withdrawal symptoms, excitation, hallucinations, hostility, impotence, inappropriate behavior, irritability, insomnia, nightmares, panic attacks, psychoses, rage, restlessness, sexual arousal, suicidal attempt/ideation, tension

 

Parenteral:

Common (1% to 10%): Confusion, delirium, depression, restlessness, unmasking of depression, visual hallucinations

Uncommon (0.1% to 1%): Abnormal thinking, agitation, ataxia, change in libido, decreased orgasm, hallucinations

Frequency not reported: Aggression, agitation, anxiety, disinhibition, excitation, euphoria, hostility, inappropriate behavior, insomnia, irritability, mania, psychosis, rage, sexual arousal, sleep disturbances, stimulation, suicidal attempt/ideation

Postmarketing reports: Acute brain syndrome, nervousness[Ref]

Respiratory

Oral:

Rare (0.01% to 0.1%): Apnea, respiratory depression, worsening of obstructive pulmonary disease, worsening of sleep apnea

 

Parenteral:

Common (1% to 10%): Apnea, hypoventilation, respiratory disorder, respiratory failure

Uncommon (0.1% to 1%): Hyperventilation

Frequency not reported: Airway obstruction

Postmarketing reports: Lung edema, lung hemorrhage, pneumothorax, pulmonary hypertension, respiratory arrest[Ref]

Cardiovascular

Oral:

Rare (0.01% to 0.1%): Hypotension

Frequency not reported: Palpitations, small decreases in blood pressure

 

Parenteral:

Common (1% to 10%): Hypotension

Postmarketing reports: Arrhythmia, bradycardia, heart arrest/failure, heart block, pericardial effusion, tachycardia, ventricular arrhythmia[Ref]

Musculoskeletal

Oral:

Frequency not reported: Muscle pain

 

Parenteral:

Common (1% to 10%): Muscle weakness[Ref]

Gastrointestinal

Oral:

Rare (0.01% to 0.1%): Constipation, nausea, salivation changes

Frequency not reported: Abdominal cramps, dry mouth, gastrointestinal symptoms, hypersalivation, vomiting

 

Parenteral:

 

Uncommon (0.1% to 1%): Increased salivation, nausea, vomiting

Frequency not reported: Constipation

Postmarketing reports: Gastrointestinal hemorrhage[Ref]

Metabolic

Oral:

Rare (0.01% to 0.1%): Change in appetite, increase in alkaline phosphatase

Very rare (less than 0.01%): Hyponatremia

Frequency not reported: Loss of appetite

 

Parenteral:

Uncommon (0.1% to 1%): Acidosis, increased alkaline phosphatase

Frequency not reported: Hyponatremia[Ref]

Dermatologic

Oral:

Rare (0.01% to 0.1%): Allergic dermatitis, rash

Frequency not reported: Allergic skin reactions, alopecia, dermatological symptoms, sweating

 

Parenteral:

Uncommon (0.1% to 1%): Hypertension, hypotension

Frequency not reported: Allergic skin reactions, alopecia, skin rash[Ref]

Hepatic

Oral:

Rare (0.01% to 0.1%): Abnormal liver function test values, increase in bilirubin, increase in liver transaminases, jaundice

 

Parenteral:

Uncommon (0.1% to 1%): Abnormal liver function tests

Postmarketing reports: Liver damage[Ref]

Genitourinary

Oral:

Rare (0.01% to 0.1%): Impotence

 

Parenteral:

Uncommon (0.1% to 1%): Impotence

Postmarketing reports: Urinary incontinence[Ref]

Immunologic

Parenteral:

Uncommon (0.1% to 1%): infection[Ref]

Renal

Parenteral:

Uncommon (0.1% to 1%): Cystitis[Ref]

Ocular

Oral:

Rare (0.01% to 0.1%): Blurred vision, diplopia, eye function/visual disturbance

 

Parenteral:

Frequency not reported: Blurred vision, diplopia[Ref]

 

Hematologic

Oral:

Very rare (less than 0.01%): Agranulocytosis, leukopenia, pancytopenia, thrombocytopenia

 

Parenteral:

Frequency not reported: Agranulocytosis, hypochromic anemia, leukocytosis, pancytopenia, thrombocythemia, thrombocytopenia

Postmarketing reports: Coagulation disorder[Ref]

Hypersensitivity

Oral:

Very rare (less than 0.01%): Anaphylactoid reactions, anaphylaxis, hypersensitivity

Frequency not reported: Hypersensitivity reactions

 

Parenteral:

Frequency not reported: Anaphylactic reactions, anaphylactoid reactions, angioedema, hypersensitivity reactions[Ref]

Endocrine

Oral:

Very rare (less than 0.01%): Syndrome of inappropriate antidiuretic hormone secretion (SIADH)

 

Parenteral:

Frequency not reported: Syndrome of inappropriate antidiuretic hormone secretion (SIADH)

Postmarketing reports: Aggravation of pheochromocytoma.Buy Ativan online without Prescription 

Additional information

Ativan

1 mg, 120 pills, 2 mg, 100 pills, 2 mg, 180 pills