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Ativan vs. Xanax — What's the Difference?

By Tayyaba Rehman — Updated on September 22, 2023
Ativan (lorazepam) and Xanax (alprazolam) are both benzodiazepines prescribed for anxiety, but they differ in duration and onset of action.
Ativan vs. Xanax — What's the Difference?

Difference Between Ativan and Xanax

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Key Differences

Ativan and Xanax are both medications belonging to the benzodiazepine class, frequently used to treat anxiety disorders. While they share many similarities, their differences are noteworthy. Ativan, whose generic name is lorazepam, often has a slower onset of action compared to Xanax. This means it might take longer for the effects of Ativan to be felt by the patient.
Xanax, on the other hand, with the generic name alprazolam, typically acts more quickly in the body. This rapid action can provide swift relief to those suffering from acute anxiety or panic attacks. However, the duration of Xanax's effects can be shorter compared to Ativan, which may necessitate more frequent dosing.
In terms of their therapeutic use, both Ativan and Xanax are prescribed for similar conditions including generalized anxiety disorder, panic disorder, and as a pre-medication for certain medical procedures. However, physicians may choose one over the other based on a patient's specific needs and how they metabolize the drug.
The potential for dependence and withdrawal is a concern with all benzodiazepines, including Ativan and Xanax. That being said, Xanax might have a slightly higher potential for dependence due to its quick action and shorter duration. It's crucial for patients on either medication to follow their doctor's advice and not to discontinue the medication abruptly.

Comparison Chart

Generic Name

Lorazepam
Alprazolam
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Onset of Action

Slower
Faster

Duration of Effect

Longer
Shorter

Primary Use

Anxiety disorders, pre-medication
Anxiety disorders, panic disorder

Dependence Potential

Potential for dependence
Slightly higher potential for dependence

Compare with Definitions

Ativan

A benzodiazepine with a slower onset of action.
She took Ativan, knowing it would take a bit longer to feel its calming effects.

Xanax

A prescription drug primarily used for anxiety treatment.
Xanax provided him immediate relief during panic attacks.

Ativan

A prescription medication used to treat anxiety.
The doctor prescribed Ativan to help with her anxiety symptoms.

Xanax

A benzodiazepine known for its rapid onset.
Within minutes of taking Xanax, he felt more at ease.

Ativan

A drug that can lead to dependence if misused.
He was careful with his Ativan dosage, following the doctor's instructions precisely.

Xanax

Also referred to as alprazolam in its generic form.
The bottle label read alprazolam, which he recognized as the generic name for Xanax.

Ativan

A drug also known as lorazepam.
She asked the pharmacist if lorazepam was the same as Ativan.

Xanax

A medication with potential for short-term relief of symptoms.
He took Xanax when he felt a sudden surge of anxiety.

Ativan

A medication with potential sedative effects.
After taking Ativan, she felt drowsy and decided to rest.

Xanax

A drug associated with a risk of dependence.
She was mindful about using Xanax only as prescribed to avoid potential addiction.

Ativan

Tranquilizer (trade name Ativan) used to treat anxiety and tension and insomnia

Xanax

An antianxiety agent (trade name Xanax) of the benzodiazepine class

Common Curiosities

How does Xanax differ in action compared to Ativan?

Xanax typically has a faster onset of action than Ativan.

What is the generic name for Xanax?

The generic name for Xanax is alprazolam.

What class of drug is Ativan?

Ativan is a benzodiazepine.

Is dependence a concern with Ativan?

Yes, like all benzodiazepines, Ativan has a potential for dependence.

Which drug has a longer effect, Ativan or Xanax?

Ativan generally has a longer duration of effect compared to Xanax.

Are there any side effects with Xanax?

Yes, like all medications, Xanax can have side effects, including drowsiness and dependency.

How frequently should Xanax be taken?

Dosage and frequency should be determined by a physician based on individual needs.

Can both Ativan and Xanax be used for anxiety?

Yes, both are commonly prescribed for anxiety disorders.

Is Ativan also prescribed for conditions other than anxiety?

Yes, Ativan can also be used as a pre-medication for certain procedures.

Can either drug be stopped abruptly?

No, stopping either drug abruptly can lead to withdrawal symptoms.

How should Xanax be stored?

Xanax should be stored at room temperature away from moisture.

Can I drink alcohol while on Ativan?

Combining alcohol and Ativan can enhance sedative effects, so it's not recommended.

Is lorazepam the same as Ativan?

Yes, lorazepam is the generic name for Ativan.

Can both medications be used for sleep disorders?

While they can be prescribed for sleep, it's more common for them to treat anxiety.

Which is more addictive, Ativan or Xanax?

Both have potential for dependence, but Xanax may have a slightly higher risk due to its faster action.

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Author Spotlight

Written by
Tayyaba Rehman
Tayyaba Rehman is a distinguished writer, currently serving as a primary contributor to askdifference.com. As a researcher in semantics and etymology, Tayyaba's passion for the complexity of languages and their distinctions has found a perfect home on the platform. Tayyaba delves into the intricacies of language, distinguishing between commonly confused words and phrases, thereby providing clarity for readers worldwide.

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