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Buspar vs. Ativan

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Buspirone and lorazepam (brand names Ativan, Loreev XR) are both used to treat anxiety, but they have some key differences. Buspirone is an antianxiety medication that is not a controlled substance and is typically taken twice daily. It takes a few weeks to start working and is not for quick relief of anxiety. Common side effects include dizziness, nausea, and headache. Lorazepam, on the other hand, is a benzodiazepine and a Schedule IV controlled substance, meaning it has a higher risk of dependence and misuse. It works faster than buspirone, often within 30 minutes, and is used for short-term relief of anxiety. Lorazepam can cause sleepiness and dizziness and has a risk of withdrawal symptoms if stopped suddenly. While buspirone is generally considered safer for long-term use, lorazepam is more effective for immediate anxiety relief.

Buspirone

 

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Lorazepam

(Ativan)

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Summary for Buspar

Prescription only

Buspirone tablets help manage and relieve anxiety in adults. It belongs to a drug class called anxiolytics (or anti-anxiety medications). The tablets are taken by mouth, typically twice daily. Common side effects are dizziness, nausea, headache, and nervousness. Buspirone isn't a controlled substance. The brand name Buspar is no longer available, but you can get the generic buspirone tablets.

Indications for Buspar

Pros and Cons for Buspar

Pros

Cons

Common Side Effects for Buspar

  • Dizziness (12%)
  • Drowsiness (10%)
  • Nausea (8%)
  • Headache (6%)
  • Nervousness (5%)

Warnings for Buspar

  • Serotonin syndrome
  • Effect on driving and concentration
  • Not safe with monoamine oxidase inhibitors (MAOIs)
  • Doesn't help relieve withdrawal symptoms from other anxiety medications

Summary for Ativan

Prescription only

Lorazepam (Ativan) is a benzodiazepine used for short-term treatment of anxiety. The oral tablets and solution are taken by mouth, typically 1 to 3 times daily, depending on the formulation. Lorazepam is also available as an injectable medication that's given by healthcare professionals in a hospital setting to control seizures. Sleepiness and dizziness are the most common side effects of lorazepam (Ativan).

Indications for Ativan

Pros and Cons for Ativan

Pros

  • Taken by mouth
  • Might start to work within 30 minutes to manage anxiety symptoms
  • Available as oral solution, good option for those who can't swallow tablets
  • Some forms available as a lower-cost generic

Cons

  • Short-term use only because risk of dependence and memory problems
  • Can drowsiness, and dizziness
  • Can cause withdrawal symptoms if stopped suddenly
  • Can't take with alcohol

Common Side Effects for Ativan

  • Sleepiness (16%)
  • Dizziness (7%)
  • Weakness (4%)
  • Unsteadiness (3%)

Warnings for Ativan

  • Sedation and difficulty breathing
  • Misuse, dependence, and withdrawal
  • Depression and suicidal thoughts or behaviors
  • Effect on driving and concentration
  • Trouble breathing
  • Risk of agitation and restlessness
  • Harm to babies
  • Serious allergic reaction (Loreev XR only)

Prices with our coupons for Buspar vs. Ativan

Price Card Drug Icon
Buspirone60 tablets / 10mg
$9.00$9.00
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Price Card Drug Icon
Lorazepam30 tablets / 1mg
$12.34$15.03
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