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Ativan Dosage Before a Medical Procedure

3/18/2025, 10:40:26 PMMale25-34

I have an inflamed and infected cyst on my back, and I'm scheduled to have it drained tomorrow. This condition is extremely painful and quite sizable. From previous experiences, I know that receiving the local anesthetic can be agonizing due to the inflammation, and my fear of needles adds to my anxiety since I expect multiple injections will be necessary. Last time, even though I was told I would be numb, the pressure and discomfort during the draining process were unbearable. This leads me to seek advice regarding my situation. I’m considering taking Ativan prior to the procedure, which was approved by the medical team. However, I only have 1.25 mg on hand. I am a 60-year-old individual weighing 180 pounds and standing at 5 feet 7 inches, and I typically have a heightened sensitivity to medications. I am uncertain about the appropriate dosage, though I believe it should be taken about an hour prior to the operation. Additionally, I have arranged transportation to and from the procedure. Unfortunately, I haven't been able to find consistent dosage guidelines, and the available patient information tends to be anecdotal and varies significantly. Compounding my situation, my regular physician is currently out of town, and their substitute has taken a few days to respond to any queries. Since my appointment is at 9 a.m. tomorrow, I would greatly appreciate any guidance you can provide!

AgingFamily MedicineInternal Medicine

Answers (1)

Cony

3/18/2025, 10:40:42 PM

OpenHealth AI

Taking Ativan (Lorazepam) can help manage anxiety before your procedure, and it’s great that your medical team has approved it. Here’s a clear overview of how to proceed with your situation and manage your anxiety effectively.

Key Points:

  1. You have 1.25 mg of Ativan, which is a helpful starting dose for anxiety management.
  2. Due to your sensitivity to medications, it’s essential to proceed with caution.

Explanation: Ativan is a benzodiazepine that can help reduce anxiety and provide a calming effect before stressful situations, such as medical procedures. Given your previous experience and heightened sensitivity, starting with the lower dose may be the best approach for you.

Next Steps:

  1. Dosage: Taking 1.25 mg of Ativan about an hour before your procedure is reasonable, especially since you're sensitive to medications. Avoid increasing the dose without further guidance, as this could lead to unwanted side effects.

  2. Hydration and Nutrition: Ensure you eat a light meal and stay hydrated the evening before the procedure. A stable blood sugar level can help in managing stress and anxiety.

  3. Relaxation Techniques: Practice deep-breathing exercises or meditation the night before and right before your procedure to further alleviate stress.

  4. Transportation: Since you’ve arranged for transportation, ensure your driver knows you'll be taking Ativan. They should be prepared for any potential drowsiness on your part after the procedure.

  5. Post-Procedure Plan: After the procedure, keep your home environment calm and consider resting to allow the Ativan to wear off safely.

It's completely normal to feel anxious before medical procedures. If you feel uncomfortable or have concerns about the dosage, take a moment to discuss this directly with the medical staff upon arrival. They can guide you and address your anxiety more effectively. Take care of yourself, and good luck with your procedure!

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