Doctor insights on:
Switching From Ativan To Xanax
My doctor is switching me from 4mg Ativan to 2mg Xanax (alprazolam). I am down to 1mg Ativan so can I just switch to the Xanax (alprazolam) without anymore tapering?
Both: Of them are benzodiazepines so there is no need to taper. Just switch ...Read more
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
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
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)?
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
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?
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 moreSee 3 more doctor answers
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
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 moreSee 1 more doctor answer
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
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
Xanax (alprazolam): I would not recommend both medications at same time. Talk to your doctor about one or the other. ...Read more
I have been on ativan for 6 months ran out I have Xanax (alprazolam) at home can I take it instead?
Safe: If you are healthy it should be safe. Consult your doctor as soon as possible, ...Read more
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
I have been on a pattern of taking one 0.5mg Ativan or Xanax, (alprazolam) for 2-3 days in a row, then take none for 5-6 days, then repeat. Am I at risk for w/d?
No: You were on a low d dose, and didn't even develop tolerance, ...Read more
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
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 moreSee 1 more doctor answer
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