{"id":628840,"date":"2024-07-03T14:06:10","date_gmt":"2024-07-03T18:06:10","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=628840"},"modified":"2024-10-25T09:52:10","modified_gmt":"2024-10-25T13:52:10","slug":"is-lorazepam-a-controlled-substance","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/is-lorazepam-a-controlled-substance\/","title":{"rendered":"Is lorazepam a controlled substance?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Lorazepam is a generic medication approved by the U.S. Food and Drug Administration (<\/span><a href=\"https:\/\/nctr-crs.fda.gov\/fdalabel\/services\/spl\/set-ids\/933b5ef3-ec29-1a96-e053-2995a90a2d33\/spl-doc\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">FDA<\/span><\/a><span style=\"font-weight: 400;\">) to treat anxiety disorders or for the short-term relief of anxiety symptoms. As a benzodiazepine, lorazepam has serious risks, including drug abuse, drug dependence, and fatal overdoses. Due to these risks, lorazepam is classified as a Schedule IV controlled substance by the U.S. Drug Enforcement Administration (<\/span><a href=\"https:\/\/www.dea.gov\/drug-information\/drug-scheduling\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">DEA<\/span><\/a><span style=\"font-weight: 400;\">). Let&rsquo;s explore more about lorazepam and what makes it a controlled substance.&nbsp;<\/span><\/p>\n<h2 id=\"what-is-lorazepam\"><span style=\"font-weight: 400;\">What is lorazepam?<\/span><\/h2>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/lorazepam\/what-is\"><span style=\"font-weight: 400;\">Lorazepam<\/span><\/a><span style=\"font-weight: 400;\"> is a prescription medication prescribed to treat anxiety disorders and temporary symptoms of anxiety. It is also prescribed <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK532890\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">off-label<\/span><\/a><span style=\"font-weight: 400;\"> for alcohol withdrawal syndrome, panic disorder, <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/lorazepam-for-sleep\/\"><span style=\"font-weight: 400;\">insomnia<\/span><\/a><span style=\"font-weight: 400;\">, agitation, and vertigo. Often referred to by its brand name, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/ativan\/what-is\"><span style=\"font-weight: 400;\">Ativan<\/span><\/a><span style=\"font-weight: 400;\">, lorazepam belongs to a class of drugs called <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/benzodiazepines\"><span style=\"font-weight: 400;\">benzodiazepines<\/span><\/a><span style=\"font-weight: 400;\">. It works by boosting the effects of a chemical called gamma-aminobutyric acid (GABA) in the brain, which produces a relaxing and calming effect. While benzodiazepines are effective <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/anxiety-treatment-and-medications\"><span style=\"font-weight: 400;\">treatment options for anxiety<\/span><\/a><span style=\"font-weight: 400;\">, they should be taken with caution as they have the potential to be abused or cause drug dependence. Because of these risks, lorazepam is a Schedule IV controlled substance in the United States.&nbsp;<\/span><\/p>\n<h2 id=\"is-lorazepam-a-controlled-substance\"><span style=\"font-weight: 400;\">Is lorazepam a controlled substance?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">While lorazepam isn&rsquo;t a narcotic, it is still considered a federally <\/span><a href=\"https:\/\/www.dea.gov\/drug-information\/csa\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">controlled substance<\/span><\/a><span style=\"font-weight: 400;\">. The DEA classifies controlled substances into one of five schedules. The schedule of a controlled substance depends on the drug&rsquo;s use and potential for abuse and dependence. Schedule I drugs have the highest potential for abuse and physical dependence, while Schedule V drugs represent the least potential. However, Schedule V controlled substances still have a greater risk of abuse than noncontrolled substances.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Most benzodiazepines, including lorazepam, are Schedule IV drugs. According to the DEA, Schedule IV drugs have a low potential for abuse and a low risk of dependence. Nevertheless, there is still a risk of dependence and tolerance with higher doses and long-term use of lorazepam. Benzodiazepine misuse is a <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6639084\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">growing public health issue<\/span><\/a><span style=\"font-weight: 400;\"> that has resulted in increasing rates of overdose deaths and emergency room visits in recent years. To minimize these risks, healthcare providers typically <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK532890\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">prescribe lorazepam<\/span><\/a><span style=\"font-weight: 400;\"> at the lowest effective dose for the shortest time needed.&nbsp;<\/span><\/p>\n<h2 id=\"what-does-that-mean-for-me\"><span style=\"font-weight: 400;\">What does that mean for me?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">With its classification as a controlled substance, lorazepam prescriptions have specific requirements and limits on the quantity prescribed or refills available. These laws vary depending on the state, but in general, Schedule IV prescriptions <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3847977\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">cannot be refilled more than five times<\/span><\/a><span style=\"font-weight: 400;\"> in a six-month period. In <\/span><a href=\"https:\/\/www.cdc.gov\/phlp\/docs\/menu_prescriptionlimits.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">South Carolina<\/span><\/a><span style=\"font-weight: 400;\">, prescriptions for Schedule IV drugs, such as lorazepam, are limited to a 30-day supply. However, in Rhode Island, Schedule IV drugs may be dispensed for up to a 90-day supply.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Because of its potential for abuse and dependence, it&rsquo;s important to take lorazepam exactly as prescribed. It&rsquo;s also important to store lorazepam in a safe place where others, especially children, cannot access it, as children may be at <\/span><a href=\"https:\/\/www.mskcc.org\/cancer-care\/patient-education\/medications\/pediatric\/lorazepam\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">higher risk<\/span><\/a><span style=\"font-weight: 400;\"> of side effects from the drug. In addition, selling or giving away lorazepam is illegal and can cause serious harm to others. If you or a caregiver recognize any signs of lorazepam abuse, reach out to a healthcare professional right away for medical advice. Signs of lorazepam addiction or abuse <\/span><a href=\"https:\/\/americanaddictioncenters.org\/benzodiazepine\/symptoms-and-signs\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">may include<\/span><\/a><span style=\"font-weight: 400;\">:&nbsp;<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Poor judgment or thinking<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Asking others for their lorazepam pills<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mixing lorazepam with alcohol or other sedating drugs<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mood changes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Doctor shopping<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Spending considerable time getting the drug, taking it, and recovering from its effects<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Experiencing withdrawal symptoms when lorazepam isn&rsquo;t in your system<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Poor performance at work, school, or home due to lorazepam&rsquo;s effects<\/span><\/li>\n<\/ul>\n<h2 id=\"what-can-i-take-instead-of-lorazepam\"><span style=\"font-weight: 400;\">What can I take instead of lorazepam?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">While all benzodiazepines are controlled substances, there are other drugs used to treat anxiety that aren&rsquo;t controlled substances. <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/xanax\/what-is\"><span style=\"font-weight: 400;\">Xanax<\/span><\/a><span style=\"font-weight: 400;\"> (alprazolam), <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/lexapro\/what-is\"><span style=\"font-weight: 400;\">Lexapro<\/span><\/a><span style=\"font-weight: 400;\"> (escitalopram), <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/zoloft\/what-is\"><span style=\"font-weight: 400;\">Zoloft<\/span><\/a><span style=\"font-weight: 400;\"> (sertraline), and Buspar (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/buspirone-hcl\/what-is\"><span style=\"font-weight: 400;\">buspirone<\/span><\/a><span style=\"font-weight: 400;\">) are some examples.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Benzodiazepines have fast-acting effects, but they are typically only prescribed by healthcare professionals as short-term treatments for anxiety. This is in part because of their potential for abuse and dependence. Other drug classes, such as selective serotonin reuptake inhibitors (<\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/ssris\"><span style=\"font-weight: 400;\">SSRIs<\/span><\/a><span style=\"font-weight: 400;\">) and serotonin and norepinephrine reuptake inhibitors (<\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/snris\"><span style=\"font-weight: 400;\">SNRIs<\/span><\/a><span style=\"font-weight: 400;\">), may be effective for anxiety and are not classified as controlled substances. However, they come with risks, which may take longer to feel their full effects.&nbsp;<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h2 id=\"lorazepam-alternatives\"><span class=\"title\">Lorazepam alternatives<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Drug name<\/b><\/td>\n<td><b>Drug class<\/b><\/td>\n<td><b>Indication<\/b><\/td>\n<td><b>Controlled substance<\/b><\/td>\n<td><b>SingleCare savings<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Xanax (alprazolam)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Benzodiazepine<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Anxiety and panic disorder<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/xanax\"><span style=\"font-weight: 400;\">Xanax coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Valium (diazepam)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Benzodiazepine<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Anxiety, alcohol withdrawal, muscle spasms, seizures<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/valium\"><span style=\"font-weight: 400;\">Valium coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Buspar (buspirone)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Anxiolytics<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Anxiety<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/buspirone-hcl\"><span style=\"font-weight: 400;\">Buspirone coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Lexapro (escitalopram)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">SSRI<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Depression, anxiety<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/lexapro\"><span style=\"font-weight: 400;\">Lexapro coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Zoloft (sertraline)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">SSRI<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Social anxiety disorder<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/zoloft\"><span style=\"font-weight: 400;\">Zoloft coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Effexor XR (extended-release venlafaxine)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">SNRI<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Anxiety<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/effexor-xr\"><span style=\"font-weight: 400;\">Effexor XR coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Seroquel (quetiapine)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Atypical antipsychotic<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Schizophrenia, bipolar I disorder, depression<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/seroquel\"><span style=\"font-weight: 400;\">Seroquel coupons<\/span><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">If you have anxiety and are looking to avoid controlled substances, such as lorazepam, talk with your healthcare provider about your treatment options. There are several <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/ativan-alternatives\/\"><span style=\"font-weight: 400;\">lorazepam alternatives<\/span><\/a><span style=\"font-weight: 400;\"> available. However, your provider will likely need to thoroughly evaluate which options are safe for you.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Finding effective and safe treatment for anxiety can be tricky. Some medications are better for short-term relief of anxiety, while others work better for those with chronic (long-term) anxiety. While lorazepam is an effective option for temporary, fast-acting treatment of anxiety, it comes with risks of drug abuse and dependence, which is why it&rsquo;s classified as a Schedule IV controlled substance. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Lorazepam is a generic medication approved by the U.S. Food and Drug Administration (FDA) to treat anxiety disorders or for the short-term relief of anxiety symptoms. As a benzodiazepine, lorazepam has serious risks, including drug abuse, drug dependence, and fatal overdoses. Due to these risks, lorazepam is classified as a Schedule IV controlled substance by [&hellip;]<\/p>\n","protected":false},"author":133,"featured_media":628841,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[9777,788],"coauthors":[20969],"class_list":["post-628840","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-anxiety","tag-drug-safety","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Lorazepam: Uses, and why it is a controlled substance<\/title>\n<meta name=\"description\" content=\"Learn about Lorazepam, its FDA-approved uses for anxiety, potential risks, and why it&#039;s classified as a Schedule IV controlled substance by the DEA.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.singlecare.com\/blog\/is-lorazepam-a-controlled-substance\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Is lorazepam a controlled substance?\" \/>\n<meta property=\"og:description\" content=\"Learn about Lorazepam, its FDA-approved uses for anxiety, potential risks, and why it&#039;s classified as a Schedule IV controlled substance by the DEA.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.singlecare.com\/blog\/is-lorazepam-a-controlled-substance\/\" \/>\n<meta property=\"og:site_name\" content=\"The Checkup\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/singlecare\" \/>\n<meta property=\"article:published_time\" content=\"2024-07-03T18:06:10+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-10-25T13:52:10+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2024\/07\/is-lorazepam-a-controlled-substance.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Ashley Wong, Pharm. D.\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@SingleCare\" \/>\n<meta name=\"twitter:site\" content=\"@SingleCare\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Ashley Wong, Pharm. D.\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/is-lorazepam-a-controlled-substance\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/is-lorazepam-a-controlled-substance\\\/\"},\"author\":{\"name\":\"Christie Falzone\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#\\\/schema\\\/person\\\/5ff7c7bb5ce0c66a6962ecf7c8d7941e\"},\"headline\":\"Is lorazepam a controlled 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