Lorazepam and ‘The White Lotus’ — what to know about the anxiety medication

Viewers of HBO’s “The White Lotus” have become familiar with the character Victoria Ratliff’s affinity for lorazepam, a benzodiazepine medication used to treat anxiety and insomnia. Searches for the drug spiked after an episode of the show featured its use, or rather, its abuse by the matriarch of the family.

In the show, Victoria, played by actress Parker Posey, is depicted constantly taking lorazepam pills throughout the day to cope with the stress of a family vacation. When she finds herself without her medication, she exclaims, “I don’t even have my lorazepam. I’m going to have to drink myself to sleep.”

Lorazepam works by slowing activity in the brain to induce relaxation. It is commonly used to relieve anxiety and insomnia caused by temporary situational stress. However, the drug has potential risks and side effects, including dizziness, confusion, memory issues, and slowed breathing, especially when combined with other sedatives like alcohol or opioids.

Neuroscientist and sleep specialist Chelsie Rohrscheib warns that lorazepam is highly habit-forming, leading to dependence and withdrawal symptoms when discontinued. Long-term use of the medication has been linked to negative effects on mood, an increased risk of depression, and potential neurodegenerative disorders like dementia.

Mixing lorazepam with other medications, especially opioids, can increase the risk of serious or life-threatening complications. Alcohol consumption while taking lorazepam can also be dangerous, as it may lead to breathing problems or difficulty waking.

It’s important to note that lorazepam cannot be purchased over the counter and requires a prescription from a medical professional. Rohrscheib recommends exploring lifestyle changes and cognitive behavioral therapy before turning to medication for sleep issues. Alternative treatments such as over-the-counter non-benzodiazepine medications or supplements like melatonin may be considered.

Improving sleep hygiene practices, such as maintaining a consistent sleep schedule, creating an ideal sleep environment, and incorporating relaxation techniques before bed, can help alleviate insomnia. Avoiding stimulants like caffeine and alcohol, as well as screens and blue light before bedtime, can also contribute to better sleep quality.

Ultimately, it’s essential to consult with a healthcare provider before starting any medication like lorazepam and to explore safer and more sustainable sleep alternatives before resorting to benzodiazepines.