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Suspected Atlanta shooter sought Ativan prescription: What does it do?

May 4, 2023 Atlanta: Northside Medical Midtown, along with all locations of the Laureate Medical Group, was closed Thursday, May 4, 2023 after a gunman opened fire at the medical office building, killing one woman and injuring four others. “All patient appointments are canceled,” Northside Hospital wrote in a statement. “Please follow up directly with your provider to reschedule.” The 12-story facility, located at 1110 West Peachtree Street, was opened by the Northside Hospital health system in 2018 and primarily houses doctor’s offices, as well as urgent care. It was quiet Thursday morning as Midtown residents carried on about their day, jogging or walking their dogs by its bare entrance. There were no displays of flowers or other memorials to mark the nightmare that unfolded just a day earlier. The gunfire was reported shortly after noon Wednesday in the Laureate Medical Group’s office on the 11th floor. The suspect, 24-year-old Deion Patterson, was a Laureate patient, according to witnesses who watched in horror as the five women were gunned down in the office’s waiting room shortly after noon. Patterson had arrived late for his appointment and was told he would have to come back another time, witnesses said. He allegedly became enraged, drew a handgun from his satchel and opened fire. One woman, 38-year-old Amy St. Pierre, an employee of the Centers for Disease Control and Prevention, was killed. Three others remain in critical condition and a fourth was described as stable late Wednesday. The surviving women were identified in court documents as Lisa Glynn, Georgette Whitlow, Jazzmin Daniel and Alesha Hollinger. Patterson was taken into custody in Cobb County after a massive manhunt. (John Spink / John.Spink@ajc.com)
May 4, 2023 Atlanta: Northside Medical Midtown, along with all locations of the Laureate Medical Group, was closed Thursday, May 4, 2023 after a gunman opened fire at the medical office building, killing one woman and injuring four others. “All patient appointments are canceled,” Northside Hospital wrote in a statement. “Please follow up directly with your provider to reschedule.” The 12-story facility, located at 1110 West Peachtree Street, was opened by the Northside Hospital health system in 2018 and primarily houses doctor’s offices, as well as urgent care. It was quiet Thursday morning as Midtown residents carried on about their day, jogging or walking their dogs by its bare entrance. There were no displays of flowers or other memorials to mark the nightmare that unfolded just a day earlier. The gunfire was reported shortly after noon Wednesday in the Laureate Medical Group’s office on the 11th floor. The suspect, 24-year-old Deion Patterson, was a Laureate patient, according to witnesses who watched in horror as the five women were gunned down in the office’s waiting room shortly after noon. Patterson had arrived late for his appointment and was told he would have to come back another time, witnesses said. He allegedly became enraged, drew a handgun from his satchel and opened fire. One woman, 38-year-old Amy St. Pierre, an employee of the Centers for Disease Control and Prevention, was killed. Three others remain in critical condition and a fourth was described as stable late Wednesday. The surviving women were identified in court documents as Lisa Glynn, Georgette Whitlow, Jazzmin Daniel and Alesha Hollinger. Patterson was taken into custody in Cobb County after a massive manhunt. (John Spink / John.Spink@ajc.com)
May 4, 2023

It is unclear whether or not Deion Patterson, the accused Midtown medical office shooter, has ever taken the anti-anxiety drug Ativan, which can be used to calm people in crises. But his mother told The Associated Press her son was having “a mental break,” and she was helping him request a prescription for the drug, in vain, before he opened fire.

Patterson was discharged from the Coast Guard in January, and in late April he attended an appointment with the Veterans Administration where his mother requested Ativan for him. His request was denied because of its addictive qualities, his mother said. He was offered another drug instead.

What is Ativan?

Ativan is the commercial brand name for the drug lorazepam, sold in the U.S. since 1977. It’s been called a sedative or tranquilizer; the class of drugs is called “benzodiazepines.” Ativan acts quickly and is strong.

What is Ativan used for?

Doctors have used Ativan in situations including to calm patients facing high stress or insomnia; before surgery anesthesia; undergoing epileptic seizures; or experiencing psychotic agitation. According to the Food and Drug Administration, it is for the management of anxiety disorders or for the short-term relief of anxiety. The FDA frowns on its use for “the stress of everyday life,” and says its effectiveness for long-term use has not been well assessed and it is not recommended for continuous long-term use.

Problems

Ativan can be addictive. Going off Ativan should be carefully managed, including being tapered. Abrupt withdrawal can cause symptoms including rebound insomnia, tension, and even hallucinations.

Used with opioids it can cause breathing slowdown, coma and death.

State tracking

Ativan is in a class of drugs where the state tracks prescriptions for each patient and each doctor. Since 2018, Georgia law has required any doctor in the state who writes a new prescription for benzodiazepines to first check the state Prescription Drug Monitoring Database. This is done to prevent misuse such as doctor-shopping or pill mills. If the doctor breaks this law, it’s a felony.

SOURCES: Food and Drug Administration and research papers.

About the Author

Ariel Hart is a reporter on health care issues. She works on the AJC’s health team and has reported on subjects including the Voting Rights Act and transportation.

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