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I use .5 mg of Ativan to manage occasional panic attacks. It is very effective in reducing the severity of the panic, and it works about 20 minutes after taking it. Even with the small dose, however, I experience heaviness in the chest and a feeling like it is hard to breathe. This adds to my panic somewhat, but then eventually I feel relaxed enough not to worry about it too much. I would only use this drug on occasion because of its addictive tendencies. If I used it every day I would probably need a higher dose to get the same effectiveness.