A nurse is caring for a client who has been taking lorazepam (Ativan) for anxiety and insomnia for several months. The client tells the nurse that he wants to stop taking the medication because he feels better now. Which of the following responses should the nurse give?
A.
“You can stop taking the medication as long as you taper off gradually.”
B.
“You should continue taking the medication until your doctor tells you to stop.”
C.
“You can stop taking the medication immediately without any problems.”
D.
“You should switch to a non-benzodiazepine medication instead.”
The correct answer and Explanation is :
The correct response is:
B. “You should continue taking the medication until your doctor tells you to stop.”
Explanation:
Lorazepam (Ativan) is a benzodiazepine commonly used for its anxiolytic (anxiety-reducing) and sedative properties. It is important for clients taking this medication to follow a healthcare provider’s instructions regarding its discontinuation. Abruptly stopping lorazepam, especially after extended use, can lead to withdrawal symptoms such as anxiety, agitation, and in severe cases, seizures. This is due to the physiological dependence that can develop with long-term use of benzodiazepines.
Here’s why the other options are not appropriate:
A. “You can stop taking the medication as long as you taper off gradually.”
While tapering off gradually is generally a recommended approach for discontinuing benzodiazepines, it should not be done independently by the client. The tapering schedule should be specifically tailored to the individual’s needs by a healthcare provider. Thus, it’s important to consult with a doctor before making any changes.
C. “You can stop taking the medication immediately without any problems.”
This is incorrect because stopping lorazepam abruptly can result in withdrawal symptoms and potentially severe complications. It’s crucial to follow a structured plan for discontinuation under medical supervision.
D. “You should switch to a non-benzodiazepine medication instead.”
Switching to a different medication might be an option, but it should be discussed and decided upon with the guidance of a healthcare provider. The decision to change medication involves considering the client’s current health status, needs, and potential benefits and risks.
In summary, the best course of action is to encourage the client to consult with their healthcare provider before making any changes to their medication regimen. The healthcare provider can assess the client’s condition and develop an appropriate plan for tapering off lorazepam safely or considering alternative treatments if needed.