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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Lack Of Sleep And Aggressive Behaviour?

Hi i am a 29 year old female who just before thanksgiving had a severe acute worsened state of anxiety and paranoia that was so bad that i couldnt eat for three days hardly at all, started taking ativan .5mg once in am and once at night, i was diagnosed with panic disorder, but since i came off of my am dose of ativan in attempt to quit after four weeks, i started having depressive thoughts, but after crying my eyes out and feeling derealization for a bit i felt better, went home, ffell asleep without taking my ativan and woke at three am...took ativan no sleep just sedated....what do you think of all this...does it sound like panic> i have had panic attacks but only after thinking and fearing for hours on end that this might be that im going crazy like my step grandmother did....im starting to feel agrivated and get angry easily, doc wants me to switch from ativan to trazadone...what do you think?
Fri, 13 Jun 2014
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Psychiatrist 's  Response
Hi
Thanks for using healthcare magic

Ativan contains lorazepam and it is a benzodiazepine. It ha abuse and dependence potential. In that case, if you try to decrease the dose, you would get withdrawal symptoms. Better to shift to low acting benzodiazpine or sedative antidepressant like trazodone. If your psychiatrist wants to shift you on trazodone, then there is nothing wrong in it. You can carry on with it. It would help to decrease dose of ativan. In case, you need further help, you can ask.

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What Causes Lack Of Sleep And Aggressive Behaviour?

Hi Thanks for using healthcare magic Ativan contains lorazepam and it is a benzodiazepine. It ha abuse and dependence potential. In that case, if you try to decrease the dose, you would get withdrawal symptoms. Better to shift to low acting benzodiazpine or sedative antidepressant like trazodone. If your psychiatrist wants to shift you on trazodone, then there is nothing wrong in it. You can carry on with it. It would help to decrease dose of ativan. In case, you need further help, you can ask. Thanks