Ativan Withdrawal: Signs, Symptoms and Treatment

Ativan Withdrawal Treatment in Atlanta, GA
Picture of Medically Reviewed By: Dr. Joshua Yager M.D.

Medically Reviewed By: Dr. Joshua Yager M.D.

Dr. Joshua Yager is an Atlanta native, board-certified family practice physician who is dedicated to the health and wellbeing of his community.

Table of Contents

Ativan, a prescription medication often used for anxiety relief, can lead to withdrawal symptoms if usage is abruptly stopped or significantly reduced after prolonged consumption. Despite the perception that prescription drugs are safer than illicit drugs, long-term use of Ativan carries risks similar to those associated with street drugs, including both psychological addiction and physical dependence.

What is Ativan Withdrawal?

Ativan withdrawal occurs when individuals who have been using the drug, whether as prescribed or not, suddenly cease intake or drastically decrease their dosage. Dependence can develop surprisingly quickly, sometimes within just one week of regular use, leading to significant withdrawal symptoms when usage is reduced or stopped.

Withdrawal symptoms are the result of the body’s reliance on Ativan for normal function. Once the drug is withdrawn, the body, including the brain and other organs, must adjust to operating without it. This adjustment period can cause considerable discomfort, both physically and psychologically. The intensity and duration of withdrawal symptoms vary widely and are influenced by several factors such as the duration and amount of drug use, individual health conditions, and the presence of any co-occurring mental health issues.

Ativan Withdrawal Symptoms

Withdrawal from Ativan (lorazepam), a benzodiazepine prescribed primarily for anxiety and panic disorders, presents significant challenges for many. The drug’s withdrawal symptoms can be intense and problematic, even after short-term use and can cause withdrawal syndromes.

Ativan withdrawal symptoms manifest when someone discontinues or reduces their dosage after becoming dependent on the medication. Dependency can develop quickly, sometimes within a week, and withdrawal symptoms vary depending on how long and how much of the drug was used.

Medical guidelines suggest limiting Ativan use to 2-4 weeks due to the risk of dependence. Withdrawal symptoms can occur even after short durations of use, and their severity often correlates with the dosage, duration of use, and the rate at which the drug is tapered.

Common Symptoms of Ativan Withdrawal Include:

  • Rebound insomnia: Sleep issues that worsen after stopping the medication.
  • Rebound anxiety and depression: Increases in anxiety and depression levels post-treatment.
  • Physical symptoms: Convulsions, tremors, nausea, vomiting, muscle cramps, and sensitivity to light and sound.
  • Cognitive and psychological symptoms: Confusion, memory loss, derealization, depersonalization, hallucinations, and delusions.
  • Cardiac symptoms: Tachycardia and palpitations.

Stopping Ativan abruptly can be dangerous, potentially leading to seizures or death, especially if used for a prolonged period. It is crucial to withdraw from lorazepam gradually and under medical supervision to mitigate severe withdrawal symptoms.

After the acute withdrawal phase, some individuals may experience lingering symptoms such as:

  • Persistent emotional and sleep disturbances
  • Cognitive issues: Lack of focus and cognitive impairments.
  • Physical discomfort: Tremors and movement disorders.

These long-term withdrawal symptoms require careful management to support recovery and prevent relapse.

Effects of Ativan Withdrawal Symptoms

Benzodiazepines like Ativan (lorazepam) exert a calming effect on the central nervous system, aiding in anxiety and tension relief. However, with prolonged use, the brain becomes accustomed to their presence, leading to altered neurotransmitter interactions and a disrupted chemical balance. This adaptation results in a decrease in the drug’s efficacy and the development of dependency.

When Ativan use is abruptly discontinued, the body struggles to regain balance, leading to withdrawal symptoms due to the sudden absence of the drug.

Ativan Withdrawal Symptoms

Ativan Withdrawal Timeline

The onset and duration of withdrawal symptoms can vary significantly depending on several factors, including the dosage, duration of use, and individual physiological differences.

Here’s a typical progression of symptoms following abrupt quitting:

  • 6-8 hours after the last dose: Symptoms like anxiety, heart palpitations, nausea, vomiting, tremors, and sweating may appear.
  • 24-48 hours: This period may see the peak intensity of withdrawal with possible seizures, hallucinations, agitation, tremors, and confusion.
  • 4-5 days: Symptoms begin to decrease, including cravings, anxiety, and sleep disturbances.
  • Several weeks to months: Some individuals may experience prolonged symptoms such as anxiety, depression, insomnia, and cravings.

Factors Affecting Ativan Withdrawal Timeline

The withdrawal experience can be influenced by:

  • Tapering: Gradually reducing the dose can extend the withdrawal period but often makes it more manageable.
  • Individual physiology: Factors like metabolic rate and overall health impact how quickly the body processes and eliminates the drug.
  • Liver function: Affects the metabolism of Ativan.
  • Previous withdrawal experiences: Previous withdrawals can influence the severity and duration of current symptoms.
  • Co-occurring medical conditions: Can complicate withdrawal.
  • Method of administration: How Ativan was taken (e.g., orally, injected) can affect withdrawal.
  • Concurrent substance use: Using other substances such as alcohol or opioids can exacerbate withdrawal symptoms.

How Long Does Ativan Withdrawal Last?

Typically, withdrawal begins within hours of the last dose, with peak symptoms around the second day and significant improvement by the fourth or fifth day. However, some may experience post-acute withdrawal symptoms lasting weeks or even months, characterized by milder, fluctuating symptoms.

Managing Ativan withdrawal effectively requires professional supervision to mitigate risks and provide support throughout the detox process. If you or someone you know is facing withdrawal from Ativan, consider reaching out to a healthcare provider to discuss safe and effective treatment options.

Is Ativan Withdrawal Dangerous?

Yes, Ativan withdrawal can be dangerous. Withdrawal from benzodiazepines like Ativan can lead to severe symptoms, including life-threatening seizures, especially if the drug has been used heavily or for a prolonged period. These risks are heightened in individuals with existing health conditions such as seizure disorders, or when combined with other medications that may lower seizure thresholds.

The risk is substantial enough that medical supervision is recommended to ensure safety. Medical detox programs provide monitored support to manage withdrawal symptoms effectively and reduce the risk of severe complications like seizures.

Is Ativan Withdrawal Deadly?

Yes, Ativan withdrawal can be deadly, especially due to severe symptoms such as seizures and hallucinations if not medically supervised. Withdrawal from benzodiazepines like Ativan should be managed carefully in a medical setting rather than attempting to quit “cold turkey.” Medical professionals in a rehab center can provide the necessary support and treatment to manage withdrawal safely, reducing the risks associated with sudden discontinuation of the drug. This is why undergoing detox in a controlled, clinical environment is strongly recommended.

What is Ativan Detox?

Ativan detox is the medically supervised process of safely weaning off Ativan, thereby mitigating withdrawal symptoms. This process often involves a gradual reduction of the dosage to minimize the body’s shock from losing the drug it has become dependent on. In some treatment scenarios, a substitute benzodiazepine with a longer half-life may be used to ease the reduction and control withdrawal symptoms. This tapering process can vary in length, often extending over several weeks or months, depending on individual factors such as the dosage and duration of use.

Can You Undergo Ativan Detox at Home?

Detoxing from Ativan at home is not advisable due to the potential severity of withdrawal symptoms, which can include severe anxiety, panic attacks, and even suicidal thoughts. The lack of medical supervision can increase the risk of harm significantly, particularly if complications arise. Home detox from benzodiazepines can lead to unmanaged withdrawal symptoms that might necessitate emergency medical attention, making supervised detox a safer and more controlled option.

If someone is considering stopping Ativan, especially if they have been using it in high doses or for a long time, consulting a healthcare professional and considering a managed detoxification program is crucial. This approach helps ensure safety and provides support through the physical and psychological challenges of withdrawal.

Outpatient Ativan Withdrawal Treatment in Atlanta, GA

Ativan Withdrawal Treatment

Ativan withdrawal management involves a variety of structured treatment programs aimed at helping individuals safely overcome dependence on the drug. A medically supervised detox is crucial, as it significantly improves the chances of successful withdrawal and long-term recovery.

Treatment Options for Ativan Withdrawal:

  • Inpatient and Residential Treatment: These programs typically last from 28 to 90 days and may include an initial detox phase. They offer a safe environment away from potential triggers, with comprehensive support including medical supervision, individual and group therapies, and planning for aftercare.
  • Detox Centers: Detox centers focus on helping individuals wean off Ativan safely, managing withdrawal symptoms under medical supervision. This stage is critical as it addresses the immediate physical dependencies.
  • Outpatient Treatment: Suitable for those with mild withdrawal symptoms, outpatient programs allow individuals to maintain their daily responsibilities while receiving treatment. These programs often include therapy sessions and may incorporate medication management, tailored to fit around personal schedules.
  • Dual Diagnosis Treatment: This approach is for individuals suffering from co-occurring mental health conditions such as anxiety or depression, which are often linked to Ativan use. Treatment addresses both the substance use and the mental health condition concurrently to improve outcomes and prevent relapse.
  • Support Groups: Groups like Narcotics Anonymous provide ongoing support beyond formal treatment. They offer a community and a forum for sharing experiences and coping strategies, which are invaluable for long-term recovery.

Each of these treatments provides critical support structures to help individuals navigate the challenges of withdrawal and recovery from Ativan addiction, emphasizing the importance of a tailored approach that addresses both medical and psychological needs.

Ativan Addiction Treatment

Ativan addiction can be effectively treated, allowing individuals to lead fulfilling lives in recovery. Hope Harbor Wellness provides a comprehensive range of services tailored to support recovery from Ativan addiction in Atlanta, including:

  • Standard Outpatient Rehab: This treatment option allows for continued work and daily life activities while receiving scheduled treatment sessions.
  • Intensive Outpatient Programs (IOP): More rigorous than standard outpatient care, IOP offers structured therapy sessions multiple times a week.
  • Partial Hospitalization Programs (PHP): PHP serves as a middle ground between inpatient and outpatient care, providing intensive support without full hospitalization.
  • Aftercare Options: Including sober living arrangements to help individuals maintain their sobriety post-treatment.

The journey to recovery typically begins with detox, followed by a tailored combination of inpatient or outpatient programs depending on the individual’s progress and needs. Each setting employs a variety of therapeutic approaches, including behavioral therapy, peer support, psychoeducation, and treatment for any co-occurring mental health issues, such as depression or anxiety.

If Ativan use has become unmanageable, Hope Harbor Wellness Treatment Center is ready to help. You can start your recovery journey today by calling 770-573-9546. For information on payment options and to check if your insurance covers treatment, use our confidential online form to verify your insurance coverage.


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