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Doctor insights on: Switching From Ativan To Xanax

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Dr. Alan Ali
954 Doctors shared insights

Alprazolam (Definition)

Alprazolam is a short acting benzodiazepine, it does not last long in the system. So when used regularly with multiple doses to treat anxiety, it is associated with inter-dose withdrawal, tolerance and a resulting increase level of baseline anxiety. So in anxiety clinics, we use it only in cases of " flight, dentist or other infrequent anxieties, ...Read more


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How can I get my dr. To switch me from ativan to xanax (alprazolam)?

You are asking the: Wrong doctor this question, because I am on the other side of that argument. I think we would all be better off if this drug were not on the market. Xanax (alprazolam) is rapidly absorbed and rapidly excreted, which creates a far more abuse-prone drug than Lorazepam (ativan). If it is very occasional panic attacks or anxiety, and you take it rarely, it's fine. For chronic use, Ativan or Klonopin are better. ...Read more

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I have been taking 1.5 mg of Xanax (alprazolam) a day in one dose. Is taking 2mgof Ativan (trying to switch meds) ok instead of Xanax (alprazolam)?

May be better: Ativan is slightly longer half life than Xanax (alprazolam) and should be smoother acting however Tranxene is a better choice and is longer acting and less addictive. ...Read more

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How do I go about asking my doctor to switch me from ativan to xanax (alprazolam)?

How do I go about asking my doctor to switch me from ativan to xanax (alprazolam)?

Reason: Why do you want to switch? As physicians we treat diseases and symptoms. Once you come up with a plan it sounds suspicious because basically you want to self treat yourself by using your physician's license. With this being said you still can bring it up but be prepared to answer my question. ...Read more

Dr. Alan Ali Dr. Ali
2 doctors agreed:
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Taking Xanax (alprazolam) 0.5mg at night (10years), md wants to change to ativan 1mg. Tried to just switch but felt weird. Should I taper dose of both to switch?

Dr. Alan Ali Dr. Ali
2 doctors agreed:

Xanax (alprazolam) to ativan: Not sure why your doc. Is switching or how long u have been on xanax (alprazolam). Not unusual to have such symptoms when switch from long acting to short acting anxiety med. Best to talk to your prescribing doc. ...Read more

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Constant nausea. Take 0.5mg Xanax (alprazolam) at night only for 10 years for tmj. Could the Xanax (alprazolam) be causing my unexplained nausea? Should I switch to ativan?

Constant nausea. Take 0.5mg Xanax (alprazolam) at night only for 10 years for tmj. Could the Xanax (alprazolam) be causing my unexplained nausea? Should I switch to ativan?

Not the Xanax (alprazolam): Very complex question! 1st the xanax (alprazolam) is only treating the symptoms of your tmd, not the cause. Since xanax (alprazolam) is anxiolytic & helps, the cause of the tmd most likely is related to anxiety. Unresolved internal anxiety v. Often leads to bruxism. This can lead to spasms of the jaw muscles from overwork. 2nd, taking xanax (alprazolam) for that long v. Bad. Call office of dr. Gordon christiansen near u and fix the tmd. ...Read more

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Can I safely use Ambien for sleep, then Xanax (alprazolam) during the day for anxiety? Can I safely switch between Xanax (alprazolam) or Ativan If I find one works better?

Can I safely use Ambien for sleep, then Xanax (alprazolam) during the day for anxiety? Can I safely switch between Xanax (alprazolam) or Ativan If I find one works better?

Your question sounds: Like there may not be a prescribing physician involved with this, or at least you don't say anything about the advice of that physician. Benzodiazepines are not necessarily the best treatment for chronic anxiety states like generalized anxiety disorder, panic and especially not PTSD. Antidepressants work without producing tolerance and with much less of a risk of dependency. Talk to the prescriber ...Read more

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Can I just switch from 0.5mg of Xanax (alprazolam) to 1mg ativan without any problems? Been on Xanax (alprazolam) at HS for a long time. Md thinks I need something longer act.

Why the switch?: I'm unsure if you're asking if you can switch w/o any adverse effects or it's more "dr. Wants to change rx" question. Either way, these are (short acting) benzos & may help you fall asleep, but not stay asleep. You may also wish to google "benzo equivalency chart" and you can see what's=to what. There are more modern drugs used worldwide for sleep tx. (z-drugs) is your rx for anxiety or insomnia? ...Read more

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Can bozos make you Xanax (alprazolam) ativan?

Xanax (alprazolam): I do not understand your question, but yes, both are benzos. ...Read more

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Is it possible to get high on ativan or xanax (alprazolam)?

Is it possible to get high on ativan or xanax (alprazolam)?

Likely: You can get a feeling of euphoria from these medications. These medications can also cause altered mental status and delirium depending on dose, metabolism, height, weight, age, etc. ...Read more

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Which drug stays in your system longer, ativan or xanax (alprazolam)?

Which drug stays in your system longer, ativan or xanax (alprazolam)?

Benzodiazepines & UA: They are literally the same chemicals. If you need to pass a ua they may be in the system up to six weeks. Benzodiazepines stay around a very long time. ...Read more

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Can you overdose from. 5 mg Xanax (alprazolam) taken with 1 mg ativan?

Can you overdose from. 5 mg Xanax (alprazolam) taken with 1 mg ativan?

No: Absolutely not, but don't take any medication outside of your doctor's directions. ...Read more

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Does 1 mg of ativan have the same effect as 1 mg of xanax (alprazolam)?

Does 1 mg of ativan have the same effect as 1 mg of xanax (alprazolam)?

Usually NOT...: Although Ativan (lorazepam) and xanax (alprazolam) are in the same class of agents, pharmacologically, they have different "half-lives", the time it takes to metabolize them, and there is some evidence that they may have different affinity for certain benzodiazepine receptor subtypes. This is why one may work better for generalized anxiety while the other may work better for "panic" anxiety. ...Read more

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Please tell me, could I take 1 mg Xanax (alprazolam) and 2mg ativan together 3 times a day?

No: You shouldn't. It is irrational to use two benzodiazepines at one time. If it is being prescribed, your prescriber may not be aware of the dangers (or irrationality) of using two potent benzos together. If it is not being prescribed, you are clearly having benzodiazepine abuse. This combination produces significant physical dependency, and should not be stopped abruptly but tapered. Seek help. ...Read more

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What to do if I took a Xanax (alprazolam) XR earlier today and tonight can I take an ativan?

Xanax (alprazolam): I would not recommend both medications at same time. Talk to your doctor about one or the other. ...Read more

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I know ativan and Xanax (alprazolam) are in the same drug class but what are some of the differences between the 2 drugs?

Ativan vs Xanax (alprazolam): Both Ativan (lorazepam) and xanax (alprazolam) are benzodiazepine tranquilizers. The main differences clinically are that Ativan is longer-acting and slightly more sedating than xanax. Most agree that xanax is more potent than Ativan on a milligram-for-milligram basis, and probably more addictive. However, both are considered high-potency benzodiazepines and both can lead to drug dependence. ...Read more

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My Dr prescribed me xanax, (alprazolam) I took a 0.5 mg at ativan bc I ran out of my Xanax (alprazolam) he drug tested me 5 hours after I took it.... how much will show up?

Tell Dr.: Instead of worrying about the medication not prescribed by your treating dr. Showing up in the urine, you need to be honest with the dr. And let them know you took a different medication from someone else? You need to be honest and have a trusting relationship with your treating Dr. Or you will only be fooling yourself. ...Read more

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What is more addictive, Xanax (alprazolam) or ativan?

What is more addictive, Xanax (alprazolam) or ativan?

Both: Both medications can be addictive. Xanax (alprazolam) acts quickly which is why it is desired by most people. Ativan acts relatively quickly as well but not as immediate as xanax (alprazolam). Both medications can be addicting and should only be taken as needed or as advised by your physician. ...Read more

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Will medicaid pay for. 05mg. Ativans (lorazepam) and. 05 xanaxs?

Will medicaid pay for. 05mg. Ativans (lorazepam) and. 05 xanaxs?

They may pay but: The pharmacist and your dr may question the idea of giving two benzodiazepenes. You can take just one and increase the dose. Have a blessed and cheerful holiday! ...Read more

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How can you seperate Xanax (alprazolam) or ativan from the pill form into an injectible form?

How can you seperate Xanax (alprazolam) or ativan from the pill form into an injectible form?

Do not do it: Both medications are in the benzodiazepine family. If injected they go fast to brain centers for breathing and heart rate. These should only be given IV in hospital setting with careful monitoring of breathing and heart rate. Iv Ativan (lorazepam) is often used in ers for seizures. Oral form is rapidly absorbed and can get into the system in a few minutes. ...Read more

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Are their any permenent side effects of being treated with Xanax (alprazolam) or ativan forever?

Withdrawl: The issues of withdrawl are very prominant if you are taking these benzodiazepines for a long period. If you wish to stop I would recommend you discussing thsi with your phsyician and work on a gradula dose reduction plan. Do not stop aburptly! ...Read more

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My dr switched me over from Xanax (alprazolam) to ativan apparently equivalent in dosage, with no taper is this safe?

My dr switched me over from Xanax (alprazolam) to ativan apparently equivalent in dosage, with no taper is this safe?

It's safe: There is cross tolerance between xanax (alprazolam) and ativan, so you should be safe if taking this medication as prescribed. Xanax (alprazolam) is a little different molecule from ativan, though. Stay in touch with your doctor for any difficulties. ...Read more

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I took. 5 mg Ativan at 10:30am and then took. 5mg xanax 6 hours later. Is that dangerous? Not something I plan to do again.

No: Not dangerous but not a good idea to forget or experiment with controlled medication. If you don't remember doses get a reminder pill box at the pharmacy. ...Read more

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I got an ativan shot around 10pm lastnight. Is it safe to take the Xanax (alprazolam) 0.25 mg that they prescribed me right now? Plz answer asap! Thank you!

Possibly: Depending on what your prescribing doctor told you about use of the xanax, (alprazolam) taking it 12 hours after your Ativan shot could be safe. Asking the doctor who actually knows you and your case would provide you a more reliable answer than asking online physicians who have never met you, though. Best wishes. ...Read more

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I need medication to help me thru a c.T. Scan, I have tried haildol, xanax, (alprazolam) ativan, with no success, due to extreme claustrophobia! It is vital!

How much med can a: Woodchuck chuck. The failure to get a response from those meds may be dose related - not enough was provided or not via the best route. Sometimes intravenous medication has a more instant and significant response. Valium and Ativan (lorazepam) can be provided that way. Cognitive therapy, emdr (eye movement desensitization and reprocessing), and hypnosis are non-med alternatives. Consider anesthesia consult. ...Read more

Dr. Jane Steiner
590 Doctors shared insights

Ativan (Definition)

Ativan (lorazepam) is a medication used to treat a person with anxiety or anxiety related to depression. Lorazepam is a type of medication called a benzodiazepine. It slows the activity in a person's brain, so he is ...Read more


Xanax (Definition)

Alprazolam is a short-acting benzodiazepine which is a kind of sleep-inducing drug ...Read more