Lorazepam - ein Benzodiazepin

About lorazepam

Lorazepam works by affecting the way certain substances in your brain (called neurotransmitters) pass messages to your brain cells. It has a calming effect on various functions of your brain.

The calming effect is helpful in a variety of conditions which can be caused by anxiety, such as panic attacks and difficulties sleeping. The calming effect is also used to relax and/or sedate people who are having certain medical investigations or treatments. It is given as a pre-med, particularly during procedures that can cause anxiety or discomfort. The calming action also helps to relax muscles, so lorazepam injection is used to treat fits, such as those caused by epilepsy.

Before taking lorazepam

Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start taking lorazepam it is important that your doctor knows:

• Wenn Sie schwanger sind oder stillen.

• Wenn Sie Atemprobleme haben.

• Wenn Sie Probleme mit der Funktionsweise Ihrer Leber haben oder wenn Sie Probleme mit der Funktionsweise Ihrer Nieren haben.

• Wenn Sie ein psychisches Problem haben. Dazu gehören Erkrankungen wie Psychosen, Depressionen, Zwangsvorstellungen, Phobien und Persönlichkeitsstörungen.

• Wenn Sie jemals drogen- oder alkoholabhängig waren.

• Wenn Sie an einer schweren Muskelschwäche leiden, die Myasthenia gravis genannt wird.

• Wenn Sie schon einmal eine allergische Reaktion auf ein Arzneimittel hatten.

• Wenn Sie andere Arzneimittel einnehmen oder verwenden. Dazu gehören alle Arzneimittel, die Sie einnehmen und die rezeptfrei erhältlich sind, sowie pflanzliche und ergänzende Arzneimittel.

How to take lorazepam

• Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about lorazepam, and will also provide you with a full list of the side-effects which you could experience from taking it.

• Take lorazepam exactly as your doctor tells you to - the dose will be individualised to suit your needs. The directions for taking the tablets will be printed on the label of the pack to remind you about what the doctor said to you. You could be asked to take just one single dose (if it is before a medical procedure, for example), or to take regular doses for a short while. If you are to take lorazepam regularly for anxiety, you will probably be prescribed two or three doses to take a day. If you are taking it because you are having difficulty sleeping, you will be prescribed a dose to take at bedtime only. The course of treatment prescribed will be as short as possible. If you have any questions about how to take the tablets, please ask your doctor or pharmacist for further advice.

• Try to take your doses of lorazepam at the same times of day each day, as this will help you to remember to take them. Swallow the tablet(s) with a drink of water. You can take lorazepam either with or without food.

• Wenn Sie vergessen haben, eine Dosis zur gewohnten Zeit einzunehmen, holen Sie sie nach, wenn Sie sich daran erinnern. Versuchen Sie, jeden Tag die richtige Anzahl von Dosen einzunehmen, aber nehmen Sie nicht zwei Dosen zusammen ein, um eine vergessene Dosis auszugleichen.

Das Beste aus Ihrer Behandlung herausholen

• Denken Sie daran, alle Folgetermine mit Ihrem Arzt wahrzunehmen. So kann Ihr Arzt Ihre Fortschritte überprüfen.

• Lorazepam is likely to affect your reactions and ability to drive. It is an offence to drive while your reactions are impaired. Do not drive until you know how you react, especially when you first start treatment. Please also be aware that the effects of lorazepam can last into the following day. Even if your driving ability is not impaired, should you drive, you are advised to carry with you some evidence that the medicine has been prescribed for you - a repeat prescription form or a patient information leaflet from the pack is generally considered suitable.

• You should not drink alcohol while you are on lorazepam. It will increase the risk of sedative side-effects.

• Lorazepam is taken for short periods of time only, often for just a few days. It will not be for longer than four weeks, as this may lead to you feeling dependent on it. Also, your body gets used to it quickly, and after this time it is unlikely to have the same effect.

• It is possible that drinking grapefruit juice can increase the amount of lorazepam in your bloodstream, which may increase the risk of side-effects. It is probably best to avoid drinking grapefruit juice while you are taking lorazepam.

• If you are due to have an operation or any dental treatment, please tell the person carrying out the treatment that you are taking lorazepam. This is because lorazepam increases the effects of some anaesthetics.

• Your doctor could recommend that you reduce your dose of lorazepam gradually when it is time to stop taking it. This is to reduce the risk of you experiencing withdrawal effects. Follow carefully any instructions your doctor gives to you.

Can lorazepam cause problems?

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the more common ones associated with lorazepam. The best place to find a full list of the side-effects which can be associated with your medicine, is from the manufacturer's printed information leaflet supplied with the medicine. Alternatively, you can find an example of a manufacturer's information leaflet in the reference section below. Speak with your doctor or pharmacist if any of the following continue or become troublesome.

Wenn Sie andere Symptome haben, von denen Sie glauben, dass sie auf das Arzneimittel zurückzuführen sind, sprechen Sie mit Ihrem Arzt oder Apotheker, um weiteren Rat zu erhalten.

How to store lorazepam

• Bewahren Sie alle Arzneimittel außerhalb der Sicht und Reichweite von Kindern auf.

• An einem kühlen, trockenen Ort aufbewahren, vor direkter Hitze und Licht schützen.

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