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Valium vs. Xanax

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

Key takeaways

Valium (diazepam) and Xanax (alprazolam) are both benzodiazepines used to treat anxiety, but they have some differences. Valium is used for a wider range of conditions, including anxiety, alcohol withdrawal, muscle spasms, and seizures, while Xanax is specifically approved for generalized anxiety disorder (GAD) and panic disorder. Valium can be taken as a tablet or liquid solution, and sometimes as an injection in hospitals. Xanax is available as immediate-release tablets, orally disintegrating tablets, and an oral solution. Valium typically needs to be taken 2 to 4 times daily, while Xanax is usually taken 3 times a day. Both medications can cause drowsiness and memory problems, but Xanax has a higher reported rate of drowsiness, especially in those with panic disorder. Both medications carry a risk of dependence and withdrawal symptoms if stopped suddenly, and neither is recommended during pregnancy or breastfeeding.

Diazepam

(Valium)

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Alprazolam

(Xanax)

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Summary for Valium

Prescription only

Diazepam (Valium) is a benzodiazepine. It's used to treat symptoms of anxiety and alcohol withdrawal. It can also treat certain types of muscle spasms and seizures. Diazepam (Valium) comes as a tablet and liquid solution. It's taken by mouth, typically 2 to 4 times daily. Some common side effects of diazepam (Valium) include sleepiness, dizziness, and weakness. Additionally, this medication carries a risk for misuse and dependence, so it's classified as a controlled substance.

Indications for Valium

Pros and Cons for Valium

Pros

  • Taken by mouth
  • Available as tablets and liquid
  • Works within 30 minutes

Cons

  • Might need to take multiple times a day
  • Short-term use only because risk for dependence
  • Generally not recommended during pregnancy or breastfeeding

Common Side Effects for Valium

  • Sleepiness
  • Dizziness
  • Muscle weakness
  • Problems with balance or coordination
  • Memory problems

Warnings for Valium

  • Extreme sleepiness and difficulty breathing
  • Misuse and dependence
  • Withdrawal
  • Harm to babies during pregnancy and after delivery
  • Interactions with other medications
  • Use with caution in people with depression

Summary for Xanax

Prescription only

Alprazolam (Xanax) is a benzodiazepine. It's approved to treat generalized anxiety disorder (GAD) and panic attacks in adults. It's taken by mouth, typically 3 times a day or as directed by your healthcare team. To avoid the risk of dependence, alprazolam (Xanax) is meant for short-term treatment only. Some of the more common side effects of this medication include drowsiness and memory problems. You should avoid drinking alcohol while taking alprazolam (Xanax) because this can lead to serious interactions.

Indications for Xanax

Pros and Cons for Xanax

Pros

  • Taken by mouth
  • Can start to work in 30 minutes
  • Available as quick-dissolving tablets or liquid for people who have trouble swallowing pills

Cons

Common Side Effects for Xanax

Generalized anxiety disorder:

  • Drowsiness (41%)
  • Lightheadedness (21%)
  • Dry mouth (15%)

Panic disorder:

  • Drowsiness (77%)
  • Fatigue (49%)
  • Poor coordination (40%)
  • Memory issues (33%)
  • Irritability (33%)
  • Appetite changes (28-33%)
  • Thinking problems (29%)
  • Constipation (26%)

Side effects listed are for the immediate-release forms. Side effects for extended-release form might differ.

Warnings for Xanax

  • Sedation and difficulty breathing
  • Potential for misuse, addiction, dependence, and withdrawal
  • Effect on driving and concentration
  • Harm to babies
  • Interactions with other medications
  • Use with caution in people with depression

Prices with our coupons for Valium vs. Xanax

Price Card Drug Icon
Diazepam30 tablets / 5mg
$10.43$22.04
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Alprazolam30 tablets / 0.5mg
$10.40$14.84
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