Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Chlordiazepoxide (Librium) and clonazepam (Klonopin) are both benzodiazepines, but they have different uses and dosing schedules. Chlordiazepoxide is primarily used for short-term relief of anxiety and to prevent alcohol withdrawal symptoms, while clonazepam is approved to treat seizures and panic disorder. Chlordiazepoxide is typically taken up to four times a day, whereas clonazepam is usually taken two to three times a day. Clonazepam is available as an orally disintegrating tablet (ODT) for those who have trouble swallowing, which is not an option for chlordiazepoxide. Both medications can cause drowsiness and have a risk of addiction, but clonazepam is noted to potentially cause more severe side effects like suicidal thoughts and worsening of seizures. Additionally, clonazepam might not work as well for seizure control over time, whereas chlordiazepoxide is a first-choice treatment for alcohol withdrawal. Both medications should be used with caution, especially in older adults and those with a history of substance misuse.
Chlordiazepoxide
Clonazepam (Klonopin)
Chlordiazepoxide
Clonazepam (Klonopin)
Summary of Librium vs. Klonopin
Summary for Benzodiazepine
Prescription only
Chlordiazepoxide is used for the short-term relief of anxiety symptoms. It can also prevent alcohol withdrawal symptoms, like seizures. This medication has a risk of addiction, so it's classified as a schedule IV controlled substance. Your dose will depend on the reason why you're using it, your age, and your other health conditions. Some possible side effects of chlordiazepoxide include drowsiness, trouble with balance and movement, and confusion. Chlordiazepoxide comes as a capsule, and is available as a brand name and a lower-cost generic.
Summary for Benzodiazepine
Prescription only
Clonazepam (Klonopin) is a benzodiazepine. It's approved to treat seizures in adults and children, and panic disorder in adults only. Clonazepam (Klonopin) is taken by mouth, typically two or three times a day. It's also available as orally disintegrating tablets (ODTs) for people who have trouble swallowing. Some common side effects of this medication include drowsiness, dizziness, and poor movement control. Before stopping clonazepam (Klonopin), speak with your prescriber to come up with a plan to lower your dose slowly over time to avoid withdrawal symptoms.