Long term use of both alprazolam and lorazepam carries the same risk of the development of physical and psychological dependence and withdrawal symptoms when discontinuing them. Among the physical symptoms are:. Your doctor will recommend one based on your symptoms and medical history. Instead, learn how to get the support you need to thrive. You can find detailed lists of interacting substances for both drugs in the interactions for Xanax and clonazepam. The typical dosage used each time.
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However, only alprazolam and clonazepam Klonopin are approved by the FDA for the treatment of panic disorder, not lorazepam. The reason alprazolam and lorazepam carry the stigma of higher potential for abuse compared to a longer acting BZD like clonazepam Klonopin is that their short half-life and rapid onset of action requires more pill taking 3 — 4 times a day and may reinforce pill-taking to alleviate anxiety, thus enhancing the potential for abuse.
Xanax is the brand name for alprazolam. Unlike lorazepam , alprazolam comes in an immediate and an extended release form XR. The usual dose of immediate release alprazolam is 0. The extended release alprazolam or Xanax XR is 0. Lorazepam is also used for anxiety disorder as well as insomnia due to anxiety or stress.
Lorazepam 1 mg — 2 mg is used daily in 2 — 3 divided doses, and for insomnia 2 mg — 4 mg at bedtime. Will I have withdrawal from alprazolam or lorazepam? The same warnings apply for both here. Abrupt discontinuation should be avoided—instead lower your daily dose by 0. What are the side effects of alprazolam or lorazepam? Pretty much the same. Most are from nervous system depression, which causes cognitive dysfunction, depression, dizziness, drowsiness, dysarthria a motor speech disorder , fatigue, irritability, memory impairment, and sedation.
There are some subtle differences between the two here. This is important if you are using them before getting on a plane, having a root canal, or getting into an MRI scanner. With alprazolam Xanax the onset of action for BOTH the immediate release and extended release formulations is 1 hour. Regular alprazolam will work for about 5 hours; extended release about 11 hours.
Lorazepam has a more rapid onset of action, 30 — 60 minutes, and may last up to 8 hours. Both are cleared by the liver, so they will last longer in folks with liver disease. Xanax and Ativan tablets are both scored, so pill splitting is an option. Xanax comes in 0. The extended release Xanax or the generic alprazolam XR comes in 0. The extended release tablets should never be broken or split. Your generic will always be cheaper than your brand name, immediate or extended release.