How much longer will it take to return to normal?
Due to autonomic nervous system dysfunction, I have been experiencing stomach pain and have been taking Lorazepam (Ativan) for over three months at a dosage of 0.5 mg before bedtime.
After discontinuing the medication, I developed insomnia, and it has now been nearly six months since I stopped taking it.
My insomnia is not caused by autonomic nervous system issues; my symptoms related to autonomic dysfunction are limited to stomach pain, nausea, and the urge to vomit.
Interestingly, after stopping Lorazepam, my stomach pain symptoms have significantly decreased.
Before taking Lorazepam, I never experienced insomnia.
The physician who initially prescribed Lorazepam told me that it would be fine to take it for life.
However, my current doctor is puzzled by my symptoms and does not understand why the previous doctor recommended long-term use of Lorazepam.
He mentioned that there are many alternative medications available.
I am concerned about how long the insomnia after discontinuation will last.
I tapered off the medication over three weeks before stopping completely, and I wonder if that was too quick.
I have tried various medications since then, but I can only sleep for 1-2 hours before waking up.
Although I can lie down and fall back asleep, I feel increasingly fatigued and lack energy during the day.
Currently, I am taking one tablet of Lyrica (Pregabalin) and half a tablet of Trazodone, but my sleep quality remains poor.
I am uncertain how long it will take to return to my previous state.
I have read online that discontinuation can lead to poor sleep quality in the latter half of the night, and it may persist for months or even years.
This information makes me anxious about how much longer I can endure this situation or if I should consider resuming Lorazepam.
I hope the physician can provide me with some answers, and I would be very grateful.
Xiao Hao, 30~39 year old female. Ask Date: 2022/01/11
Dr. Huang Zhijia reply Psychiatry
Hello: The true etiology of psychiatric disorders remains unclear to this day, but it may arise from the interaction of genetic predisposition and environmental stressors, leading to the manifestation of symptoms.
The causes are highly heterogeneous, and similarly, the prognosis varies significantly among individuals.
Some may require only short-term medication, while others may need long-term treatment.
Additionally, responses to medication differ from person to person, and this cannot be predicted in advance; adjustments can only be made based on the patient's response to treatment.
Reply Date: 2022/01/11
More Info
Recovering from insomnia after discontinuing Lorazepam can be a challenging process, and the duration of recovery varies significantly among individuals. Typically, withdrawal symptoms from benzodiazepines like Lorazepam can last anywhere from a few days to several weeks. However, in some cases, individuals may experience prolonged symptoms, including insomnia, for months or even years after stopping the medication.
When you stop taking Lorazepam, especially after a prolonged period of use, your body may go through a withdrawal phase. This phase can include symptoms such as anxiety, restlessness, and sleep disturbances. Research indicates that the acute withdrawal symptoms usually peak within the first two weeks and may begin to subside after that. However, some individuals may experience a phenomenon known as "protracted withdrawal," where symptoms persist for an extended period, potentially leading to chronic insomnia.
In your case, you mentioned that you have been experiencing insomnia for nearly six months after stopping Lorazepam. It’s important to consider that the insomnia you are experiencing may not solely be due to withdrawal but could also be influenced by underlying anxiety or stress that may have been managed by the medication. The fact that you did not experience insomnia prior to taking Lorazepam suggests that your body may be adjusting to the absence of the medication, and your original anxiety symptoms may be resurfacing.
The timeline for recovery can be influenced by several factors, including:
1. Duration and Dosage of Lorazepam Use: Longer use and higher doses can lead to more significant withdrawal symptoms and a longer recovery period.
2. Individual Differences: Each person's body reacts differently to medication withdrawal. Factors such as genetics, overall health, and the presence of co-occurring mental health conditions can affect recovery time.
3. Psychological Factors: Anxiety and stress can exacerbate insomnia. If you are experiencing heightened anxiety after stopping Lorazepam, this could prolong your insomnia.
4. Treatment Approaches: Engaging in non-pharmacological treatments such as cognitive-behavioral therapy for insomnia (CBT-I), practicing good sleep hygiene, and managing stress through relaxation techniques can significantly aid recovery.
5. Alternative Medications: Your current physician has mentioned alternative medications, which may help alleviate your symptoms. It is essential to work closely with your healthcare provider to find a suitable treatment plan that addresses both your insomnia and any underlying anxiety.
In conclusion, while some individuals may see improvement in their sleep patterns within weeks, others may take months to recover fully. It is crucial to remain patient and continue working with your healthcare provider to explore various treatment options. If you find that your symptoms are not improving or are worsening, it may be worth discussing the possibility of reintroducing a low dose of Lorazepam or considering other medications that can help manage your symptoms effectively. Remember, recovery is a process, and seeking support from healthcare professionals can make a significant difference in your journey toward better sleep and overall well-being.
Similar Q&A
How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
I have been experiencing insomnia for three months after discontinuing Lorazepam, which I had taken for over three months. This insomnia is not caused by autonomic nervous system issues; my symptoms of autonomic dysfunction were limited to stomach pain, nausea, and vomiting. Howe...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry and for your message. You mentioned concerns about the effects of stopping medication three weeks after tapering off, as well as experiencing insomnia over the past three months. A three-week period for tapering medication is generally ...[Read More] How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
I have been experiencing insomnia for three months after discontinuing Lorazepam, which I was taking for over three months. This insomnia is not caused by autonomic nervous system issues; my symptoms of autonomic dysfunction were limited to stomach pain, nausea, and vomiting. How...
Dr. Cai Qijin reply Psychiatry
Hello: After discontinuing Lorazepam, insomnia symptoms may appear. If this is solely due to withdrawal from the medication, most cases will improve within a few weeks. It is important to assess the original reason for using Lorazepam, as it may also indicate a worsening of pre-e...[Read More] How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
I have been experiencing insomnia for three months after stopping Lorazepam, which I took for over three months. This insomnia is not caused by autonomic nervous system issues; my symptoms of autonomic dysfunction were limited to stomach pain, nausea, and vomiting. Interestingly,...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry and for your response. You mentioned concerns about the effects of discontinuing medication three weeks after tapering off, as well as experiencing insomnia over the past three months. A three-week period for tapering medication is gene...[Read More] How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
I have been experiencing insomnia for three months after discontinuing Lorazepam, which I had been taking for over three months. This insomnia is not caused by autonomic nervous system dysfunction; my symptoms related to autonomic dysregulation are limited to stomach pain, nausea...
Dr. Tang Jiahong reply Psychiatry
Hello, after discontinuing lorazepam, the insomnia that occurs may have other possibilities, such as an exacerbation of anxiety symptoms during that period, which can trigger insomnia. Later, if no anxiolytic medication is used, it naturally leads to the emergence of anxiety and ...[Read More] How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
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