Do you ever have issues with anxiety or panic attacks? Then you’ve likely heard of Xanax and Ativan. Both are commonly prescribed to allow patients to cope with anxiety but are not identical. Although alike in some respects, they are quite different in the manner in which they work, how long their effects last, and use.
What Are Xanax and Ativan?
Medication Class
Both Xanax (alprazolam) and Ativan (lorazepam) are in a class of medications known as benzodiazepines. Xanax and Ativan Both medications alter the brain and nerves (central nervous system) to create a sedating effect.
Common Uses
Xanax: Mostly for the treatment of panic and anxiety disorders.
Ativan: For anxiety, insomnia, and occasionally seizures or preoperative sedation.
How They Work
Both medications do this by enhancing the activity of a natural drug in your body, GABA (gamma-aminobutyric acid), an inhibitory chemical.
Onset Time
Xanax is of rapid onset generally 30 minutes to 1 hour.
Ativan is also of rapid onset but slightly slower in action.
Duration of Effects
The duration of Xanax’s effect is not so long, generally 4-6 hours.
Ativan is slightly longer, around 6-8 hours, occasionally longer.
Forms Available
Both medications are accessible in tablet, oral solution, and injectable form (mainly for use in hospitals).
How to Get It Online
You can obtain Xanax or Ativan via telemedicine services, wherein an online consultation by a qualified doctor is used to determine your symptoms. Only access trusted and secure online pharmacies. A prescription is required.
Dosage and Strength Differences
Start Dosage
Xanax: Usually initiated between 0.25 and 0.5 mg.
Ativan: Usually starts at 1 to 2 mg daily, divided dosing.
Maximum Dosage
Xanax: 4 mg/day in exceptional situations.
Ativan: 10 mg/day, depending upon condition and tolerance.
Frequency of Use
Xanax needs to be used more frequently since it has a lower half-life, but Ativan can be used less frequently.
Adjusting the Dose
Your physician can adjust your dose based on how your body responds. Never change your dose yourself.
Withdrawal Risks
Abrupt withdrawal from either drug will cause withdrawal reactions such as irritability, insomnia, tremors, and convulsions. Taper is always in an office.
Long-Term Treatment
Both the medicines are not to be given for long periods of time due to the risk of dependence, tolerance.
It is best to avoid the use of alcohol, opioids, and some antidepressants during the use of these medicines since they will contribute to the sedative effect and other side effects.
Side Effects and Safety
Hints for Common Side Effects:
- Drowsiness
- Dizziness
- Fatigue
- Memory impairment
- Difficulty with co-ordination
Severe Side Effects
- Decreased breathing
- Depression
- Suicidal thoughts
Hints for Serious Side Effects
- Slowed breathing
- Depression
- Suicidal thoughts
- Hallucinations
Risk of Dependence
Both Xanax and Ativan are of very high dependence risk if one uses them for a prolonged period or in excess dosage.
Risk of Overdose
They can be lethal if abused, particularly combined with other depressants such as alcohol.
Who Should Avoid Them
They should be used cautiously or avoided in individuals with drug abuse history, respiratory disease, or end-stage liver failure.
Pregnancy and Lactation
Both medications can harm a developing fetus and are not to be used when pregnant or nursing.
Safety Warnings
Use only as directed by your doctor. Do not drive or use machinery until you’re sure how the drug will affect you.
Which Is Better for You?
For Quick Anxiety Relief
Xanax is faster but shorter-lasting.
For Long-Term Calm
Ativan is longer-lasting and could be better for ongoing insomnia or anxiety.
On the Basis of Side Effects
Some individuals find they can take one of them better than the other.
Doc’s Choice
Your physician may prefer one over the other depending on your age, health conditions, or other medication you are on.
Cost and Availability
Both are available in generic and most frequently are covered but in varying price tags.
Others take them and say they feel more “clear-headed” on Ativan or Xanax, whichever they use.
Trial and Error
It usually requires experiment and careful monitoring by your physician to find the best for you.
Final Thoughts
Both Xanax and Ativan are good medications for the treatment of anxiety and its related disorders. Though as much alike as they are, both work differently, slower to take effect, longer to last, and on everybody differently. Xanax would probably be better for the instant effect, and Ativan would probably be more appropriate for effects that last, with fewer peaks and troughs.
Whatever one you are prescribed, you must take them responsibly as your physician suggests and pay attention to the risks. They are great resources but only if you use them responsibly.
If you’re thinking of either of these medications, have an open discussion with your healthcare provider. Your provider will assist you in considering the pros and cons and making a decision according to your specific condition.
FAQs
Is Xanax stronger than Ativan?
Xanax can feel more potent as it also has a faster onset of action, yet Ativan will last longer. Potency is also dose and response.
Do I take Xanax or Ativan every day in some manner?
They are both usually reserved for short-term or PRN use. Daily dosing leads to dependence.
Can I switch back and forth between Xanax and Ativan?
Only a physician should be monitoring back and forth. They exist in various strengths and durations, so they need medical monitoring.
May I drink alcohol with Xanax or Ativan?
No. Consuming alcohol with benzodiazepines is very dangerous and even lethal.
Which do I use for sleep: Xanax or Ativan?
Ativan is generally better for sleep since it is longer-acting and more sedating, but it varies from person to person.
How long does it take before Xanax and Ativan kick in?
Xanax usually takes 30 minutes, and Ativan usually takes 45 minutes to an hour.
How can I legally buy Xanax or Ativan online?
You can go through telemedicine platforms that pair you up with certified physicians. It requires a prescription, and you only have to go through proper, vetted pharmacies.
can we mix Xanax with Alcohol?
Mixing Xanax with alcohol can cause sedation, breathing problems, coma, or death.
