Ativan....

[jul04]

O.K. so I have been really trying to not have to take medications but after a week of high anxiety and repeated panic attacks I couldn't take it any longer and I went to the ER tonight.  The doctor prescribed me Ativan.  He gave me one before I left and now I am really sleepy, is this normal?  I am hoping that this is a medication that I only have to take if I am feeling really anxious and not on a daily basis....Can anyone answer that for me?  I know with some meds you shouldn't drink fruit juices well I had some punch before going to the er that contained orange juice and I forgot to tell the dr so I hope that this is ok....Any guidance would be greatly appreciated....Thanks...

[jul04]

Thank you so much for the information.  It really helped me last night.  However, I plan to use it only if I really have to.  Thanks again!!!

[Route666]

The specific juice would be grapefruit. It inhibits Cytochrome P-450, which is a liver enzyme that metabolizes certain drugs. Ativan is metabolized via Glucuronidation and is conjugated (metabolized via kidneys). So no interaction there. Ativan is the cleanest Benzodiazepine, which is why the ER favors it. Additionally, it is short-acting and has no active metabolites like Valium.

Be advised the Ativan isn't approved for long-term use. It is indicated for as-needed use only on an infrequent basis - a "rescue" med for sporadic attacks. If your symptoms persist, consider consultation with a psychiatrist for proper diagnosis and treatment.

[MMahon]

Yes ativan is a fast acting benzodiazepine good for panic attacks and may also help you sleep.  How did the doc prescribe it?  Take on an as needed basis?
Go see a good psychiatrist if you don't already see one and set up a plan to deal with your anxiety disorder.