Can Ativan Cause Headaches as a Side Effect?

Ativan, or lorazepam, is a benzodiazepine prescribed to manage anxiety disorders, insomnia related to anxiety, and certain types of seizures. It functions by affecting specific brain chemicals to produce a calming effect, reducing central nervous system overactivity.

Headaches as a Side Effect

Headaches are a known side effect for some individuals taking Ativan. While Ativan is used to alleviate anxiety, it can lead to headaches. These headaches are typically mild and transient, potentially diminishing as the body adjusts. The exact mechanism is not fully understood, but it could involve neurotransmitter activity or subtle changes in cerebral blood flow. Some reports indicate this side effect might resolve with continued use.

Other Common Effects of Ativan

Beyond headaches, Ativan can cause other common effects. Drowsiness is a frequently reported side effect. Dizziness and unsteadiness are also common, potentially affecting balance and coordination. Other mild to moderate effects include fatigue, muscle weakness, blurred vision, changes in appetite, or constipation.

Addressing Side Effects and When to Seek Help

If you experience headaches or other side effects while taking Ativan, communicate with your healthcare provider. Do not adjust your dosage or stop the medication on your own, as this can lead to complications. Your doctor can assess if headaches are related to the medication and determine the best course of action, suggesting strategies or alternative treatments.

Seek immediate medical attention if headaches become severe, persistent, or are accompanied by other concerning symptoms. These might include severe dizziness, difficulty breathing, or significant changes in mood or behavior like agitation or confusion. Signs of an allergic reaction, such as rash, swelling, or difficulty breathing, also warrant urgent medical evaluation. Open communication with your doctor ensures adverse reactions are addressed safely and effectively.

Headaches After Stopping Ativan

Headaches can also emerge when Ativan is stopped, particularly if discontinued abruptly. This is often part of a withdrawal syndrome, distinct from side effects experienced while on the drug. Ativan affects GABA receptors in the brain, and sudden cessation can disrupt the brain’s chemical balance, leading to rebound overactivity and various withdrawal symptoms, including headaches, increased anxiety, and sleep disturbances.

To minimize withdrawal headaches and other symptoms, healthcare professionals typically recommend a gradual tapering schedule. Slowly reducing the dosage allows the brain to gradually readjust to functioning without the medication. This medically supervised approach helps mitigate the intensity and duration of potential withdrawal effects, ensuring a safer discontinuation process.