By Irfana
B.Sc (Psychiatry Ward)
10 May 2022 -
Medically reviewed by
D. Pharm
Valium Vs Ativan
Table of Contents

Nature has built humans into different animal. The way our brain works, handles things are just marvellous in terms. Brain and the central nervous system are the basis of human intelligence evolution, sometimes these complex systems get disturbed by nuisance like anxiety, seizures, addictions etc. Various medicines are developed to cope with this problem, the confusion lies which medicine is superior to treat the condition? Let’s clear your doubt

A Small Intro Of Valium Vs Ativan

Valium and Ativan seem quite similar medicines due to their drug class. These medicines belong to the Benzodiazepine class which is used to treat anxiety, seizure, and other pain related conditions. Valium is used for seizures, anxiety, insomnia, alcohol withdrawal, etc and Ativan is used for Anxiety, Insomnia, Chemotherapy, panic disorders, etc. (Wilson, J. and ELLIS, F.R., 1973)

Valium is not available over the counter though you can buy Valium online from a certified online pharmacy, you can also purchase Ativan online but it is required to get a doctor's prescription.

Thus we can say there are similarities, but what makes them differ?

Valium Vs Ativan - The Actual Answer

Valium and Ativan are benzos. Valium stays for a longer time in the body as compared to Ativan. Valium has a half life of 48 hours and gets completely eliminated in 9-10 days. (Sohn, D.M., 1975.)

Ativan half life is about 14 hours which is lowest as compared with valium, it is pushed out of system in 5 days. Observing both these benzo the competition lies in the absorption and metabolism rate of medicines. We can say that there are differences but not a rush to decide who is superior, because doctors prescribe according to your condition. (Work, H.D.A., Ativan (Lorazepam).)

How Much Valium Vs Ativan Stay In System :


 Urine: It can be detected in urine for about 6 weeks

  • Blood: Valium remains for 48 hours in the system.
  • Saliva: Saliva test results showed it can be found for 10 days
  • Hair: Valium stays for 90 days in hair


 Urine: About 6-10 days

  • Blood test: It can stay between 6 hours - 3 days.
  • Saliva: Ativan can be detected for 6-8 hours in saliva after the last dose
  • Hair: Fortunately similar to Valium it is detectable for 90 days

Which One Is More Effective? (Valium vs Ativan)

Valium and Ativan are recommended according to your condition, both medicines are proven effective to treat anxiety and related CNS conditions. Valium is a quick absorbing and effective medication for fast results especially for the worst anxiety symptoms . Ativan has long lasting results but can cause an increase in the amount of drug in the body. To cover it in a short, the effective benzo is proved from the issue it is treating.

Can You Take Valium Vs Ativan Together?

 Scientifically it is not recommended to mix one benzo with the other, it can result in serious Central Nervous System issues, coma, heavy dizziness and drowsiness which can lead to accidents or injuries. The side effects of Valium and Ativan togetherly rise the side effects and make it more worse.


Besides sedative Valium and Ativan is also used in several other conditions which are as follows:

Acute Muscle Spasm



Light Anesthesia


Panic Disorders



Alcohol Withdrawal


Valium Vs Ativan With Alcohol Good or Bad?

 Alcohol itself used as a recreational drug that depresses the central nervous system, benzo also sedates the user. When you mix Valium vs Ativan with alcohol it can interact with each other and increase the intensity of sedative properties.

It is better to ignore such experiments or habits.

What Precautions You Should Take For Valium Vs Ativan

 Valium & Ativan precautions.

Inform your doctor if you  are

  • Allergic to benzodiazepines (such as oxazepam, temazepam)
  • Medical history like muscle disease, lung disease and breathing issues.
  • Mental disorders, depression, psychosis, family history of kidney disease.
  • Avoid alcohol and marijuana.

Common Side Effects Of Valium Vs Ativan

Side effects may vary from one medicine to another. Each medicine works on the body differently and shows negative effects. Valium vs Ativan, effects are as follows:

Common side effects of Valium vs Ativan

  • Weakness in the body
  • Constipation
  • Nausea
  • Dizziness
  • Skin rashes
  • Blurred vision

Severe side effects of Valium are:

  • Breathlessness
  • Severe rash problems
  • Allergic reactions
  • Hallucinations
  • Depressions

Severe side effects of Ativan are:

  • Severe drowsiness
  • Mood swings
  • Suicidal thoughts
  • Sleep issues
  • Jaundice

Forms And Dosage Of Valium Vs Ativan

For Adult

Tablet: 2mg, 5mg, 10mg

Oral Solution: 1mg/1ml, 5mg/5ml

Gel: 2.5mg, 10mg, 20mg

Injectable solution : 5mg/5ml

For Pediatrics:

Tablet : 2mg, 5mg, 10mg

Oral Solution: 1mg, 5mg

Gel : 2.5mg, 10mg, 20mg

Ativan dosage

For Adult

Tablet: 0.5mg, 1mg ,2mg

Oral Solution : 2mg to 3mg orally per day

Maintenance dose: 1 to 2 mg, 2 to 3 times a day

10mg is the maximum dose

For eg: 2mg in morning, 2mg in afternoon ,6mg before bed

Important note: Valium can be taken up to 4 times per day while Ativan can be taken 2 to 3 times a day.

Valium Vs Ativan are prescribed medicines. Please consult with your medical expert for a better perspective.

Interactions Of Valium Vs Ativan

 Interactions make the medicines lose effectiveness or can increase the side effects of it. There are several other medications that can interact with Valium Vs Ativan

  • Opioids
  • Fluoxetine
  • Clozapine
  • Probenecid
  • Cimetidine
  • Antacids


Medicine having the same drug class can confuse people about their usage or effectiveness. Valium Vs Ativan are both benzos differences in the detection time. Valium stays for a longer duration in the body.

These medicines effectively work on the conditions. Ativan is known for its fast absorption and its low half life so it can be the first preference .

Lastly your health expert will prescribe you after examination between these two medicines.

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