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Ativan is a fast acting drug. I take it at work if I have a panic attack from stress. It does the trick. Makes me pretty tired, though.
My doctor put me on Lorazepam 0.5mg tablets (the generic Ativan) after having several panic/anxiety attacks at work. She called them "chill pills" and told me to take them when I feel an attack coming on (I work in a HIGHLY stressful environment during tax season), the drug worked wonders. I take one when I feel my chest getting tight and when I have difficulty breathing... aka an anxiety attack... and 10-15 minutes later I feel calm and a little less 'uptight'. Good stuff!
I have been on every medication for anxiety that exists. Ativan is the only one that reduces my anxiety and allows me to carry on a semi normal existence. Xanax, Klonipin, and Valium always leave me feeling spacey even though they take away the anxiety. I haven't had any side effects with Ativan like I have with other benzos. It doesn't help me sleep like other benzos though.
I have been taking lorazepam for the last 8 years. I take 2mg 3x daily. It really helps with my severe anxiety. I agree that it is addictive. I started out on this high dose but absolutely cannot cut back without panic attaks returning. And if I forget to take a pill, I'm sick to my stomach, headache, and ears ringing within 30 minutes of not taking it. Doctors have tried 4 times unsuccessfully to switch me to Klonipin. For some reason, I just can't tolerate it. This medicine also makes me a little sleepy. But without it, I would never go into public again. So for me it has been a lifesaver and I don't care if I have to take it forever.
This medicine has saved my life on several occasions. I developed physical anxiety issues (severe tingling, losing balance, trouble driving, insomnia, etc) a year after my 3rd child was born. My physician tried several SSRI and tricyclic antidepressants. They all made my symptoms worse. Ativan/Lorazepam helped immediately for all symptoms. In my opinion it is a miracle and I hate how it is demonized in the media and medical community. When you suffer a month without sleeping hardly at all and can barely function in a normal setting due to crippling physical anxiety symptoms, and something provides relief, you take it. Yes, when you are ready to stop the medicine you have to reduce very slowly over a long period of time. Godsend!