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A 49-year-old male asked:

Individual choice i'm sure --but which do you see used more for daytime anxiety and which for sleep....klonopin (clonazepam) or ativan?

3 doctor answers4 doctors weighed in
Dr. Joel Gallant
Infectious Disease 37 years experience
Neither: Benzodiazepines are habit forming and potentially addictive. There are better, safer medications to use, such as zolpidem (ambien) and Eszopiclone (lunesta). However, even these drugs can become habit forming, for long-term use, a sedating antidepressant may be the safest medical therapy.
Dr. Donald Jacobson
A Verified Doctor commented
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Trazodone if often the safest option, but not everybody tolerates it. It is my #1 choice.I have only seen one case of sedative hypnotic addiction in 30 years of psychiatry. That was a true addiction and abuse of Ambien of all things.
Dec 2, 2013
Dr. Robert Killian
General Practice 29 years experience
Addiction: I may be an alternative voice here on health tap. But, having two different benzodiazepine prescriptions often represents misuse or over use or addiction. I often check in with my patients who are on multiple medications for their mental health and discuss living life without these drugs; or adding alternative ways to treat anxiety that are more natural.
Dr. Robert Killian
General Practice 29 years experience
Provided original answer
Getting to a life free from all of these chemicals or substances can lead to great personal serenity and peace. Many who are on so many medications find their lives so much better than before once they are truly free from these chemicals. I would advise getting in to a addiction clinic for a consultation.
Dec 2, 2013
Dr. Donald Jacobson
A Verified Doctor commented
A US doctor answered Learn more
IT is legitimate to use two benzos if one is a sedative hypnotic and the other is a primary anxiolytic. Of course we want to encourage people to handle their symptoms with non-medicinal means, but some conditions are sooooo serious that suicide will occur if symptom control is not obtained fast.
Dec 2, 2013
Dr. Joel Gallant
Infectious Disease 37 years experience
I'm not a psychiatrist, but I've worked closely with a team of psychiatrists who never prescribed chronic benzos for any condition, and our patients did fine, without all the drug-seeking behavior that can be so common when patients are taking long-term benzos. These drugs seem like a vestige of the past. They were safer than the barbiturates that preceded them, but we have safer drugs now.
Dec 3, 2013
Dr. Jane Steiner
Psychiatry 44 years experience
Better not to use...: ....Either if at all possible and use non-addictive meds instead to deal with chronic anxiety and chronic issues with sleep. The most appropriate reason i can think of to use a benzo is an acute crisis like a loss of a loved one when maybe one needs help getting through a tough situation like a funeral, but that situation will pass. Anxiety that is there more often than not is chronic.
Last updated Jan 21, 2016

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