Also known as: Lorazepam
Biolar belongs to a class of medications called benzodiazepines. These medications work by boosting the activity of gamma-aminobutyric acid (GABA) within your body.
GABA is a neurotransmitter that transmits messages between cells in different parts of your body. Increasing GABA in the body results in a tranquilizing effect that reduces feelings of stress and anxiety.
How long does it take to work?
Benzodiazepines such as Biolar are categorized based on how fast they work. Biolar is classified as having a rapid to intermediate onset (start) of action. It begins to work right away after it’s taken, but its peak effect occurs within 1 to 1.5 hours.
The Biolar dosage your doctor prescribes will depend on several factors. These include:
- the type and severity of the condition you’re using Biolar to treat
- your age
- the form of Biolar you take
- other medical conditions you may have
Typically, your doctor will start you on a low dosage and adjust it over time to reach the dosage that’s right for you. They’ll ultimately prescribe the smallest dosage that provides the desired effect.
The following information describes dosages that are commonly used or recommended. However, be sure to take the dosage your doctor prescribes for you. Your doctor will determine the best dosage to suit your needs.
Drug forms and strengths
- Tablet: 0.5 mg, 1 mg, 2 mg
- Solution for injection (IV): 2 mg per mL, 4 mg per mL
General dosage information
The usual oral dosage for Biolar tablets is 2 to 6 mg daily. This dosage amount is usually divided and taken two or three times daily.
Dosage for anxietyTypical dosage
: 1 to 3 mg taken two or three times daily.
Dosage for insomnia due to anxiety or stressTypical dosage
: 2 to 4 mg at bedtime.
Dosage for IV Biolar
- Intravenous (IV) Biolar will be given by your doctor or nurse. Your doctor will determine the best dosage for your condition.
Special dosage considerations
Older adults and people with certain physical conditions may need to start with a lower dosage. This might be 1 to 2 mg, taken two or three times daily for anxiety or once at bedtime for insomnia.
What if I miss a dose?
If you miss a dose, take it as soon as you can. However, if it’s just a few hours until your next dose, skip the missed dose and take the next one on schedule.
Never try to catch up by taking two doses at a time. This can cause dangerous side effects.
In cases of a suspected Biolar overdose, it is important to establish whether the patient is a regular user of Biolar or other benzodiazepines, since regular use causes tolerance to develop. Also, one must ascertain whether other substances were also ingested.
Signs of overdose range through mental confusion, dysarthria, paradoxical reactions, drowsiness, hypotonia, ataxia, hypotension, hypnotic state, coma, cardiovascular depression, respiratory depression, and death.
Early management of alert patients includes emetics, gastric lavage, and activated charcoal. Otherwise, management is by observation, including of vital signs, support and, only if necessary, considering the hazards of doing so, giving intravenous flumazenil.
Patients are ideally nursed in a kind, nonfrustrating environment, since, when given or taken in high doses, benzodiazepines are more likely to cause paradoxical reactions. If shown sympathy, even quite crudely feigned, patients may respond solicitously, but they may respond with disproportionate aggression to frustrating cues. Opportunistic counseling has limited value here, as the patient is unlikely to recall this later, owing to drug-induced anterograde amnesia.
Store Ativan at room temperature away from moisture, heat, and light.
Keep track of the amount of medicine used from each new bottle. Biolar is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.