Addiction Drug Use Prescription Medications How Long Does Ativan (Lorazepam) Stay in Your System? Ativan in Your Blood, Urine, Hair, and Saliva By Buddy T Buddy T Facebook Twitter Buddy T is an anonymous writer and founding member of the Online Al-Anon Outreach Committee with decades of experience writing about alcoholism. Learn about our editorial process Updated on March 23, 2020 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Daniel B. Block, MD Medically reviewed by Daniel B. Block, MD LinkedIn Twitter Daniel B. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania. Learn about our Medical Review Board Print Wavebreakmedia / Getty Images Table of Contents View All Table of Contents Effects Duration Detection Times Elimination Symptoms of Overdose Getting Help Ativan (lorazepam) is a benzodiazepine sedative used to treat anxiety and seizures. It may also be prescribed for people who are undergoing alcohol withdrawal, for nausea from chemotherapy, and for irritable bowel syndrome. It depresses the central nervous system and as a result, has risks when combined with other depressants or alcohol, including the possibility of fatal respiratory depression. Ativan is classified as a Schedule IV drug, which means that it has a lower potential for misuse and lower risk of dependence than Schedule II and III drugs. But Ativan can be habit-forming. As a result, it's usually prescribed only for short periods. With long-term use, you can build a tolerance such that larger doses are needed to achieve the same effect. Stopping Ativan after using it for a long period can result in withdrawal symptoms of anxiety, sleeplessness, and irritability. While you have Ativan in your system, it is important to understand how it might interact with other medications and substances. You need to be alert for the symptoms of an overdose or severe side effects and work closely with your doctor to avoid these situations. How Long Does Ativan Stay in Your System? Urine: Up to six daysBlood: Up to three daysSaliva: Up to 8 hoursHair: 30 days or longer How Long Does It Take to Feel Effects? Benzodiazepines, including Ativan, have sedative and hypnotic effects. The drug works by enhancing the effects of a natural chemical called GABA, which depresses the central nervous system (CNS), leading to a calming or relaxing effect. Ativan can be given as tablets, liquid concentrate, or by injection. The different routes have different timetables for when they take effect. With tablets or liquids, the peak effects are seen in two hours. An injection of Ativan begins to have effects in 15 to 30 minutes, and it lasts for 12 to 24 hours. How Long Does Ativan Last? While lorazepam is a fast-acting drug, it has a relatively long half-life. The half-life of lorazepam is 12 hours, meaning that it decreases in concentration in the body by half every 12 hours. The drug is metabolized primarily by the liver and then eliminated from the body by the kidneys through urine. Ativan may be present up to nine days past the last use. If you are going to be taking a urine drug screen for employment or other purposes, be aware that it will test positive if you are taking Ativan. Disclose your prescription to the testing lab so they can accurately interpret the test results. Blood Ativan can first be detected by blood tests six hours after ingestion. Blood tests can also detect the substance for three days after the last use. However, this detection window may be longer in cases where people have been taking Ativan at higher doses for three days or longer. Urine Ativan is eliminated in the urine for one to six weeks, depending on how much is administered and for how long. Urine screening tests can detect Ativan in samples up to six days after the last use. In those who have been taking the drug regularly or at higher doses, this detection window may be somewhat longer. If testing looks for the metabolite lorazepam-glucuronide, which is produced as the drug is broken down by the body, detection may take place up to nine days after the last use. Hair As with other drugs, Ativan can be detected in hair samples for much longer than with other methods. It can be detected with a hair test for up to 30 days after use. Saliva Saliva tests have found that Ativan could be detected in samples for up to eight hours after use. However, saliva tests are rarely used to screen for benzodiazepines such as Ativan. Ativan will make your drowsy while it is in your system. You should not drive or operate machinery while you are drowsy. False Positive Testing Some medications may result in a false positive urine screen for Ativan. The antidepressant medication Zoloft (sertraline) and prescription non-steroidal anti-inflammatory drug Daypro (oxaprozin) reportedly can cause a false-positive urine test for benzodiazepines like Ativan. Always disclose any prescription or over-the-counter medications so lab clinicians can accurately interpret your drug screen results. Factors That Affect Detection Time There are a number of things that can influence how long Ativan remains in a person's system. While rates usually follow a fairly consistent timeline, some people metabolize and clear the drug more quickly than others. Biological Factors Some of the factors that can influence how long Ativan remains in your body include the following. Age: Older people tend to clear the drug more slowly than younger people. This is likely because older individuals have slower metabolisms, decreased organ function, lower blood flow, and other health issues that can affect how quickly the drug is processed and excreted.Kidney function: Research has found that liver impairment does not have much of an impact on Ativan clearance rates; however, kidney problems are associated with prolonged drug half-life.Height and weight: Taller, heavier people typically clear the drug more quickly than shorter, lighter individuals. Dosage and Frequency of Use Higher doses of Ativan take longer to metabolize. The drug is also detectable for longer periods in individuals who have been taking the drug for a longer period of time. Use of Other Substances The concurrent use of other substances can have an impact on how quickly each is processed and excreted from the body. For example, consuming alcohol while using Ativan reduces clearance rates by 18%. Researchers believe that short-term alcohol consumption impairs the coupling of the drug or its metabolites with other molecules, which slows the metabolism process. How to Get Ativan Out of Your System Ativan has a relatively long half-life. Like other benzodiazepines, its use can lead to physical dependence, and to withdrawal symptoms when you stop taking the drug. If you do decide to stop taking Ativan, always talk to your doctor first. You should only stop using lorazepam under the supervision of a medical professional due to the potential risk of severe withdrawal side effects. Once you have safely stopped taking Ativan, there may be a few things that you can do to speed up how quickly the drug completely clears your system. Because Ativan is excreted through urine, staying well-hydrated by drinking plenty of fluids may slightly increase how quickly the drug is removed from your system. Symptoms of Overdose An overdose with Ativan is most commonly seen when taken with alcohol or opiate medications like Vicodin (hydrocodone) and OxyContin (oxycodone). This combination can be life-threatening, and it is important that your family or household members know what symptoms to look for so they can get emergency help quickly. If you suspect that someone has overdosed on Ativan, call 911 immediately. The signs of an Ativan overdose include: Unusual dizzinessLight-headednessExtreme sleepinessSlowed or difficulty breathingUnresponsiveness Precautions You risk serious breathing problems, sedation, or coma when you take Ativan with alcohol or other medications that can depress breathing. To prevent accidental overdose or other complications: Do not use alcohol while taking Ativan. Do not take any street drugs, as they may contain substances that can depress breathing. If you are breastfeeding, be aware that this drug passes through into your milk and may affect your baby. If you are pregnant or plan to become pregnant, discuss this with your doctor. If you are depressed or have suicidal thoughts, avoid Ativan. If you are older, you may experience more effects of Ativan, such as drowsiness. Do not smoke cigarettes or use tobacco products, as these can reduce the effects of Ativan. If you take or plan to take any opiate or opioid medications, discuss them with your doctor as they can result in a life-threatening reaction with Ativan. These include medications with codeine or hydrocodone (such as for a cough or pain), fentanyl, hydromorphone, Demerol, methadone, morphine, oxycodone, and tramadol. Discuss all medications (prescription and over-the-counter), supplements, vitamins, and herbal products you take with your doctor as you may need dosages changed when you have Ativan in your system. Always tell your doctor whenever you plan to start a new medication or stop using one. Getting Help If you need help stopping Ativan use, start by talking to your doctor. Physical dependence can occur even if you take the drug exactly as prescribed. Quitting Ativan suddenly can be dangerous or even life-threatening due to the increased risk of seizures during the withdrawal process. You must be monitored by a medical professional as you go through the withdrawal process. In most cases, you can detox from the drug on an outpatient basis. There are no medications approved to treat Ativan dependence, but the standard approach is to slowly reduce the amount of the drug used over a period of time to prevent severe withdrawal symptoms. Your doctor will monitor your progress as you slowly taper off of the drug. Your doctor may also recommend other treatments such as psychotherapy. Types of psychotherapy that may be used during drug recovery include cognitive-behavioral therapy and dialectical behavioral therapy. If you need help with your treatment, ask your doctor to refer you to a psychiatrist or another mental health professional who specializes in addiction recovery. If you or a loved one are struggling with substance use or addiction, contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-4357 for information on support and treatment facilities in your area. For more mental health resources, see our National Helpline Database. 6 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. MedlinePlus. Lorazepam. Updated February 18, 2020. U.S. Food and Drug Administration. Ativan® C-IV (lorazepam). Updated September 2016. Greenblatt D. Clinical pharmacokinetics of oxazepam and lorazepam. Clin Pharmacokinet. 1981;6(2):89-105. doi:10.2165/00003088-198106020-00001 Kintz P, Villain M, Cirimele V, Pépin G, Ludes B. Windows of detection of lorazepam in urine, oral fluid and hair, with a special focus on drug-facilitated crimes. Forensic Sci Int. 2004;145(2-3):131-135. doi:10.1016/j.forsciint.2004.04.027 Nasky KM, Cowan GL, Knittel DR. False-positive urine screening for benzodiazepines: An association with sertraline? A two-year retrospective chart analysis. Psychiatry (Edgmont). 2009;6(7):36-39. Hoyumpa AM, Patwardhan R, Maples M, et al. Effect of short-term ethanol administration on lorazepam clearance. Hepatology. 1981;1(1):47-53. doi:10.1002/hep.1840010108 By Buddy T Buddy T is an anonymous writer and founding member of the Online Al-Anon Outreach Committee with decades of experience writing about alcoholism. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? 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