Brief Answer:
Taper the dose of
Ativan very gradually as advised
Detailed Answer:
Hi Mr. XXXX,
Thanks for your query.
Firstly- in general- chronic difficulty in falling asleep and associated headache are symptoms suggestive of chronic
anxiety and mental
stress. Ativan blunts your anxiety/mental stress, with a consequent peaceful mind which promotes falling asleep. The day you skip ativan, you develop headache – a symptom of mental stress (called
tension headache).
Further, at times, patients are not aware of their mental stress and chronic anxiety: they consider the resultant symptoms as unrelated; perhaps, due to
fatigue after a hard day’s work.
Reducing the frequency of Ativan will NOT wean you off the drug. The best way to wean off ativan is to reduce the dose by 0.25mg every week. That is, take 0.75mg DAILY at night for one week; thereafter, 0.5mg at bedtime for a week; 0.25mg x 1 week STOP. Tapering off the dose very slowly will NOT result in any side effects.
Lastly, I would be happy if you do not have either headache or
sleeplessness AFTER Ativan is stopped completely. However, if you re-develop sleeplessness and
headaches, you would need a long-term treatment for subconscious anxiety and mental stress. In that event, please revert back to me so that I can suggest an effective prescription.
Hope I have addressed to your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any.
Fond regards and have a nice day,
Dr. Rakesh Karanwal
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