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Hello again, I believe I can help you with your question. Ativan is a very potent benzodiazepine that can lessen anxiety, so this is definitely a good medication to treat your break-through anxiety. Ativan is also only effective for around 8 hours, so taking it every 8 hours will provide you with 24 hour coverage to lessen your anxiety, but 3mg/day is a relatively moderate to high dose of this medication. The reason I would be concerned at this moderate to high dose is that Ativan is a very physically addictive medication, so eventually your body will get used to this dose, if taken everyday, and you would have to increase the medication dosage to garner the same benefits. In addition, when you eventually want to stop the medication, you would have to taper off the Ativan very slowly to avoid withdrawal effects, which can very severe if you taper too fast.
So overall Ativan is definitely a safe medication to use and there is nothing wrong with the dose your doctor prescribed for you, but it should either only be used for a short amount of time (6-8 weeks) or it should only be taken as needed to avoid your body becoming too physically addicted to it. Long-term use of a moderate-high dose benzodiazepine (a few years) can cause increased cognitive issues, increased rates of depression, and possibly increased risks of dementia
I hope this answers your questions and gives you some guidance on this issue. Please let me know if you have any questions or concerns as I am happy to assist and support you regarding this issue.
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