Compare Ativan vs. Belsomra

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

Ativan
(lorazepam)

Belsomra
(suvorexant)

Helps you relax. Ativan (lorazepam) is an effective medicine for occasional or short-term anxiety. It's less likely to have drug interactions, but more likely to cause withdrawal symptoms compared to similar drugs.Helps you sleep. Belsomra (suvorexant) helps you fall asleep, but is only avaliable as a brand name so can be expensive.
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Coupons for Ativan
Best available price for 60 (0.5mg) tablets of ativan
Reviews & ratings
Filter group. All currently selected
Filter group. All currently selected
5.14Ativan
Reviews for Ativan
71%
of people (All ages) say Ativan is worth it
51%
say it works well
15%
say it's a big hassle
642 reviews
Have you used Ativan (lorazepam)?
Worth itNot sureNot worth it

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Have you used Belsomra (suvorexant)?
Worth itNot sureNot worth it
Side effects
AtivanBelsomra
  • Sleepiness 16%
  • Dizziness 7%
  • Weakness 4%
  • Unsteadiness 3%
More Ativan side effects »
  • Headache 1%
  • Sleepiness 4%
  • Dizziness 1%
  • Diarrhea 1%
  • Dry mouth 1%
  • Cold and flu 1%
  • Abnormal dreams 1%
  • Cough 1%
More Belsomra side effects »
How it works
AtivanBelsomra
Ativan (lorazepam) is a fast-acting benzodiazepine. It affects areas of the brain that help calm you down. This reduces anxiety and can cause sleepiness.Belsomra (suvorexant) is a newer, non-benzodiazepine option that reduces wakefulness and help with sleep by inhibiting the orexin receptors in the brain.
Type of medication
AtivanBelsomra
Prescription onlyPrescription only
Available as
AtivanBelsomra
  • Pill
  • Liquid
  • Injection
  • Pill
Used for
AtivanBelsomra
Risk factors for serious side effects
AtivanBelsomra
  • Taking with opioids
  • Taking more than the prescribed dose
  • Taking Ativan (lorazepam) for longer than 4 weeks
  • History of drug abuse
  • Long-term use
Detailed Ativan (lorazepam) risks & warnings »
  • Uncontrolled psychiatric conditions
  • Alcohol
  • Other medicines that make you sleepy or dizzy
  • Taking other medicines that make you less alert
Detailed Belsomra (suvorexant) risks & warnings »
Pregnancy
Interactions
AtivanBelsomra
  • Less likely to have drug interactions compared to other drugs like it, so it might be a better option if you're taking multiple medications.
No interactions related info.
Alcohol
AtivanBelsomra
  • Not safe to use with alcohol.
  • Can be habit-forming, so it's not typically used for long-term treatment or for people who've had problems with drug or alcohol abuse.
  • Not safe to take with alcohol or sleeping medications.
Sleep
AtivanBelsomra
  • Can cause temporary dizziness and drowsiness.
  • Can cause memory problems, drowsiness, dizziness, and confusion.
  • If you have COPD or sleep apnea, talk to your doctor first about Belsomra (suvorexant) before starting it. Belsomra (suvorexant) can make it hard to breathe.
  • Only take if you plan to sleep at least 7 hours.
  • May be helpful if other sleep aids don't work.
  • Not recommended if you do not plan to sleep for at least 7 hours.
Upsides and benefits
AtivanBelsomra
  • Effective at relieving short-term anxiety.
  • Can be used together with antidepressants to manage anxiety disorders. Especially helpful for anxiety symptoms while you wait for an antidepressant to kick in.
  • Less likely to have drug interactions compared to other drugs like it, so it might be a better option if you're taking multiple medications.
  • May be helpful if other sleep aids don't work.
  • Works quickly, especially on an empty stomach.
  • Might be a good option for the elderly.
Downsides and risks
AtivanBelsomra
  • Can cause memory problems, drowsiness, dizziness, and confusion.
  • Can be habit-forming, so it's not typically used for long-term treatment or for people who've had problems with drug or alcohol abuse.
  • Compared to other similar medicines, Ativan (lorazepam) is more likely to cause withdrawal if you take it for a long time and then suddenly stop.
  • Most people find that Ativan (lorazepam) gets less effective over time.
  • Not usually used for long-term treatment since it can be habit-forming.
  • Belsomra (suvorexant) is likely expensive since it's only available as a brand name, but coupon savings program could be available.
  • Not recommended if you do not plan to sleep for at least 7 hours.
  • Belsomra (suvorexant) may cause sleep paralysis.
Tips from our pharmacists for people taking the medication
AtivanBelsomra
  • Can cause temporary dizziness and drowsiness.
  • Take only as much as your doctor prescribes. Taking more than directed or taking this for a long time can cause you to become dependent on it.
  • Not safe to use with alcohol.
  • Use caution or avoid use in older adults.
  • Take Belsomra (suvorexant) 30 minutes before bedtime.
  • Only take if you plan to sleep at least 7 hours.
  • Taking Belsomra (suvorexant) on an empty stomach will quicken the effects.
  • Belsomra (suvorexant) can be addictive and is meant for short-term treatment.
  • Can cause headaches and/or dizziness.
  • Not safe to take with alcohol or sleeping medications.
  • If Belsomra (suvorexant) does not help you sleep after taking it for 10 days, consider talking to your doctor/pharmacist about other potential causes of insominia.
Learn more
More about AtivanSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Ativan (lorazepam)?
Worth itNot sureNot worth it
More about BelsomraSide effectsAlternativesFDA package insert
Have you used Belsomra (suvorexant)?
Worth itNot sureNot worth it