Compare Ativan vs. Rozerem

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

Ativan
(lorazepam)

Rozerem
(ramelteon)

Helps you relax. Ativan (Lorazepam) is okay for occasional or short-term use (up to 4 weeks) for anxiety and sleep. Less likely to have drug interactions, but more likely to cause withdrawal symptoms compared to similar drugs.Helps you fall asleep. Rozerem (ramelteon) is a good sleep medicine that's not addictive, but it can be expensive.
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Prices and coupon for 60 (0.5mg) tablets of lorazepam
Coupons for
Prices and coupon for 30 (8mg) tablets of ramelteon
Reviews & ratings
Filter group. All currently selected
Filter group. All currently selected
5.14Ativan
Reviews for Ativan (lorazepam)
71%
of people (All ages) say Ativan (lorazepam) 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 Rozerem (ramelteon)?
Worth itNot sureNot worth it
Side effects
AtivanRozerem
  • Relaxation or sleepiness 16%
  • Dizziness 7%
  • Weakness 4%
  • Unsteadiness 3%
More Ativan side effects »
  • Dizziness 1%
  • Sleepiness 1%
  • Fatigue 1%
  • Nausea 1%
  • Worsening insomnia 1%
More Rozerem side effects »
How it works
AtivanRozerem
Ativan (Lorazepam) is a fast-acting benzodiazepine. It affects neurotransmitters in the brain and calms the nervous system. This reduces anxiety and can cause sleepiness.Rozerem (ramelteon) is a melatonin receptor agonist. Melatonin is a chemical the body uses to maintain a normal sleeping cycle; Rozerem (ramelteon) helps you fall asleep and stay asleep.
Type of medication
AtivanRozerem
Prescription only
Prescription only
Available as
AtivanRozerem
  • Pill
  • Liquid
  • Pill
Used for
AtivanRozerem
Risk factors for serious side effects
AtivanRozerem
  • Taking more than the prescribed dose
  • Taking longer than 4 weeks
  • History of drug abuse
  • Long-term use
    • Alcohol
    • Taking other medicines that make you less alert
      Detailed Ativan (lorazepam) risks & warnings »
            • Alcohol
            • Taking narcotics, tranquilizers, or antihistamines
              Detailed Rozerem (ramelteon) risks & warnings »
              Pregnancy

              Research studies with real people found harmful effects on unborn babies, but the benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

              Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

              Interactions
              AtivanRozerem
              • Less likely to have drug interactions compared to other benzodiazepines, so it might be a better option if you're taking multiple medications.
              No interactions related info.
              Alcohol
              AtivanRozerem
              • 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 use with alcohol.
              • While taking Rozerem (ramelteon), don't drink alcohol or take other medicines that can make you sleepy, like opioids for pain relief, or benzodiazepines for anxiety.
              Pain
              AtivanRozerem
              No pain related info.
              • If you’re taking Rozerem (ramelteon), you need to be very careful about drinking alcohol, or taking medicines such as narcotics for pain relief, tranquilizers for anxiety, or antihistamines. Taking Rozerem (ramelteon) with alcohol or these medicines can slow down your central nervous system to the point where you stop breathing. Talk to your doctor to see if you should change your other medicines while you take Rozerem (ramelteon).
              Sleep
              AtivanRozerem
              • Can cause memory problems, drowsiness, dizziness, and confusion.
              • Can cause temporary dizziness and drowsiness.
              • Don't take Rozerem (ramelteon) if you're not able to sleep for at least 8 hours.
              • If you're not sleeping better after taking Rozerem (ramelteon) for 7 to 10 days, talk to your doctor.
              Upsides and benefits
              AtivanRozerem
              • Effective at relieving short-term anxiety and sleeplessness.
              • Can be used together with antidepressants to manage anxiety disorders. Especially helpful for anxiety symptoms while you wait for an antidepressant to kick in (it can take several weeks).
              • Less likely to have drug interactions compared to other benzodiazepines, so it might be a better option if you're taking multiple medications.
              • Rozerem (ramelteon) isn't a controlled medicine, and it's safe to use in people age 65 or older.
              • If you stop taking Rozerem (ramelteon) suddenly, your insomnia won't come back.
              • Rozerem (ramelteon) won't make you feel hungover or groggy the next day.
              Downsides and risks
              AtivanRozerem
              • 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 benzodiazepines, more likely to cause withdrawal if you take it for a long time and then stop suddenly.
              • Most people find that it gets less effective over time.
              • Rozerem (ramelteon) is only available as a brand name.
              • Rozerem (ramelteon) is only available in 1 strength.
              • If you take Rozerem (ramelteon) on a full stomach, it won't work as well.
              • Not recommended for children.
              • Rozerem (ramelteon) can't be used if you have sleep apnea.
              Tips from our pharmacists for people taking the medication
              AtivanRozerem
              • Good for short-term relief of anxiety symptoms.
              • Starts working in 45 minutes when swallowed.
              • Starts working in 10 to 20 minutes when dissolved under your tongue.
              • Can cause temporary dizziness and drowsiness.
              • Addictive. Long-term use can cause dependence or abuse.
              • Not safe to use with alcohol.
              • Take Rozerem (ramelteon) on an empty stomach 30 minutes before you sleep.
              • Don't take Rozerem (ramelteon) if you're not able to sleep for at least 8 hours.
              • Swallow the Rozerem (ramelteon) tablet whole; don't break or crush it.
              • While taking Rozerem (ramelteon), don't drink alcohol or take other medicines that can make you sleepy, like opioids for pain relief, or benzodiazepines for anxiety.
              • If you're not sleeping better after taking Rozerem (ramelteon) for 7 to 10 days, talk to your doctor.
              Learn more
              More about AtivanSide effectsReviews & ratingsAlternativesFDA package insert
              Have you used Ativan (lorazepam)?
              Worth itNot sureNot worth it
              More about RozeremSide effectsAlternativesFDA package insert
              Have you used Rozerem (ramelteon)?
              Worth itNot sureNot worth it