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I have been on 2mg twice a day for 9 years. it works great for anxiety and insomnia, however I feel like I am a slave to this drug because I cannot sleep at all without it. I usually have refills on this script, but when I'm out of refills, my doctor takes forever to contact the pharmacy. I did not sleep more than a couple miserable hours every other night for 6 days. Other than that, I highly recommend this medication over xanax and valium. It lasts for 8 hours, as opposed to the 3 hours of valium, and xanax just seems to get you high and is highly addictive. Long term use of Ativan does cause memory loss and is physically addictive. Restless body syndrome is another withdrawal symptom. I think I will be on this medication the rest of my life, along with Oxycodone, Gabapentin, Meloxicam and Roboxin. The best advice is don't even start taking any benzodiazepine at all. There's gotta be a better way to deal with anxiety.