From the Research
Ativan (lorazepam) is not typically used or recommended for treating headaches, as it is a benzodiazepine medication primarily prescribed for anxiety disorders, insomnia, seizures, and as a pre-surgical sedative. For headaches, first-line treatments include over-the-counter pain relievers like acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve) 1. For migraines specifically, triptans such as sumatriptan or preventive medications like certain antihypertensives, antidepressants, or anti-seizure drugs are more appropriate. Ativan works by enhancing the effect of GABA, a neurotransmitter that inhibits brain activity, which helps reduce anxiety but doesn't address the underlying causes of headaches.
Some key points to consider when treating headaches include:
- The use of antidepressants for headache prophylaxis, with tricyclic antidepressants like amitriptyline being well-documented for their efficacy in treating migraine and chronic tension-type headache (TTH) 2
- The importance of addressing comorbid conditions, such as anxiety and depression, which are prevalent in patients suffering from headaches 1, 3
- The potential benefits of cognitive behavioral therapy (CBT) in improving symptoms of headaches, depression, anxiety, and quality of life in patients with comorbid migraine and/or tension-type headache and major depressive disorder 3
Additionally, benzodiazepines like Ativan carry risks of dependence, tolerance, and withdrawal symptoms with regular use, making them unsuitable for recurring headache management. If you're experiencing headaches, it's best to consult with a healthcare provider who can recommend appropriate treatment options based on your specific headache type and symptoms.