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Hello and thank you for your question. The Cipralex is definitely safe to take every day as there have been numerous studies on its long-term use showing no adverse effects when taken for years or even decades. The Ativan is probably the most controversial because as of right now your psychiatrist is correct that there is no harm in taking 1mg/day of the Ativan, but the problem is that you will get addicted to the medication as it is a physically addictive substance. This usually causes an individual to increase the dose steadily as you become more tolerant on the dose as time passes on, which just further enables the addiction and this just causes more problems. In addition, studies have shown that in the elderly (ages 60 or higher) the use of a benzodiazepine can increase the risk of dementia, cognitive decline, and depression; now while you are safe right now, some of these studies theorized that long-term use earlier in the life-span could increase the risk of dementia as well although this is only a theory and not a fact as of yet. So your psychiatrist is correct that as of right now it is safe to take the Ativan everyday, but your family doctor is more concerned about what taking the Ativan everyday could spell out for you in the long-term, so I would say that your psychiatrist is looking at the short-term goals, while your family doctor is looking more in the long-run.
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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