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Despite its efficacy, Ativan carries potential side effects and risks. Common side effects include drowsiness, dizziness, weakness, and impaired coordination, which can impact a person’s ability to perform tasks that require full alertness, such as driving or operating machinery. More serious side effects, although less common, may include memory problems, confusion, and paradoxical reactions such as increased anxiety or agitation, especially in older adults or those with a history of psychiatric disorders.