Which three benzodiazepines are commonly used for anxiety/panic disorders, and which is considered safe for pediatric use?

The selection of three benzodiazepines that are commonly used for anxiety and panic disorders includes Klonopin (clonazepam), Ativan (lorazepam), and Alprazolam (often known by its brand name, Xanax). These medications are frequently prescribed due to their effectiveness in managing acute anxiety and panic symptoms.

Klonopin is known for its long half-life and efficacy in preventing panic attacks, making it suitable for both short-term and long-term management of anxiety disorders. Ativan is particularly effective for its rapid onset of action, which provides quick relief during anxiety episodes. Alprazolam is widely recognized for its use in treating panic disorder and has a fast-acting mechanism, although it does carry a risk of dependence with long-term use.

In the context of pediatric use, Ativan is noted for being safer compared to other benzodiazepines. While there can be hesitance around prescribing benzodiazepines to children because of concerns regarding dependence and cognitive effects, Ativan has a more established safety profile in the pediatric population, making it a preferred choice when benzodiazepine therapy is warranted.

This focus on Klonopin, Ativan, and Alprazolam aligns with current psychiatric practice patterns,