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Paxil vs. Ativan

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

Key takeaways

Paroxetine (Paxil) and lorazepam (Ativan) are both used to treat anxiety, but they belong to different medication classes and work differently. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) that increases serotonin levels in the brain and is also used for depression, panic disorder, and other mental health conditions. It is available in both brand and generic forms and comes as tablets and an oral suspension. Lorazepam, on the other hand, is a benzodiazepine that slows down brain activity to help control anxiety and seizures. It is available as a tablet, oral solution, and injectable form, but it is a controlled substance due to its potential for misuse and dependence. Paroxetine is typically taken once daily, while lorazepam can be taken multiple times a day depending on the form. Paroxetine can cause side effects like weight gain and sexual problems, while lorazepam commonly causes sleepiness and dizziness. Additionally, lorazepam is intended for short-term use due to the risk of dependence, whereas paroxetine can be used for long-term treatment.

Paroxetine

(Paxil)

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Lorazepam

(Ativan)

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Summary for Paxil

Prescription only

Paroxetine (also known by it's brand name Paxil) is a selective serotonin reuptake inhibitor (SSRI), used for different types of anxiety problems and depression. It's available as a brand name and generic version, and it comes as an immediate-release tablet, an oral suspension, and an extended-release tablet. Possible side effects include nausea, sexual side effects, and weight gain. It can also cause withdrawal symptoms (e.g., headache, trouble sleeping, anxiety) if you suddenly stop taking it.

Indications for Paxil

Pros and Cons for Paxil

Pros

  • Only needs to be taken once daily
  • Available as a tablet and oral liquid
  • Can be taken with or without food
  • Can be used for many different mental health conditions
  • Can be helpful for people who have both anxiety and depression

Cons

Common Side Effects for Paxil

  • Abnormal ejaculation (up to 28%)
  • Nausea (up to 25%)
  • Weakness (up to 22%)
  • Sleepiness or trouble sleeping (up to 24%)
  • Dry mouth (up to 18%)
  • Constipation (up to 16%)
  • Sweating (up to 14%)
  • Dizziness (up to 14%)
  • Diarrhea (up to 12%)
  • Low libido (up to 12%)
  • Shakiness (up to 11%)

Warnings for Paxil

  • Worsening depression, suicidal thoughts, and unusual behavior
  • Serotonin syndrome
  • Risk of harm to unborn babies
  • Sexual problems
  • Withdrawal
  • Risk of bleeding
  • Not for use alone in bipolar disorder
  • Glaucoma
  • Low blood sodium levels
  • Seizures
  • Risk of abnormal heart rhythm from interactions

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 Paxil vs. Ativan

Price Card Drug Icon
Paroxetine90 tablets / 20mg
$10.00$10.00
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Lorazepam30 tablets / 1mg
$11.41$18.44
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