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For older patients with insomnia, 2 nonpharmacological approaches—sleep restriction–sleep compression therapy and CBT—have strong evidence of efficacy. 23 Sleep restriction–sleep compression therapy focuses on restricting time in bed to actual time sleeping.
The analysis reveals worrisome patterns in the prescribing of benzodiazepines for older adults. Benzodiazepines include the medications alprazolam (Xanax), diazepam (Valium), and lorazepam (Ativan). These drugs are widely prescribed to treat anxiety and sleep problems.
She has been taking lorazepam (1 mg nightly) since the death of her husband 12 years ago. Recent research about chronic benzodiazepine therapy leading to an increased risk of Alzheimer disease prompts a discussion about benzodiazepine cessation. 1
For sleep problems, benzodiazepines approved by the Food and Drug Administration are flurazepam (Dalmane), quazepam (Doral), temazepam (Restoril), triazolam (Halcion) and Estazolam (estazolam).
Children younger than 12 years of age—Use and dose must be determined by your doctor. For insomnia caused by anxiety or transient situational stress: Adults and children 12 years of age and older—2 to 4 milligrams (mg) taken as a single dose at bedtime. Your doctor may adjust your dose as needed.
Symptoms include anxiety, agitation, rage, sleep disturbances, sexual disinhibition, or hallucinations. People over the age of 50 may be more at risk of profound and prolonged sedation after IV administration of lorazepam.
on how to discontinue benzodiazepines in older patients. Although more research is needed, we propose several alternatives for treating insomnia and anxiety in older adults in primary care settings.
Lorazepam is used in adults and children at least 12 years old to treat anxiety disorders. Loreev XR extended-release capsules are used to treat anxiety disorders in adults only. Lorazepam is also used to treat insomnia caused by anxiety or temporary situational stress.
Lorazepam is used to treat anxiety disorders. It is also used for short-term relief of the symptoms of anxiety or anxiety caused by depression. Lorazepam is a benzodiazepine that works in the brain to relieve symptoms of anxiety.
Lorazepam belongs to a class of drugs known as benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. This drug works by enhancing the effects of...