Compare Estazolam vs. Ativan

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

Prosom
(estazolam)

Ativan
(lorazepam)

Helps you stay asleep longer. Prosom (estazolam) can help you sleep, but you might feel hungover the next day.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.
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Prices and coupon for 30 (2mg) tablets of estazolam
Coupons for
Prices and coupon for 60 (0.5mg) tablets of lorazepam
Reviews & ratings
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Have you used Prosom (estazolam)?
Worth itNot sureNot worth it
Reviews for Ativan (lorazepam)
71%
+71% better vs. Prosom (estazolam)
51%
+51% better vs. Prosom (estazolam)
15%
-15% worse vs. Prosom (estazolam)
642 reviews
Have you used Ativan (lorazepam)?
Worth itNot sureNot worth it
Side effects
EstazolamAtivan
  • Sleepiness 15%
  • Weakness 3%
  • Difficulty controlling muscles 4%
  • Dizziness 4%
  • Abnormal coordination 3%
  • Leg and foot pain 1%
More Estazolam side effects »
  • Relaxation or sleepiness 16%
  • Dizziness 7%
  • Weakness 4%
  • Unsteadiness 3%
More Ativan side effects »
How it works
EstazolamAtivan
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.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.
Type of medication
EstazolamAtivan
Prescription only
Prescription only
Available as
EstazolamAtivan
  • Pill
  • Pill
  • Liquid
Used for
EstazolamAtivan
Risk factors for serious side effects
EstazolamAtivan
  • Using Prosom (estazolam) for more than 10 days
  • Drinking alcohol
  • Taking sedative medicines
  • People age 65 or older
    Detailed Prosom (estazolam) risks & warnings »
    • 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 »
        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.

        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.

        Interactions
        EstazolamAtivan
        No interactions related info.
        • Less likely to have drug interactions compared to other benzodiazepines, so it might be a better option if you're taking multiple medications.
        Alcohol
        EstazolamAtivan
        • Don't drink alcohol or take other narcotics with Prosom (estazolam) because it can slow your breathing.
        • 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.
        Sleep
        EstazolamAtivan
        No sleep related info.
        • Can cause memory problems, drowsiness, dizziness, and confusion.
        • Can cause temporary dizziness and drowsiness.
        Upsides and benefits
        EstazolamAtivan
        • Prosom (estazolam) is available in generic.
        • 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.
        Downsides and risks
        EstazolamAtivan
        • 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.
        • 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.
        Tips from our pharmacists for people taking the medication
        EstazolamAtivan
        • 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.
        • 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.
        Learn more
        More about EstazolamSide effectsAlternativesFDA package insert
        Have you used Prosom (estazolam)?
        Worth itNot sureNot worth it
        More about AtivanSide effectsReviews & ratingsAlternativesFDA package insert
        Have you used Ativan (lorazepam)?
        Worth itNot sureNot worth it