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Suffer from anxiety. Did not take it today. Feeling jittery, nuaseated, head hurts, feel hot. Due to missing tablet?

Hi - I have anxiety and I m in a waiting period before seeing a new CBT clinic. I ve been given Ativan 1mg for the last year or so, on an if , so if I feel a panic coming. My panic is related to transportation so I try to strategically only take my ativan 4, maybe 5 times a week. My ride to work is currently away and I ve been traveling long distances so I ve taken ativan every day. Today, I didn t take it. I feel jittery, nauseated, head is hurting, I feel hot. Could it be related? Is my dosage and intake enough to cause withdrawal? (I could also be PMSing!)
Asked On : Mon, 14 Jan 2013
Answers:  1 Views:  54
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Psychiatrist 's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

Your symptoms of jitteriness, headache, etc. seem to be related to the benzodiazepine (Ativan) withdrawal. Yes, even a 1 mg daily dose is sufficient to cause withdrawal symptoms - more so, because Ativan is a short acting medication and so has a higher risk for withdrawal effects.

Though benzodiazepines are prescribed for the short term management of anxiety, it may not be a good idea to take ativan everyday. One reason is the addiction potential; the other important reason is that will only serve the purpose of symptom relief, but not resolve the the core problem in any way.

So, I would advise you to come down on the frequency of the Ativan and try other relaxation techniques like deep breathing, etc. CBT will definitely be a very good option, which can give you long-lasting results.
Wish you all the best.

Dr. Jonas Sundarakumar
Consultant Psychiatrist
Answered: Tue, 15 Jan 2013
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