how lorazepam works - #25472
I am really confused and worried about these symptoms I've been dealing with for a couple months now. My doctor prescribed lorazepam recently because I've been having constant anxiety attacks. Like, my heart races, I get super shaky, and it's hard to catch my breath. I felt a bit better when I took it, but then I started thinking about how lorazepam works, like does it really help in the long run or is it just masking the symptoms? Some days I feel more relaxed but other times I question if I should even be on it. I read a bit online and saw that lorazepam works on the brain to increase something called GABA, which is supposed to calm things down? But how does that even work exactly? I mean, if I'm relying on this medication, am I just avoiding the real issue? Is it normal to have these concerns while on lorazepam? Also, is it safe to take it long term? I just want to understand how lorazepam works and if there are better alternatives because I'm feeling a bit trapped. Do any of you feel like that? I'm a bit scared to change things up but don’t want to be in this cycle either! Any insights would help, thanks.
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Doctors' responses
Lorazepam is a medication that belongs to the benzodiazepine class, primarily used to treat anxiety disorders by affecting neurotransmitter activity in the brain. It works by enhancing the action of gamma-aminobutyric acid (GABA), a naturally occurring neurotransmitter that inhibits excessive brain activity and calms the nervous system down. By increasing GABA’s effectiveness, lorazepam reduces the intensity of anxiety symptoms like a racing heart, tremors, or shortness of breath, offering relief during acute anxiety episodes. However, while it can be useful for short-term management or acute episodes, it doesn’t address underlying causes of anxiety long term. It’s understandable to have concerns about relying on medication without tackling the root cause of your anxiety. Often, a combination of medications and therapeutic interventions, such as cognitive-behavioral therapy, are recommended for long-term management and deeper resolution of anxiety disorders. If lorazepam is taken long-term, it can lead to tolerance and dependency, meaning you may need larger doses to achieve the same effect, and stopping the medication abruptly might cause withdrawal symptoms. Thus, it’s essential to use it as per your doctor’s direction and regularly assess its necessity with them. If you’re feeling trapped or worried about long-term use, it’s crucial to discuss this with your healthcare provider. They can help evaluate your symptoms and lifestyle factors and explore other treatment options or strategies that might suit your situation better. It’s good to be proactive about your treatment and explore a balanced approach involving both medication and therapy. Don’t hesitate to voice your concerns and work with your doctor to help fine-tune your management plan so that it aligns with your health goals and lifestyle needs. If at any point you notice worsening symptoms, or if taking lorazepam feels more like a burden than a relief, reach out to them immediately.
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