A member asked:

Is xanax (alprazolam) or ativan safer for long term use? & would either of these have the possibility to cause any cardiac effects like cardiac arrest? i

6 doctors weighed in across 3 answers

They're similar: Both Ativan and xanax (alprazolam) are short acting, although there is available an extended release xanax (alprazolam). For the most part, benzodiazapines should be used only on a short term basis due to the potential for tolerance and dependency. It can be very difficult to discontinue a benzodiazapine in a patient who has received it long term. For me, it is therefore much easier to not begin one in the first place.

Answered 6/24/2014

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Dr. Alan Ali answered

Specializes in Psychiatry

Xanax/Ativan: Not recommended for long-term use. If u r already prescribed one or the other, keeping the dose therapeutic & as prescribed, should not harm your cardiovascular system. I would recommend talking to your prescribing doc. About alternate medications for anxiety if u will be using long-term.

Answered 11/16/2012

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See below: Any of these can cause cardiac arrest if overused. Xanax (alprazolam) is shorter-acting, Ativan is a little longer-acting so it can build up more in your system. While none of these are safe for long-term use, i would say that xanax (alprazolam) is the safer of the two.

Answered 6/24/2014

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Long term side effects of taking ativan or Xanax (alprazolam) for ever ?

4 doctors weighed in across 2 answers