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Common side effects include weakness, sleepiness, low blood pressure, and a decreased effort to breathe. Lorazepam is sometimes used as an alternative to haloperidol when there is the need for rapid sedation of violent or agitated individuals, 35 36 but haloperidol plus promethazine is preferred due to better effectiveness and due to lorazepam's adverse effects on respiratory function. This is desirable with amnesic and sedative effects but undesirable with anxiolytic, hypnotic, and anticonvulsant effects. People initially experience drastic relief from anxiety and sleeplessness, but symptoms gradually return, relatively soon in the case of insomnia, but more slowly in the case of anxiety symptoms. After four to six months of regular benzodiazepine use, evidence of continued efficacy declines.
Chronic use not recommended little is known of the long term safety and efficacy; potential for dependence—see section 4. Lower doses may be sufficient in these patients See section 4. Use in patients with severe hepatic insufficiency is contraindicated. Benzodiazepines should not be used alone in depression or anxiety with depression may precipitate suicide. Patients should be advised that since their tolerance for alcohol and other CNS depressants will be diminished in the presence of Lorazepam, these substances should either be avoided or taken in reduced dosage.
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