Hey everyone. So, right now I've been prescribed xanax to manage anxiety. It's not prescribed for daily use, but my anxiety has been out of control lately. I have limited experience with other benzos and will be talking to my doctor. But because they are addictive doctors are hesitant about prescribing them to me for daily use. Any medications you have found helpful and not as sedating as xanax? It makes me quite tired and I can't function fully on it.
Does it warrant, in your opinion, prescription for daily use? Use as needed for acute treatment rather than daily medication for prevention is probably better if you can manage that, and for that Xanax is pretty ideal - strongly anxiolytic and fast-acting, but also so short-acting that you needn't be medicated all day (unless you're on the XR). Xanax, for me, is among the least sedating benzos; I find almost all its properties, apart from anxiolytic effect and amnesia, quite weak, although in those two it is very strong. Diazepam and lorazepam are also good anxiolytics, and quickly absorbed, but both are considerably longer in action than Xanax (and diazepam has mild but long-lasting active metabolites), and I find both to be more sedative.
Clonazepam is as non-sedative as Xanax for me, but it's long-acting and takes a while to come-up so that's better suited for daily maintenance treatment.
As for being habit-forming, I find that quickness of onset is a decisive factor, but the key variable for me is personal preference. Whatever benzos you enjoy the most, you will find more habit-forming than the rest. Objectively speaking, oxazepam is probably the least habit-forming - it takes 2-3 hours to reach full effects, and if I recall correctly is only a partial agonist while almost all other benzos are full agonists. From my experience, however, oxazepam is almost as sedating as it is anxiolytic, and slow absorption means it must be taken pre-emptively; that meant that in order to not feel anxious and be able to go about my daily business, I would be so drowsy that if I went to bed I would fall asleep. I'd have to take at least 50mg for noticeable anxiolytic relief, and at that point I was barely functional.
I've had the most success with alprazolam and clonazepam, but lorazepam and bromazepam (unavailable in the States I think) have been suitable too.