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Temesta or Xanax: whichever you choose for the treatment of your complaints

Temesta and Xanax are both benzodiazepines. Doctors recommend these sedatives for a variety of conditions such as panic and anxiety disordersanxiety disorder, insomnia and mania.

Although Temesta (lorazepam) en Xanax (alprazolam) With many similarities, doctors recognize their differences and select which ones are best to use based on their unique properties.

In this article, we will take a closer look at the similarities and differences between Temesta and Xanax, including their uses, how they work, as well as their negative effects, their addiction potential and the withdrawal symptoms they can cause.

What are they?

Temesta and Xanax are both tranquilizers used in the treatment of anxiety disorders.

They have many similarities. They work in the same way, can lead to addiction and cause similar side effects.

They work by binding to the receptors in the brain, resulting in a calming effect.

However, these two drugs also have drawbacks, including reduced motor skills, drowsiness and withdrawal symptoms when discontinued after use. With long-term use there is also a risk of addiction.

The Dutch Ministry of Health recommends Temesta or Xanax as a second-line treatment for general anxiety disorders. This means that doctors can use one of these medications when first-line treatments have not proven suitable or effective.

First-line treatment consists of selective serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs). These include venlafaxine XR, duloxetine, escitalopram and paroxetine.

Often people prefer to prescribe SSRIs and SNRIs because they have little potential for abuse, while people may become dependent on benzodiazepines.

Since Temesta or Xanax can have a high potential for addiction, people with a history of a drug or alcohol addiction should exercise caution when taking these sedatives.

In the Netherlands, it has been proven that benzodiazepine use increases in common among women of the same age. Older people using benzodiazepines are more likely to have balance disorders resulting in falls and fractures.

What are they used for?

Temesta treats more conditions than Xanax. Temesta is approved for:

Xanax, on the other hand, is only approved for the treatment of anxiety and panic disorders.

How fast do they work?

Temesta works slower and takes longer for the body to eliminate. This means that the effects take longer and last longer compared to those of Xanax. This reduces the need for people to use this sedative.

An oral dose of Xanax reaches its peak concentration in 1-2 hours, while an oral dose of Temesta takes approximately 2 hours.

The mean half-life for Xanax, or the time it takes for the body to excrete half of the drug, is 11,2 hours. The body removes Temesta more slowly, with a half-life of 12 hours.

What are the side effects?

The side effects of benzodiazepines can include drowsiness and fatigue.

Both sedatives can cause drowsiness. However, this is less likely with the use of lorazepam.

Lorazepam can cause drowsiness in 15,9% of people taking the medicine for anxiety. Alprazolam can cause drowsiness in 41% of people who use it for anxiety and 76,8% of people who use it for panic disorder.

The common side effects of both benzodiazepines include:

  • Drowsiness
  • Memory problems
  • Confusion
  • Fatigue
  • Decreased libido
  • Blockage
  • Increased appetite
  • Disturbed balance and coordination
  • Impaired driving skills
  • Euphoria

How should I take them?

The dosage of lorazepam and alprazolam depends on their form and the condition they are helping to treat.

In many cases, people can take larger doses of lorazepam, 2-6 milligrams (mg) per day, compared to alprazolam, which people usually take at less than 4 mg per day. People taking them for panic disorder can take higher doses.


Despite the similarities between Temesta and Xanax, their properties lead to a number of differences. These properties make Xanax more useful for panic disorders and Temesta more useful for insomnia, premedication for anesthesia, and seizures.

Xanax can cause more powerful side effects, such as drowsiness and euphoria, but the length of these effects are shorter. In addition, it can cause worse withdrawal symptoms.

Recommendations suggest the use of antidepressants over sedatives in the treatment of anxiety or panic disorders, as benzodiazepines have the potential to be abused.

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