Lorazepam Elimination Half Life
10-20 hours
Lorazepam Lipid solubility
Less than diazepam
Lorazepam Absorption
Reliable GI & IM- dissolved in propylene glycol or polyethelyne glycol
Lorazepam Mechanism of Action
GABA A receptor, dissociates slower than diazepam
Lorazepam Metabolism
To inactive metabolites via glucuronide conjugation in liver, not altered by age, liver dysfunction or H2 receptor antagonists (cimetidine)
Lorazepam PO Dosing
0.5-2.0 mg @ HS, 0.5-2.0 mg in AM of surgery.
Lorazepam Dosing for amnesia
50 mcg/kg (max 4 mg) amnesia for 6 hours, larder doses produce greater sedation without increased amnesia