Ativan vs Xanax vs Valium? - page 2

by jfpruitt

77,872 Views | 17 Comments

This is a work related question for a new graduate that does case management. I work disability claims for SSA and just finished my nursing degree also. I came across something unusual today that I wanted to run by the veteran... Read More


  1. 0
    Well, all three ARE habit forming, but with a patient with an anxiety disorder, they are ordered anyway.

    Everyone responds differently to narcotics, period. But I have found that scheduled doses work the best, with a designated PRN. such as ativan 1 mg. QID with xanax .25 mg BID then valium 5 mg. Q6hr. prn.

    With scheduled doses, you work to eilimatate the anxiety and hold on to one for break through... there must be one or two meds to maintain a therapudic level to help this patient cope.

    Addiction is a varriable response that is measured once success in managing lifestyle has been achieved., not before, usually added with therapy to teach copig mechanismims to decrease the lenght of medication therapy.
  2. 0
    I've heard that Xanax causes loss of memory. Anyone familiar with this?
  3. 0
    This may be a stupid question coming from a new grad, but are all 3 considered narcotics? I was just thinking something like hydrocodone or percocet was a narcotic??? I guess I'm nieve, but what is the appeal of these drugs from a non-therapeutic standpoint? Do they make you high or something? I've never taken any of these. I can understand the addiction behind pain meds b/c they do make a person "feel good", but not sure how that works with these.
  4. 0
    There is a lot of good information in this thread already, so thanks in advance. I was wondering the same thing and learned that ativan is a much faster acting benzo than most. When comparing ativan vs xanax always remember that all the different types are almost equally addictive, and for long term use, I would stray far away.
  5. 1
    These are all benzo's and can be habit forming. Withdrawals are extremely dangerous (suicidal thought, etc). I would know because I was prescribed Xanax years ago for insomnia but I stopped it cold turkey without tapering and ...yeah it got really bad. When the effect wears off, you go into overdrive and perhaps more paranoia and amplified senses. Of course, this is not the same for everyone but it can happen.

    These drugs either make you relaxed or sedate. In a sense, they can cause a "high" because once you're relaxed and calm, you would feel great that there is no anxiety around you and you just sort of blend in with your environment sort of like MJ.
    MedChica likes this.
  6. 0
    Why is a 9 year old thread being resurrected?
  7. 0
    LOLOL. I just realized this now. I must've been very tired last night to not notice, although I saw this thread at the top of the General Nursing Discussion list.
  8. 1
    I had a patient, once, in withdrawal from Benzos, and the doc commented that narcotic withdrawal makes you feel like you're going to die, but benzo withdrawal kills you. (I realize that's an oversimplification). I'm not sure any recent poster was asking, but all sorts of people look at these boards, so it might be worth mentioning that the term "narcotic" is sometimes used informally to refer to any controlled substance, as in it will be a narcotics division police officer who arrests you for selling them on the street. My only personal experience with benzodiazepines or narcotics was fairly recently, with Fentanyl and Versed for my second colonoscopy. They made me very sleepy and wore off very quickly (I had my first scope "naturally" and the discomfort was not bad, but once was enough.)

    When I push IV ativan, it's usually for seizures, and it's usually awesome. I admitted a patient once who'd had three doses of 5mg Valium en route (for seizures). As soon as they weren't totally snowed, but still unconscious, one extremity began moving rhythmically. Pushed 2mg ativan, movement stopped and pt was wide awake.

    Any CNS depressant can produce feelings of euphoria. I like bourbon, once I learned how to dose appropriately.
    MedChica likes this.


Top