Can Lorazepam Be Addictive? What You Need to Know

Medically Reviewed:
Dr. Randy Gelow, MD, FASAM
Ray Hamilton, DNP, PMHNP-BC, FNP-C
Last Updated: July 17, 2025

Lorazepam, also known by its brand name Ativan, is a widely prescribed medication used to treat anxiety, insomnia, seizures, and more. It is part of the benzodiazepine class of drugs.  It works by enhancing the effects of gamma-aminobutyric acid (GABA), a calming neurotransmitter in the brain.

While lorazepam can be highly effective for short-term relief, a critical question arises: Can lorazepam be addictive? The short answer is yes. Knowing the warning signs, you can prevent or treat lorazepam addiction.

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How Does Lorazepam Work?

Lorazepam is a central nervous system (CNS) depressant. It is a type of medication often prescribed to help people who struggle with anxiety disorders, trouble sleeping, or extreme stress. It’s also sometimes given before surgeries to help patients relax or to treat seizures and withdrawal symptoms from alcohol.

Lorazepam belongs to a group of drugs called benzodiazepines (cns depressants), which are known for their calming effects on the brain and body. When someone takes lorazepam, it starts working by affecting a chemical in the brain called GABA. GABA is a natural substance that helps keep the brain’s activity balanced.

In moments of anxiety or panic, the brain can become overly active. Lorazepam helps enhance the effects of GABA, which slows down brain activity and makes a person feel calmer and more relaxed. This is why it’s so helpful for treating anxiety or helping someone fall asleep.

The effects of lorazepam can be felt relatively quickly, which makes it a popular choice for short-term relief. For example, if someone is having a panic attack or can’t sleep because of racing thoughts, lorazepam can help them feel better within a short time.

However, because it works so well and so fast, it also comes with risks. The body can get used to it, and over time, a person might need more of the drug to get the same calming effect. This can lead to dependence if it’s not taken carefully and under a doctor’s guidance.

Lorazepam can be highly effective when used properly, but it’s not intended as a long-term solution. It’s essential for people taking it to understand how it works, follow their doctor’s instructions closely, and consider other ways—like therapy or lifestyle changes—to manage stress and anxiety in the long run.

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Is Lorazepam Addictive?

Can you be addicted to lorazepam? Yes, you can be addictive, especially with long-term or high-dose use. According to the National Institute on Drug Abuse (NIDA) and DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition), benzodiazepines like lorazepam can lead to both physical dependence and psychological addiction.

 The brain becomes accustomed to the drug’s calming effect, and over time, you may:

  • Need higher doses to achieve the same relief (tolerance)
  • Feel unable to function without it (dependence)
  • Crave the drug or continue using it despite adverse consequences (addiction)

Even patients who use lorazepam exactly as prescribed may be increase the risk if usage extends beyond a few weeks.

Can .5 mg of Lorazepam be Addictive?

Yes, even 0.5 mg of lorazepam can be addictive, especially if it is taken regularly over a period of time. While 0.5 mg is considered a low dose, addiction doesn’t depend solely on the amount. It also depends on how often it’s taken, for how long, and the individual’s personal risk factors.

 Can 5 mg of Lorazepam be Addictive?

Yes, 5 mg of lorazepam can absolutely be addictive. This is considered a high dose, especially if taken regularly or without medical supervision. Lorazepam is a potent benzodiazepine, and at 5 mg, the risk of developing tolerance, dependence, and addiction increases significantly.

At such a dose, the brain quickly becomes accustomed to the calming effects of the drug. Over time, the body may require more of it to achieve the same level of relief—a condition known as tolerance.

It’s essential to understand the distinction between physical dependence and addiction:

  •  Dependence occurs when your body has adapted to the drug and experiences withdrawal without it.
  • Addiction involves compulsive drug-seeking behavior, loss of control, and continued use despite harm.

You can be dependent on Ativan without being addicted, but dependence can evolve into addiction if not addressed early.

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Why Is Lorazepam So Addictive?

There are several reasons Ativan addiction carries a high risk of addiction:

  1. Fast-acting effects: It brings near-instant relief from anxiety and panic, which can encourage overuse.
  2. Short half-life: This means the drug leaves the body relatively quickly, increasing withdrawal symptoms and the urge to take more.
  3. Euphoric or calming sensations: In higher doses, lorazepam can create a “high” that some users chase.
  4. Widespread use: It is commonly prescribed, making it easily accessible.

Who Is Most at Risk?

Anyone can become addicted to Lorazepam. But people in these groups can increase the risk:

  • Individuals with a personal or family history of substance abuse
  • Those with co-occurring mental health disorders (like PTSD, depression)
  • People under high chronic stress or trauma
  • Patients prescribed lorazepam for longer than a few weeks

Women and older adults are also more likely to receive benzodiazepine prescriptions and may unknowingly develop dependence.

How Long Does It Take to Get Addicted to Lorazepam?

The timeline for abusing Ativan varies, but physical dependence can develop within 2 to 4 weeks of regular use. The risk increases with:

  • Higher doses
  • Daily use
  • Use beyond the recommended time frame
  • Co-use with other substances (e.g., alcohol, opioids)

Even short-term use can be risky, even life-threatening, if you’re predisposed to addiction.

What Are the Signs and Symptoms of Lorazepam Addiction?

If you or a loved one are taking lorazepam, watch for these signs that may indicate developing addiction:

Behavioral Signs:

  • Taking larger doses than prescribed
  • Doctor shopping for multiple prescriptions
  • Lying about use or hiding the drug
  • Inability to stop using despite wanting to
  • Neglecting responsibilities at work or home

Psychological Symptoms

  • Cravings
  • Obsessive thoughts about the drug
  • Inability to stop despite knowing it’s causing harm.

Physical and Mental Symptoms:

  • Memory problems
  • Drowsiness or sedation
  • Slurred speech
  • Poor coordination
  • Mood swings or irritability
  • Depression or suicidal thoughts
  • Withdrawal symptoms between doses

If these signs sound familiar, it’s crucial to seek professional support. Lorazepam addiction is treatable, but it often requires medical detox and structured recovery programs to regain control safely.

What Happens When You Stop?

Sudden Ativan withdrawal can lead to severe withdrawal symptoms, especially after long-term use. These symptoms can begin within 6–12 hours of the last dose and may include:

  • Nausea or vomiting
  • Sweating and tremors
  • Insomnia and anxiety
  • Hallucinations
  • Seizures
  • Rebound symptoms (intensified anxiety or panic)

Because of these risks, medical detox is often required when discontinuing lorazepam.

Get Help for Lorazepam Addiction

If lorazepam is affecting your life or the life of someone you love, you’re not alone. Professional help is available—and recovery is possible. Contact a trusted treatment center today and take the first step toward freedom and healing.

Lorazepam can be addictive and it’s important to take that possibility seriously. Even when taken as prescribed, lorazepam can lead to physical dependence and, over time, addiction.

If you or someone you love is struggling with anxiety and relying on lorazepam more than intended, now is the time to seek help from a trusted treatment center. Don’t wait for the signs of addiction to worsen.

Contact the Hope House at (480) 447 -4252 or email us at contact@thehopehouse.com. Explore safe and effective alternatives to start your journey toward lasting recovery.

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