For acute anxiety attacks, which benzodiazepine is typically recommended for its longer action?

Lorazepam is the benzodiazepine typically recommended for managing acute anxiety attacks due to its relatively longer duration of action compared to many other benzodiazepines. It is effective in rapidly alleviating anxiety symptoms and has a moderate onset of action, making it suitable for situations where prolonged anxiety relief is needed without frequent dosing. Its pharmacokinetic profile allows for a sustained anxiolytic effect, which is particularly beneficial in acute settings where ongoing anxiety management may be required.

Alprazolam, though effective as well, generally has a quicker onset and a shorter duration of action, which may necessitate more frequent dosing for sustained effects. Midazolam is primarily used for procedural sedation and has a very short action, making it less suitable for managing anxiety in a non-procedural context. Temazepam is primarily indicated for sleep disorders rather than acute anxiety relief, further distinguishing it from the others in this specific context.