Looking for help to taper off Ativan (lorazepam)

Posted by pamee @pamee, Jan 8, 2023

Hi my name is pamee. I need help as I have a rare disorder from Ativan. It's horrific excruciating pain 24/7 with minimal sleep so I'm also sleep deprived. The pain is killing me at times I want to die. I take 2 mg 4x a day fir 13-14 yrs and recently been having blackouts. I'm scared. Can anyone please give me suggestions whether I taper one dose at a time or should I taper all 4 doses in a day at about 1/4 of the pill. Thank you for any help you can give. Kind regards, pamee

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Profile picture for jcamosy @jcamosy

What were the instructions?

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Depending on the drug and your dosage and your particulars, it will be determined by your doctor what your taper schedule would be. Some people have to have their taper schedule adjusted some even have to have it adjusted multiple times. Have you talked to your doctor about tapering from a medication?

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I too am dependent on Ativan. I’ve gone up and down on the doses over the last 30 years and have even been off it a few times. I always seem to go back on as I have major anxiety and problems with dizziness that it seems to help. You probably don’t want to hear this, but I really think you should be admitted into a hospital that specializes in detoxification. I know that you have been prescribed this medication and are taking it as it is prescribed but that doesn’t mean you aren’t seriously addicted. These types of units usually include lots of people getting off street drugs but they also include people like us who are taking too much prescribed medication. Just think about it. You don’t have to decide anything this minute. Talk to your doctor about it. Know that I am thinking of you and sending healing vibes your way!

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I came off it very slowly. I was on 2 mg/day. At your high dosage, I suggest having a psychiatrist help you taper off. Maybe he/she could prescribe something to aid the withdrawal symptoms you will experience. Also, pray for help and wisdom from Jesus Christ; this really helps me.

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Profile picture for gmamrj @gmamrj

I am 81 years old. Have been taking Ativan for 5 years for PTSD after open heart surgery. Started off with 1mg a day and have reduced it to .5 mg per day for about 4 years now.
I am now feeling anxious, jittery and dealing with insomnia. Do not want to increase dosage. I want off Ativan My
PCP prescribed Lexapro (small dosage) to take along with Ativan to start withdrawal. That was the worse 2weeks of my life. Insomnia, climbing the wall. Quit the lexapro. Still on .5 mg of Ativan.
Feel terrible. Any help would be appreciated.

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I recently had an MRI with anesthesia. The doctor advised me to stop taking my .5 Ativan at bedtime because it delays the anesthesia withdrawal. He said the dose was so small that stopping it would be a no-brainer. Doctors tell me thing slick this without realizing how sensitive I am to meds. I did stop and then started taking .25 at bedtime The thing is- since I did this I cannot sleep. Like hardly at all. Can stopping it this way cause a rebound type of insomnia. I certainly hope so cause I am a mess. Please share any insights or experiences.

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Profile picture for hopenr @hopenr

I recently had an MRI with anesthesia. The doctor advised me to stop taking my .5 Ativan at bedtime because it delays the anesthesia withdrawal. He said the dose was so small that stopping it would be a no-brainer. Doctors tell me thing slick this without realizing how sensitive I am to meds. I did stop and then started taking .25 at bedtime The thing is- since I did this I cannot sleep. Like hardly at all. Can stopping it this way cause a rebound type of insomnia. I certainly hope so cause I am a mess. Please share any insights or experiences.

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It might be a small dose 0.5, however nothing is considered small with this medication. I also take the same dosage of Ativan and I can’t really go any lower, in the past few months I cut my dose in half with the help from gummies it’s quite doable but I worry about how well I’d do without the help, I really don’t want to give them up at this point in time, I’m just another senior who took them for years and never abused them. In your case you are experiencing withdrawal and it’s sleep loss, I think your options are either to ask the doctor for help or perhaps you’re reducing your medication too fast, I always hear from others that success is attainable if you go very slow with tapering off, good wishes.

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Profile picture for hopenr @hopenr

I recently had an MRI with anesthesia. The doctor advised me to stop taking my .5 Ativan at bedtime because it delays the anesthesia withdrawal. He said the dose was so small that stopping it would be a no-brainer. Doctors tell me thing slick this without realizing how sensitive I am to meds. I did stop and then started taking .25 at bedtime The thing is- since I did this I cannot sleep. Like hardly at all. Can stopping it this way cause a rebound type of insomnia. I certainly hope so cause I am a mess. Please share any insights or experiences.

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I have no need to taper off. I have been on .5 at night for years and, like you, do not abuse them. I only stopped cause the anesthesiologist told me Ativan would prolong the effects of the anesthesia. However, now- almost a week later- stopping and then going to .25 has me feeling horrible and not sleeping so I do not know what is anesthesia and what is withdrawal. Very frustrating. Thanks for your comment!

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Profile picture for hopenr @hopenr

I recently had an MRI with anesthesia. The doctor advised me to stop taking my .5 Ativan at bedtime because it delays the anesthesia withdrawal. He said the dose was so small that stopping it would be a no-brainer. Doctors tell me thing slick this without realizing how sensitive I am to meds. I did stop and then started taking .25 at bedtime The thing is- since I did this I cannot sleep. Like hardly at all. Can stopping it this way cause a rebound type of insomnia. I certainly hope so cause I am a mess. Please share any insights or experiences.

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Did the doctor just tell you to hold it for the surgery? They do that with some meds. But typically you can just resume. A 50% reduction is a big one, and I would expect withdrawal insomnia. I wonder if you go back to .5 you would sleep? You said you had no need to taper.

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Profile picture for hopenr @hopenr

I recently had an MRI with anesthesia. The doctor advised me to stop taking my .5 Ativan at bedtime because it delays the anesthesia withdrawal. He said the dose was so small that stopping it would be a no-brainer. Doctors tell me thing slick this without realizing how sensitive I am to meds. I did stop and then started taking .25 at bedtime The thing is- since I did this I cannot sleep. Like hardly at all. Can stopping it this way cause a rebound type of insomnia. I certainly hope so cause I am a mess. Please share any insights or experiences.

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This was helpful- I did take .5 again last night and slept and woke up without symptoms of withdrawal. The doctor told me not to tale it before AND after surgery- to just stop. "It's low enough that you can just stop". This was after I explained that I am very sensitive to meds.

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Profile picture for hopenr @hopenr

This was helpful- I did take .5 again last night and slept and woke up without symptoms of withdrawal. The doctor told me not to tale it before AND after surgery- to just stop. "It's low enough that you can just stop". This was after I explained that I am very sensitive to meds.

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The doctor is wrong, I mentioned previously that your dosage and mine are very low but some people still had to withdraw slowly to avoid symptoms, sleep problems are very prevalent with this medication when you try to stop. Also I wanted to add that I had two major surgeries in the past five years and no one warned me about the Ativan causing a problem with anesthesia, in fact I was told to take one the morning of my surgery to keep me calm. I think that some doctors are just very uninformed about these medications and they often cause some people a lot of trouble by pressuring, my doctor was really bad for doing this to me and I went through so much stress and suffering, he even reduced my dosage in large amounts without even talking about it with me.

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Profile picture for hopenr @hopenr

This was helpful- I did take .5 again last night and slept and woke up without symptoms of withdrawal. The doctor told me not to tale it before AND after surgery- to just stop. "It's low enough that you can just stop". This was after I explained that I am very sensitive to meds.

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I was on .5 and had to do a six month taper to get off it. No dose of Ativan is too low.

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