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Ativan can cause side effects such as drowsiness, dizziness, confusion, impaired coordination, and memory difficulties. These effects can be more pronounced in older adults or individuals taking other sedating medications. Because Ativan can impair judgment and reaction time, driving or operating heavy machinery should be avoided after taking it. Healthcare providers evaluate a patient’s full medical profile, including respiratory issues, substance use history, and concurrent medications, before prescribing Ativan.