Compare Ativan vs. Estazolam

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

Ativan
(lorazepam)

Prosom
(estazolam)

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 stay asleep longer. Prosom (estazolam) can help you sleep, but you might feel hungover the next day.
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 Prosom (estazolam)?
Worth itNot sureNot worth it
Side effects
AtivanEstazolam
  • Sleepiness 16%
  • Dizziness 7%
  • Weakness 4%
  • Unsteadiness 3%
More Ativan side effects »
  • Sleepiness 15%
  • Weakness 3%
  • Difficulty controlling muscles 4%
  • Dizziness 4%
  • Abnormal coordination 3%
  • Leg and foot pain 1%
More Estazolam side effects »
How it works
AtivanEstazolam
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.Prosom (estazolam) is a benzodiazepine. It helps you stay asleep by improving the quality of your sleep so you don't wake up as much at night.
Type of medication
AtivanEstazolam
Prescription onlyPrescription only
Available as
AtivanEstazolam
  • Pill
  • Liquid
  • Injection
  • Pill
Used for
AtivanEstazolam
Risk factors for serious side effects
AtivanEstazolam
  • 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 »
  • Using Prosom (estazolam) for more than 10 days
  • Drinking alcohol
  • Taking sedative medicines
  • People age 65 or older
Detailed Prosom (estazolam) risks & warnings »
Pregnancy

Research studies with real people or animals found harmful effects on unborn babies. If you’re pregnant, the risks to your unborn baby outweigh the benefits.

Interactions
AtivanEstazolam
  • 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
AtivanEstazolam
  • 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.
  • Don't drink alcohol or take other narcotics with Prosom (estazolam) because it can slow your breathing.
Sleep
AtivanEstazolam
  • Can cause temporary dizziness and drowsiness.
  • Can cause memory problems, drowsiness, dizziness, and confusion.
No sleep related info.
Upsides and benefits
AtivanEstazolam
  • 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.
  • Prosom (estazolam) is available in generic.
Downsides and risks
AtivanEstazolam
  • 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.
  • Prosom (estazolam) isn't recommended if you're age 65 or older because the side effects can be more intense.
  • You can become dependent on Prosom (estazolam) if you take it for more than a few weeks.
  • If you stop Prosom (estazolam) suddenly after taking it for a while, your insomnia might come back even worse than when you started.
Tips from our pharmacists for people taking the medication
AtivanEstazolam
  • 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.
  • Don't take Prosom (estazolam) unless you know you'll be going to sleep right away.
  • Make sure you can sleep for at least 8 hours before you take it.
  • Prosom (estazolam) works best if you develop good sleeping habits.
  • Take Prosom (estazolam) for the shortest amount of time needed to treat your insomnia since it can be addicting.
  • Don't drink alcohol or take other narcotics with Prosom (estazolam) because it can slow your breathing.
Learn more
More about AtivanSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Ativan (lorazepam)?
Worth itNot sureNot worth it
More about EstazolamSide effectsAlternativesFDA package insert
Have you used Prosom (estazolam)?
Worth itNot sureNot worth it