In HBO’s The White Lotus Season 3, Parker Posey’s character, Victoria Ratliff, is rarely seen without her vintage pill case filled with lorazepam. While the show satirizes her dependence, it mirrors a real-world concern: the casual use of benzodiazepines like lorazepam (Ativan) for sleep. For menopausal women grappling with insomnia, it’s tempting to consider such medications. But is lorazepam a safe solution?
What Is Lorazepam?
Lorazepam is a benzodiazepine prescribed for anxiety, panic disorders, and short-term insomnia relief. It works by calming the central nervous system, inducing drowsiness and relaxation. However, its use for sleep is intended to be short-term due to potential risks.
Dr. Andrea Matsumura’s Perspective
Sleep medicine and menopause specialist Dr. Andrea Matsumura (@sleepgoddessmd) cautions against the long-term use of prescription sleep medications like lorazepam. She emphasizes that these medications are generally not recommended for use beyond two weeks, as they can disrupt natural sleep cycles and lead to dependence.
Risks of Long-Term Use
It is well documented that prolonged use of lorazepam can result in:
- Tolerance: Requiring higher doses to achieve the same effect.
- Dependence: Experiencing withdrawal symptoms upon cessation.
- Cognitive Impairment: Memory issues and decreased alertness.
- Increased Fall Risk: Especially concerning for older adults.
These risks are particularly pertinent for menopausal women, who may already be dealing with hormonal changes affecting sleep and mood.
Safer Alternatives for Sleep
Dr. Matsumura advocates for non-pharmacological approaches to improve sleep:
- Cognitive Behavioral Therapy for Insomnia (CBT-I): A structured, evidence-based therapy addressing the thoughts and behaviors that disrupt sleep.
- Sleep Hygiene Practices: Maintaining a consistent sleep schedule, creating a restful environment, and limiting screen time before bed.
- Mindfulness and Relaxation Techniques: Incorporating meditation, deep breathing, or gentle yoga into the bedtime routine.
For those considering supplements, options like melatonin or magnesium may be beneficial, but it’s essential to consult a healthcare provider before starting any new regimen.
And You Shouldn’t Have to Drink Yourself to Sleep, Either…
While lorazepam may offer short-term relief for sleep disturbances, its long-term use poses significant risks, especially for menopausal women. Dr. Matsumura emphasizes the importance of exploring safer, sustainable strategies to improve sleep quality.
As The White Lotus illustrates through Victoria’s character, reliance on medications like lorazepam can lead to unintended consequences. By prioritizing holistic approaches and consulting a healthcare professional, women can navigate menopause with healthier sleep habits. people.com+1EverydayHealth.com+1
For more insights, follow Dr. Andrea Matsumura on Instagram: @sleepgoddessmd.
